Adaptive ERK signalling activation in response to therapy and in silico prognostic evaluation of EGFR-MAPK in HNSCC

Background Head and neck squamous cell carcinoma (HNSCC) patients frequently develop treatment resistance to cetuximab, a monoclonal antibody against EGFR, as well as radiotherapy. Here we addressed extracellular signal-regulated kinase 1/2 (ERK1/2) regulation by cetuximab or fractionated irradiatio...

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Veröffentlicht in:British journal of cancer 2020-07, Vol.123 (2), p.288-297
Hauptverfasser: Rong, Chao, Muller, Marie F., Xiang, Fang, Jensen, Alexandra, Weichert, Wilko, Major, Gerald, Plinkert, Peter K., Hess, Jochen, Affolter, Annette
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container_end_page 297
container_issue 2
container_start_page 288
container_title British journal of cancer
container_volume 123
creator Rong, Chao
Muller, Marie F.
Xiang, Fang
Jensen, Alexandra
Weichert, Wilko
Major, Gerald
Plinkert, Peter K.
Hess, Jochen
Affolter, Annette
description Background Head and neck squamous cell carcinoma (HNSCC) patients frequently develop treatment resistance to cetuximab, a monoclonal antibody against EGFR, as well as radiotherapy. Here we addressed extracellular signal-regulated kinase 1/2 (ERK1/2) regulation by cetuximab or fractionated irradiation (IR) and conducted in silico prognostic evaluation of the EGFR-MAPK axis in HNSCC. Methods Expression of ERK1/2 phosphorylation (pERK1/2) was determined in HNSCC cell lines, which were treated with cetuximab or fractionated-IR. Furthermore, the effect of fractionated IR on pERK1/2 was confirmed in an ex vivo HNSCC tissue culture model. Expression and prognostic significance of EGFR-ERK axis was evaluated in a cohort of radiotherapy plus cetuximab-treated HNSCC. Correlations among EGFR-MAPK signalling components and association between transcript and protein expression profiles and patient survival in HNSCC were analysed using publicly available databases. Results ERK1/2 phosphorylation was rebounded by prolonged cetuximab administration and was induced by fractionated IR, which could be suppressed by a MEK inhibitor as a radiosensitiser. In silico assessments suggested that EGFR-MAPK cascade genes and proteins could predict HNSCC patients’ survival as a prognostic signature. Conclusions Activation of ERK1/2 signalling contributes to the cellular defence of HNSCC against cetuximab and fractionated IR treatment. EGFR-MAPK axis has a prognostic significance in HNSCC.
doi_str_mv 10.1038/s41416-020-0892-9
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Here we addressed extracellular signal-regulated kinase 1/2 (ERK1/2) regulation by cetuximab or fractionated irradiation (IR) and conducted in silico prognostic evaluation of the EGFR-MAPK axis in HNSCC. Methods Expression of ERK1/2 phosphorylation (pERK1/2) was determined in HNSCC cell lines, which were treated with cetuximab or fractionated-IR. Furthermore, the effect of fractionated IR on pERK1/2 was confirmed in an ex vivo HNSCC tissue culture model. Expression and prognostic significance of EGFR-ERK axis was evaluated in a cohort of radiotherapy plus cetuximab-treated HNSCC. Correlations among EGFR-MAPK signalling components and association between transcript and protein expression profiles and patient survival in HNSCC were analysed using publicly available databases. Results ERK1/2 phosphorylation was rebounded by prolonged cetuximab administration and was induced by fractionated IR, which could be suppressed by a MEK inhibitor as a radiosensitiser. In silico assessments suggested that EGFR-MAPK cascade genes and proteins could predict HNSCC patients’ survival as a prognostic signature. Conclusions Activation of ERK1/2 signalling contributes to the cellular defence of HNSCC against cetuximab and fractionated IR treatment. EGFR-MAPK axis has a prognostic significance in HNSCC.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/s41416-020-0892-9</identifier><identifier>PMID: 32424150</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4017 ; 692/4028/67/1536 ; 692/53/2422 ; Animals ; Antibodies, Monoclonal, Humanized - pharmacology ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Cell culture ; Cell Line, Tumor ; Cetuximab - pharmacology ; Drug Resistance ; Drug Resistance, Neoplasm - drug effects ; Epidemiology ; Epidermal growth factor receptors ; ErbB Receptors - genetics ; Extracellular signal-regulated kinase ; Head &amp; neck cancer ; Humans ; I.R. radiation ; Insect Proteins ; MAP kinase ; MAP Kinase Signaling System - drug effects ; Medical prognosis ; MEK inhibitors ; Mice ; Mitogen-Activated Protein Kinase 1 - genetics ; Mitogen-Activated Protein Kinase Kinases - genetics ; Molecular Medicine ; Monoclonal antibodies ; Oncology ; Phosphorylation ; Prognosis ; Protein Kinase Inhibitors - pharmacology ; Radiation therapy ; Squamous cell carcinoma ; Squamous Cell Carcinoma of Head and Neck - genetics ; Squamous Cell Carcinoma of Head and Neck - pathology ; Targeted cancer therapy ; Tissue culture ; Transcription ; Treatment resistance ; Xenograft Model Antitumor Assays</subject><ispartof>British journal of cancer, 2020-07, Vol.123 (2), p.288-297</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. 