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2015 ; 10
(2
): 235-45
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The HSP90 inhibitor ganetespib potentiates the antitumor activity of EGFR
tyrosine kinase inhibition in mutant and wild-type non-small cell lung cancer
#MMPMID25077897
Smith DL
; Acquaviva J
; Sequeira M
; Jimenez JP
; Zhang C
; Sang J
; Bates RC
; Proia DA
Target Oncol
2015[Jun]; 10
(2
): 235-45
PMID25077897
show ga
Small molecule inhibitors of epidermal growth factor receptor (EGFR) tyrosine
kinase activity, such as erlotinib and gefitinib, revolutionized therapy for
non-small cell lung cancer (NSCLC) patients whose tumors harbor activating EGFR
mutations. However, mechanisms to overcome the invariable development of acquired
resistance to such agents, as well as realizing their full clinical potential
within the context of wild-type EGFR (WT-EGFR) disease, remain to be established.
Here, the antitumor efficacy of targeted EGFR tyrosine kinase inhibitors (TKIs)
and the HSP90 inhibitor ganetespib, alone and in combination, were evaluated in
NSCLC. Ganetespib potentiated the efficacy of erlotinib in TKI-sensitive, mutant
EGFR-driven NCI-HCC827 xenograft tumors, with combination treatment causing
significant tumor regressions. In erlotinib-resistant NCI-H1975 xenografts,
concurrent administration of ganetespib overcame erlotinib resistance to
significantly improve tumor growth inhibition. Ganetespib co-treatment also
significantly enhanced antitumor responses to afatinib in the same model. In
WT-EGFR cell lines, ganetespib potently reduced cell viability. In NCI-H1666
cells, ganetespib-induced loss of client protein expression, perturbation of
oncogenic signaling pathways, and induction of apoptosis translated to robust
single-agent activity in vivo. Dual ganetespib/erlotinib therapy induced
regressions in NCI-H322 xenograft tumors, indicating that the sensitizing
properties of ganetespib for erlotinib were conserved within the WT-EGFR setting.
Mechanistically, combined ganetespib/erlotinib exposure stabilized EGFR protein
levels in an inactive state and completely abrogated
extracellular-signal-regulated kinase (ERK) and AKT signaling activity. Thus,
selective HSP90 blockade by ganetespib represents a potentially important
complementary strategy to targeted TKI inhibition alone for inducing substantial
antitumor responses and overcoming resistance, in both the mutant and WT-EGFR
settings.