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Overcoming erlotinib resistance with tailored treatment regimen in patient-derived xenografts from naive Asian NSCLC patients

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机构: [1]Crown Bioscience, Inc., 3375 Scott Blvd, suite 108, Santa Clara, CA 95054, USA [2]Research Center, the Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China, 050011 [3]State Key Laboratory of Natural and Biomimetic Drugs, Peking University, Beijing, China, 100191
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关键词: NSCLC EGFR mutation c-met amplification T790M L858R animal models crizotinib erlotinib TKI-resistance combination target therapy cetuximab

摘要:
Overall benefits of EGFR-TKIs are limited because these treatments are largely only for adenocarcinoma (ADC) with EGFR activating mutation. The treatments also usually lead to development of resistances. We have established a panel of patient-derived xenografts (PDXs) from treatment naive Asian NSCLC patients, including those containing classic EGFR activating mutations. Some of these EGFR-mutated PDXs do not respond to erlotinib: LU1868 containing L858R/T790M mutations, and LU0858 having L858R mutation as well as c-MET gene amplification, both squamous cell carcinoma (SCC). Treatment of LU0858 with crizotinib, a small molecule inhibitor for ALK and c-MET, inhibited tumor growth and c-MET activity. Combination of erlotinib and crizotinib caused complete response, indicating the activation of both EGFR and c-MET promote its growth/survival. LU2503 and LU1901, both with wild-type EGFR and c-MET gene amplification, showed complete response to crizotinib alone, suggesting that c-MET gene amplification, not EGFR signaling, is the main oncogenic driver. Interestingly, LU1868 with the EGFR L858R/T790M, but without c-met amplification, had a complete response to cetuximab. Our data offer novel practical approaches to overcome the two most common resistances to EGFR-TKIs seen in the clinic using marketed target therapies.

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出版当年[2013]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学
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Q1 ONCOLOGY
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Q1 ONCOLOGY

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第一作者机构: [1]Crown Bioscience, Inc., 3375 Scott Blvd, suite 108, Santa Clara, CA 95054, USA
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通讯机构: [1]Crown Bioscience, Inc., 3375 Scott Blvd, suite 108, Santa Clara, CA 95054, USA [3]State Key Laboratory of Natural and Biomimetic Drugs, Peking University, Beijing, China, 100191 [*1]Crown Bioscience, Inc., 3375 Scott Blvd, suite 108, Santa Clara, CA 95054, USA,
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