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Coactivation of Receptor Tyrosine Kinases Affects the Response of Tumor Cells to Targeted Therapies
Jayne M. Stommel,1Alec C. Kimmelman,1,2Haoqiang Ying,1Roustem Nabioullin,3Aditya H. Ponugoti,3Ruprecht Wiedemeyer,1Alexander H. Stegh,1James E. Bradner,4Keith L. Ligon,1,5Cameron Brennan,6Lynda Chin,1,3,7Ronald A. DePinho1,3,8*
Targeted therapies that inhibit receptor tyrosine kinases (RTKs)and the downstream phosphatidylinositol 3-kinase (PI3K) signalingpathway have shown promising anticancer activity, but theirefficacy in the brain tumor glioblastoma multiforme (GBM) andother solid tumors has been modest. We hypothesized that multipleRTKs are coactivated in these tumors and that redundant inputsdrive and maintain downstream signaling, thereby limiting theefficacy of therapies targeting single RTKs. Tumor cell lines,xenotransplants, and primary tumors indeed show multiple concomitantlyactivated RTKs. Combinations of RTK inhibitors and/or RNA interference,but not single agents, decreased signaling, cell survival, andanchorage-independent growth even in glioma cells deficientin PTEN, a frequently inactivated inhibitor of PI3K. Thus, effectiveGBM therapy may require combined regimens targeting multipleRTKs.
1 Department of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02115, USA. 2 Harvard Radiation Oncology Program, Harvard Medical School, Boston, MA 02115, USA. 3 Center for Applied Cancer Science, Belfer Institute for Innovative Cancer Science, Dana-Farber Cancer Institute, Boston, MA 02115, USA. 4 Division of Hematologic Neoplasia, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02115, USA. 5 Department of Pathology, Division of Neuropathology, Brigham and Women's Hospital, Boston, MA 02115, USA. 6 Departments of Neurosurgery, Memorial Sloan Kettering Cancer Center and Neurological Surgery, Weill Medical College of Cornell University, New York, NY 10021, USA. 7 Department of Dermatology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA, 8 Departments of Medicine and Genetics, Harvard Medical School, Boston, MA 02115, USA.
* To whom correspondence should be addressed. E-mail: ron_depinho{at}dfci.harvard.edu
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In Science Signaling
EDITORS' CHOICE
Paula A. Kiberstis (16 October 2007) Sci. STKE2007 (408), tw377.
[DOI: 10.1126/stke.4082007tw377] |Abstract »
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