Overexpression of both cellular Src (c-Src) and the epidermal growth factor receptor (EGFR) occurs in many of the same human tumors, suggesting that they may functionally interact and contribute to the progression of cancer. Indeed, in murine fibroblasts, overexpression of c-Src has been shown to potentiate the mitogenic and tumorigenic capacity of the overexpressed EGFR. Potentiation correlated with the ability of c-Src to physically associate with the activated EGFR and the appearance of two unique in vivo phosphorylations on the receptor (Tyr-845 and Tyr-1101). Using stable cell lines of C3H10T 1 ⁄2 murine fibroblasts that contain kinase-deficient (K؊) c-Src and overexpressed wildtype EGFR, we show that the kinase activity of c-Src is required for both the biological synergy with the receptor and the phosphorylations on the receptor, but not for the association of c-Src with the receptor. In transient transfection assays, not only epidermal growth factor but also serum-and lysophosphatidic acid-induced DNA synthesis was ablated in a dominant-negative fashion by a Y845F mutant of the EGFR, indicating that c-Src-induced phosphorylation of Y845 is critical for the mitogenic response to both the EGFR and a G protein-coupled receptor (lysophosphatidic acid receptor). Unexpectedly, the Y845F mutant EGFR was found to retain its full kinase activity and its ability to activate the adapter protein SHC and extracellular signal-regulated kinase ERK2 in response to EGF, demonstrating that the mitogenic pathway involving phosphorylation of Y845 is independent of ERK2-activation. The application of these findings to the development of novel therapeutics for human cancers that overexpress c-Src and EGFR is discussed.Considerable evidence has accumulated in recent years to suggest that cellular Src (c-Src) and members of the epidermal growth factor (EGF) receptor (EGFR) family are critical elements in the etiology of multiple human cancers. Both kinases are found overexpressed in many of the same types of tumors, including glioblastomas and carcinomas of the colon, breast, and lung (1-4), raising the question of whether they functionally interact to promote the growth of these malignancies. In breast cancer, overexpression of EGFR family members is estimated to occur in 60% or more of the cases (5), and overexpression of the family member HER2͞NEU, has been associated with a poor prognosis for the disease (6). Recent reports have also described overexpression of c-Src in a significant majority of patients with breast cancer, a frequency that approaches 100% (1). Studies to assess the oncogenic potential of each kinase have shown that the EGFR is tumorigenic when overexpressed in cultured fibroblasts and activated by ligand (7,8), but overexpression of c-Src alone is insufficient for malignant transformation (9, 10).A possible role for c-Src in tumorigenesis was revealed when it was demonstrated in C3H10T 1 ⁄2 murine fibroblasts that co-overexpression of c-Src and the EGFR resulted in a synergistic increase in EGF-ind...
Since the first approval of gemtuzumab ozogamicin (Mylotarg; Pfizer; CD33 targeted), two additional antibodydrug conjugates (ADC), brentuximab vedotin (Adcetris; Seattle Genetics, Inc.; CD30 targeted) and inotuzumab ozogamicin (Besponsa; Pfizer; CD22 targeted), have been approved for hematologic cancers and 1 ADC, trastuzumab emtansine (Kadcyla; Genentech; HER2 targeted), has been approved to treat breast cancer. Despite a clear clinical benefit being demonstrated for all 4 approved ADCs, the toxicity profiles are comparable with those of standard-of-care chemotherapeutics, with dose-limiting toxicities associated with the mecha-nism of activity of the cytotoxic warhead. However, the enthusiasm to develop ADCs has not been dampened; approximately 80 ADCs are in clinical development in nearly 600 clinical trials, and 2 to 3 novel ADCs are likely to be approved within the next few years. While the promise of a more targeted chemotherapy with less toxicity has not yet been realized with ADCs, improvements in technology combined with a wealth of clinical data are helping to shape the future development of ADCs. In this review, we discuss the clinical and translational strategies associated with improving the therapeutic index for ADCs.
Abegrin TM (MEDI-522 or Vitaxin TM ), a humanized monoclonal antibody against human integrin A v B 3 , is in clinical trials for cancer therapy. In vivo imaging using Abegrin TM
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