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Pan-ERBB kinase inhibition augments CDK4/6 inhibitor efficacy in oesophageal squamous cell carcinoma.

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机构: [1]Department of Surgery, West China Hospital, Sichuan University, Chendu, Sichuan Province, China [2]Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA [3]Cancer Program, Broad Institute, Cambridge, Massachusetts, USA [4]Center for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, MA, USA [5]Department of Data Science, Dana Farber Cancer Institute, Boston, MA, USA [6]Department of Biostatistics, Harvard T.H.Chan School of Public Health, Boston, MA, USA [7]Department of Oncologic Sciences, Huntsman Cancer Institute [8]University of Utah, Salt Lake City, Utah, USA [8]Division of Digestive and Liver Diseases, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA [9]Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA [10]Department of Biochemistry, Case Western Reserve University, Cleveland, Ohio, USA [11]Division of Hematology and Medical Oncology, New York University Medical Center, New York, New York, USA [12]Division of Hematology and Oncology, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA
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Oesophageal squamous cell carcinoma (OSCC), like other squamous carcinomas, harbour highly recurrent cell cycle pathway alterations, especially hyperactivation of the CCND1/CDK4/6 axis, raising the potential for use of existing CDK4/6 inhibitors in these cancers. Although CDK4/6 inhibition has shown striking success when combined with endocrine therapy in oestrogen receptor positive breast cancer, CDK4/6 inhibitor palbociclib monotherapy has not revealed evidence of efficacy to date in OSCC clinical studies. Herein, we sought to elucidate the identification of key dependencies in OSCC as a foundation for the selection of targets whose blockade could be combined with CDK4/6 inhibition. We combined large-scale genomic dependency and pharmaceutical screening datasets with preclinical cell line models, to identified potential combination therapies in squamous cell cancer. We identified sensitivity to inhibitors to the ERBB family of receptor kinases, results clearly extending beyond the previously described minority of tumours with EGFR amplification/dependence, specifically finding a subset of OSCCs with dual dependence on ERBB3 and ERBB2. Subsequently. we demonstrated marked efficacy of combined pan-ERBB and CDK4/6 inhibition in vitro and in vivo. Furthermore, we demonstrated that squamous lineage transcription factor KLF5 facilitated activation of ERBBs in OSCC. These results provide clear rationale for development of combined ERBB and CDK4/6 inhibition in these cancers and raises the potential for KLF5 expression as a candidate biomarker to guide the use of these agents. These data suggested that by combining existing Food and Drug Administration (FDA)-approved agents, we have the capacity to improve therapy for OSCC and other squamous cancer. © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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出版当年[2021]版:
大类 | 1 区 医学
小类 | 1 区 胃肠肝病学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 胃肠肝病学
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第一作者机构: [1]Department of Surgery, West China Hospital, Sichuan University, Chendu, Sichuan Province, China [2]Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
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通讯作者:
通讯机构: [1]Department of Surgery, West China Hospital, Sichuan University, Chendu, Sichuan Province, China [2]Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA [3]Cancer Program, Broad Institute, Cambridge, Massachusetts, USA [9]Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA [12]Division of Hematology and Oncology, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA [*1]Herbert Irving Comprehensive Cancer Center,Columbia University, New York City, New York, USA
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