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Here we addressed extracellular signal-regulated kinase 1/2 (ERK1/2) regulation by cetuximab or fractionated irradiation (IR) and conducted in silico prognostic evaluation of the EGFR-MAPK axis in HNSCC. Methods Expression of ERK1/2 phosphorylation (pERK1/2) was determined in HNSCC cell lines, which were treated with cetuximab or fractionated-IR. Furthermore, the effect of fractionated IR on pERK1/2 was confirmed in an ex vivo HNSCC tissue culture model. Expression and prognostic significance of EGFR-ERK axis was evaluated in a cohort of radiotherapy plus cetuximab-treated HNSCC. Correlations among EGFR-MAPK signalling components and association between transcript and protein expression profiles and patient survival in HNSCC were analysed using publicly available databases. Results ERK1/2 phosphorylation was rebounded by prolonged cetuximab administration and was induced by fractionated IR, which could be suppressed by a MEK inhibitor as a radiosensitiser. In silico assessments suggested that EGFR-MAPK cascade genes and proteins could predict HNSCC patients’ survival as a prognostic signature. Conclusions Activation of ERK1/2 signalling contributes to the cellular defence of HNSCC against cetuximab and fractionated IR treatment. 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Here we addressed extracellular signal-regulated kinase 1/2 (ERK1/2) regulation by cetuximab or fractionated irradiation (IR) and conducted in silico prognostic evaluation of the EGFR-MAPK axis in HNSCC. Methods Expression of ERK1/2 phosphorylation (pERK1/2) was determined in HNSCC cell lines, which were treated with cetuximab or fractionated-IR. Furthermore, the effect of fractionated IR on pERK1/2 was confirmed in an ex vivo HNSCC tissue culture model. Expression and prognostic significance of EGFR-ERK axis was evaluated in a cohort of radiotherapy plus cetuximab-treated HNSCC. Correlations among EGFR-MAPK signalling components and association between transcript and protein expression profiles and patient survival in HNSCC were analysed using publicly available databases. Results ERK1/2 phosphorylation was rebounded by prolonged cetuximab administration and was induced by fractionated IR, which could be suppressed by a MEK inhibitor as a radiosensitiser. In silico assessments suggested that EGFR-MAPK cascade genes and proteins could predict HNSCC patients’ survival as a prognostic signature. Conclusions Activation of ERK1/2 signalling contributes to the cellular defence of HNSCC against cetuximab and fractionated IR treatment. EGFR-MAPK axis has a prognostic significance in HNSCC.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32424150</pmid><doi>10.1038/s41416-020-0892-9</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/4017
692/4028/67/1536
692/53/2422
Animals
Antibodies, Monoclonal, Humanized - pharmacology
Biomedical and Life Sciences
Biomedicine
Cancer Research
Cell culture
Cell Line, Tumor
Cetuximab - pharmacology
Drug Resistance
Drug Resistance, Neoplasm - drug effects
Epidemiology
Epidermal growth factor receptors
ErbB Receptors - genetics
Extracellular signal-regulated kinase
Head & neck cancer
Humans
I.R. radiation
Insect Proteins
MAP kinase
MAP Kinase Signaling System - drug effects
Medical prognosis
MEK inhibitors
Mice
Mitogen-Activated Protein Kinase 1 - genetics
Mitogen-Activated Protein Kinase Kinases - genetics
Molecular Medicine
Monoclonal antibodies
Oncology
Phosphorylation
Prognosis
Protein Kinase Inhibitors - pharmacology
Radiation therapy
Squamous cell carcinoma
Squamous Cell Carcinoma of Head and Neck - genetics
Squamous Cell Carcinoma of Head and Neck - pathology
Targeted cancer therapy
Tissue culture
Transcription
Treatment resistance
Xenograft Model Antitumor Assays
title Adaptive ERK signalling activation in response to therapy and in silico prognostic evaluation of EGFR-MAPK in HNSCC
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