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,重庆医科大学附属第一医院[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
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.
基金:
The V Foundation (to A.J. Bass) and the National Institutes of Health (R01 CA224428, to
A.J. Bass).
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
共同第一作者:
通讯作者:
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
推荐引用方式(GB/T 7714):
Peng Ke,Zhang Feifei,Wang Yichen,et al.Development of combination strategies for Focal Adhesion Kinase inhibition in Diffuse Gastric Cancer[J].CLINICAL CANCER RESEARCH.2023,29(1):197-208.doi:10.1158/1078-0432.CCR-22-1609.
APA:
Peng Ke,Zhang Feifei,Wang Yichen,Sahgal Pranshu,Li Tianxia...&Bass Adam J.(2023).Development of combination strategies for Focal Adhesion Kinase inhibition in Diffuse Gastric Cancer.CLINICAL CANCER RESEARCH,29,(1)
MLA:
Peng Ke,et al."Development of combination strategies for Focal Adhesion Kinase inhibition in Diffuse Gastric Cancer".CLINICAL CANCER RESEARCH 29..1(2023):197-208