Coactivation of receptor tyrosine kinases affects the response of tumor cells to targeted therapies |
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Authors: | Stommel Jayne M Kimmelman Alec C Ying Haoqiang Nabioullin Roustem Ponugoti Aditya H Wiedemeyer Ruprecht Stegh Alexander H Bradner James E Ligon Keith L Brennan Cameron Chin Lynda DePinho Ronald A |
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Institution: | Department of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02115, USA. |
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Abstract: | Targeted therapies that inhibit receptor tyrosine kinases (RTKs) and the downstream phosphatidylinositol 3-kinase (PI3K) signaling pathway have shown promising anticancer activity, but their efficacy in the brain tumor glioblastoma multiforme (GBM) and other solid tumors has been modest. We hypothesized that multiple RTKs are coactivated in these tumors and that redundant inputs drive and maintain downstream signaling, thereby limiting the efficacy of therapies targeting single RTKs. Tumor cell lines, xenotransplants, and primary tumors indeed show multiple concomitantly activated RTKs. Combinations of RTK inhibitors and/or RNA interference, but not single agents, decreased signaling, cell survival, and anchorage-independent growth even in glioma cells deficient in PTEN, a frequently inactivated inhibitor of PI3K. Thus, effective GBM therapy may require combined regimens targeting multiple RTKs. |
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