2009
DOI: 10.4161/cbt.8.8.7903
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Epidermal Growth Factor Receptor cooperates with Src Family Kinases in acquired resistance to cetuximab

Abstract: The epidermal growth factor receptor (EGFR) is a receptor tyrosine kinase that plays a major role in oncogenesis. Cetuximab is an EGFR-blocking antibody that is FDA approved for use in patients with metastatic colorectal cancer (mCRC) and head and neck squamous cell carcinoma (HNSCC). Although cetuximab has shown strong clinical benefit for a subset of cancer patients, most become refractory to cetuximab therapy. We reported that cetuximab-resistant NSCLC line NCI-H226 cells have increased steady-state express… Show more

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Cited by 136 publications
(109 citation statements)
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References 27 publications
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“…The finding that Src family kinases are sufficient to modify EGFR dependence is in line with considerable evidence linking EGFR activity with this family: c-Src itself has been characterized extensively with respect to its cooperative relationship with EGFR (27), and the introduction of dominant-active c-Src can reduce the inhibitory effects of erlotinib in head and neck squamous cell carcinoma models (28). Src family kinase activation has been observed in cetuximab-resistant colorectal adenocarcinoma and NSCLC squamous cell carcinoma in vitro models (29,30), and it has been reported that CRIPTO1-mediated EGFR TKI resistance in NSCLC is Src-dependent (31). Furthermore, a recent report described increased expression and activation of Src, mediated by integrin activation, in EGFR TKI-resistant lung adenocarcinoma models (32).…”
Section: Discussionmentioning
confidence: 58%
“…The finding that Src family kinases are sufficient to modify EGFR dependence is in line with considerable evidence linking EGFR activity with this family: c-Src itself has been characterized extensively with respect to its cooperative relationship with EGFR (27), and the introduction of dominant-active c-Src can reduce the inhibitory effects of erlotinib in head and neck squamous cell carcinoma models (28). Src family kinase activation has been observed in cetuximab-resistant colorectal adenocarcinoma and NSCLC squamous cell carcinoma in vitro models (29,30), and it has been reported that CRIPTO1-mediated EGFR TKI resistance in NSCLC is Src-dependent (31). Furthermore, a recent report described increased expression and activation of Src, mediated by integrin activation, in EGFR TKI-resistant lung adenocarcinoma models (32).…”
Section: Discussionmentioning
confidence: 58%
“…Several mechanisms of resistance to cetuximab have been described. Western blot and immunofluorescence analysis showed that the expression level and localization of EGFR in SAS cells were similar to those of cetuximab-sensitive cell lines, indicating that neither the expression and activity level of EGFR (39), nor inappropriate cellular distribution of EGFR (28,40) was probable cause of the drug resistance shown by SAS cells. However, the fact that phosphorylated EGFR is expressed by SAS cells suggests that EGFR is indeed stimulated by a ligand in such cells and plays a role in the regulation of a function other than growth, which may in turn be affected by cetuximab.…”
Section: Discussionmentioning
confidence: 99%
“…First, resistance may develop via constitutive activation of growth caused by changes in effectors of the EGFR signal transduction pathway (23)(24)(25)(26). Second, proliferation may be stimulated by activation of receptors other than EGFR (27)(28)(29)(30). However, the detailed features of cetuximab remain elusive.…”
Section: Introductionmentioning
confidence: 99%
“…In this study, Wheeler et al used cetuximab-resistant clones derived from the NSCLC NCI-H226 cell line. 184 Cetuximab-resistant cells demonstrated a robust increase in SFK activity compared to sensitive parental control cells, possibly due to the steady state increase of EGFR in resistant lines. In addition, cetuximab-resistant cell lines had high AKT activity.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, cetuximab-resistant cells had increased SFK expression. 184 Based on this knowledge, researchers postulated that SFKs may influence nuclear EGFR and modulate cetuximab resistance. Using the pan-SFK inhibitor, Dasatinib, a 2.7-5.5-fold decrease in nuclear EGFR was detected with a significant increase in surface associated EGFR levels measured via flow cytometry.…”
mentioning
confidence: 99%