Proteomics uncover EPHA2 as a potential novel therapeutic target in colorectal cancer cell lines with acquired cetuximab resistance

Background In metastatic colorectal cancer (mCRC), acquired resistance against anti-EGFR targeted monoclonal antibodies, such as cetuximab (CET), was shown to be frequently caused by activating alterations in the RAS genes KRAS or NRAS . To this day, no efficient follow-up treatment option has emerg...

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Veröffentlicht in:Journal of cancer research and clinical oncology 2023-02, Vol.149 (2), p.669-682
Hauptverfasser: Torlot, Lucien, Jarzab, Anna, Albert, Johanna, Pók-Udvari, Ágnes, Stahler, Arndt, Holch, Julian Walter, Gerlinger, Marco, Heinemann, Volker, Klauschen, Frederick, Kirchner, Thomas, Kumbrink, Jörg, Küster, Bernhard, Jung, Andreas
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container_title Journal of cancer research and clinical oncology
container_volume 149
creator Torlot, Lucien
Jarzab, Anna
Albert, Johanna
Pók-Udvari, Ágnes
Stahler, Arndt
Holch, Julian Walter
Gerlinger, Marco
Heinemann, Volker
Klauschen, Frederick
Kirchner, Thomas
Kumbrink, Jörg
Küster, Bernhard
Jung, Andreas
description Background In metastatic colorectal cancer (mCRC), acquired resistance against anti-EGFR targeted monoclonal antibodies, such as cetuximab (CET), was shown to be frequently caused by activating alterations in the RAS genes KRAS or NRAS . To this day, no efficient follow-up treatment option has emerged to treat mCRC in such a setting of resistance. Methods To uncover potential targets for second-line targeted therapies, we used mass-spectrometric proteomics to shed light on kinome reprogramming in an established cellular model of acquired, KRAS -associated CET resistance. Results This CET resistance was reflected by significant changes in the kinome, most of them individual to each cell line. Interestingly, all investigated resistant cell lines displayed upregulation of the Ephrin type-A receptor 2 (EPHA2), a well-known driver of traits of progression. Expectedly resistant cell lines displayed increased migration ( p  
doi_str_mv 10.1007/s00432-022-04416-0
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To this day, no efficient follow-up treatment option has emerged to treat mCRC in such a setting of resistance. Methods To uncover potential targets for second-line targeted therapies, we used mass-spectrometric proteomics to shed light on kinome reprogramming in an established cellular model of acquired, KRAS -associated CET resistance. Results This CET resistance was reflected by significant changes in the kinome, most of them individual to each cell line. Interestingly, all investigated resistant cell lines displayed upregulation of the Ephrin type-A receptor 2 (EPHA2), a well-known driver of traits of progression. Expectedly resistant cell lines displayed increased migration ( p  &lt; 0.01) that was significantly reduced by targeting the EPHA2 signalling axis using RNA interference (RNAi) ( p  &lt; 0.001), ephrin-A1 stimulation ( p  &lt; 0.001), dasatinib ( p  &lt; 0.01), or anti-EPHA2 antibody treatment ( p  &lt; 0.001), identifying it as an actionable target in mCRC with acquired CET resistance. Conclusion These results highlight EPHA2 and its role in mCRC with KRAS -gene mutated acquired CET resistance and support its use as a potential actionable target for the development of future precision medicine therapies.</description><identifier>ISSN: 0171-5216</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-022-04416-0</identifier><identifier>PMID: 36401637</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Antineoplastic Agents - therapeutic use ; Cancer Research ; Cell Line, Tumor ; Cell migration ; Cetuximab - pharmacology ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - drug therapy ; Colorectal Neoplasms - genetics ; Colorectal Neoplasms - pathology ; Drug Resistance, Neoplasm - genetics ; EphA2 protein ; ErbB Receptors - genetics ; Hematology ; Humans ; Internal Medicine ; Medicine ; Medicine &amp; Public Health ; Metastases ; Monoclonal antibodies ; Mutation ; Oncology ; Original Article – Cancer Research ; Original – Cancer Research ; Precision medicine ; Proteomics ; Proto-Oncogene Proteins p21(ras) - genetics ; RNA-mediated interference ; Targeted cancer therapy ; Therapeutic targets ; Tumor cell lines</subject><ispartof>Journal of cancer research and clinical oncology, 2023-02, Vol.149 (2), p.669-682</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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To this day, no efficient follow-up treatment option has emerged to treat mCRC in such a setting of resistance. Methods To uncover potential targets for second-line targeted therapies, we used mass-spectrometric proteomics to shed light on kinome reprogramming in an established cellular model of acquired, KRAS -associated CET resistance. Results This CET resistance was reflected by significant changes in the kinome, most of them individual to each cell line. Interestingly, all investigated resistant cell lines displayed upregulation of the Ephrin type-A receptor 2 (EPHA2), a well-known driver of traits of progression. Expectedly resistant cell lines displayed increased migration ( p  &lt; 0.01) that was significantly reduced by targeting the EPHA2 signalling axis using RNA interference (RNAi) ( p  &lt; 0.001), ephrin-A1 stimulation ( p  &lt; 0.001), dasatinib ( p  &lt; 0.01), or anti-EPHA2 antibody treatment ( p  &lt; 0.001), identifying it as an actionable target in mCRC with acquired CET resistance. 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To this day, no efficient follow-up treatment option has emerged to treat mCRC in such a setting of resistance. Methods To uncover potential targets for second-line targeted therapies, we used mass-spectrometric proteomics to shed light on kinome reprogramming in an established cellular model of acquired, KRAS -associated CET resistance. Results This CET resistance was reflected by significant changes in the kinome, most of them individual to each cell line. Interestingly, all investigated resistant cell lines displayed upregulation of the Ephrin type-A receptor 2 (EPHA2), a well-known driver of traits of progression. Expectedly resistant cell lines displayed increased migration ( p  &lt; 0.01) that was significantly reduced by targeting the EPHA2 signalling axis using RNA interference (RNAi) ( p  &lt; 0.001), ephrin-A1 stimulation ( p  &lt; 0.001), dasatinib ( p  &lt; 0.01), or anti-EPHA2 antibody treatment ( p  &lt; 0.001), identifying it as an actionable target in mCRC with acquired CET resistance. Conclusion These results highlight EPHA2 and its role in mCRC with KRAS -gene mutated acquired CET resistance and support its use as a potential actionable target for the development of future precision medicine therapies.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36401637</pmid><doi>10.1007/s00432-022-04416-0</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-5270-9108</orcidid><oa>free_for_read</oa></addata></record>
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subjects Antineoplastic Agents - therapeutic use
Cancer Research
Cell Line, Tumor
Cell migration
Cetuximab - pharmacology
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - drug therapy
Colorectal Neoplasms - genetics
Colorectal Neoplasms - pathology
Drug Resistance, Neoplasm - genetics
EphA2 protein
ErbB Receptors - genetics
Hematology
Humans
Internal Medicine
Medicine
Medicine & Public Health
Metastases
Monoclonal antibodies
Mutation
Oncology
Original Article – Cancer Research
Original – Cancer Research
Precision medicine
Proteomics
Proto-Oncogene Proteins p21(ras) - genetics
RNA-mediated interference
Targeted cancer therapy
Therapeutic targets
Tumor cell lines
title Proteomics uncover EPHA2 as a potential novel therapeutic target in colorectal cancer cell lines with acquired cetuximab resistance
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