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Development of combination strategies for Focal Adhesion Kinase inhibition in Diffuse Gastric Cancer

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机构: [1]Department of Medical Oncology, Zhongshan Hospital, Fudan University, Shanghai, China [2]Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA [3]Department of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China [4]Division of Hematology and Oncology, Department of Medicine, Columbia University Irving Medical Center, [5]Department of Liver Surgery & Liver Transplantation, State Key Laboratory of Biotherapy and Cancer Center, [6]Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, [7]Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China [8]Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and
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关键词: Diffuse gastric cancer FAK inhibitor MAPK inhibitor CDK4/6 inhibitor drug combination

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Diffuse gastric cancer (DGC) is an aggressive and frequently lethal subtype of gastric cancer (GC). Because DGC often lacks genomic aberrations that indicate clear candidate therapeutic targets, it has been challenging to develop targeted therapies for this gastric cancer subtype. Our previous study highlighted the contribution of focal adhesion kinase (FAK) in the tumorigenesis of DGC and the potential efficacy of small-molecule FAK inhibitors. However, drug resistance to monotherapy often hinders the efficacy of treatment.We generated a genome-scale library of open reading frames (ORF) in the DGC model of Cdh1-/-RHOAY42C/+ organoids to identify candidate mechanisms of resistance to FAK inhibition. Compensatory activated pathways were also detected following treatment with FAK inhibitors. Candidates were investigated by co-targeting in vitro and in vivo experiments using DGC.We found that cyclin-dependent kinase 6 (CDK6) promoted FAK inhibitor resistance in ORF screen. In addition, FAK inhibitor treatment in DGC models led to compensatory MAPK pathway activation. Small molecule CDK4/6 inhibitors or MAPK inhibitors effectively enhanced FAK inhibitor efficacy in vitro and in vivo.Our data suggest that FAK inhibitors combined with MAPK inhibitors or CDK4/6 inhibitors warrant further testing in clinical trials for DGC.

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出版当年[2023]版:
大类 | 1 区 医学
小类 | 1 区 肿瘤学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 肿瘤学
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出版当年[2023]版:
Q1 ONCOLOGY
最新[2023]版:
Q1 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Department of Medical Oncology, Zhongshan Hospital, Fudan University, Shanghai, China [2]Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
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通讯机构: [2]Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA [4]Division of Hematology and Oncology, Department of Medicine, Columbia University Irving Medical Center, [7]Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China [8]Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and [*1]1130 St. Nicholas Avenue New York, NY 10032 [*2]1838 Guangzhou Blvd N, Baiyun, Guangzhou, Guangdong Province, China, 510515
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