2013
DOI: 10.1158/0008-5472.can-12-4502
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Erlotinib Resistance in Lung Cancer Cells Mediated by Integrin β1/Src/Akt-Driven Bypass Signaling

Abstract: EGF receptor (EGFR) kinase inhibitors, including gefitinib and erlotinib, exert potent therapeutic efficacy in non-small cell lung cancers harboring EGFR-activating mutations. However, most patients ultimately develop resistance to these drugs. Here, we report a novel mechanism of acquired resistance to EGFR tyrosine kinase inhibitors and the reversal of which could improve clinical outcomes. In erlotinib-resistant lung cancer cells harboring activating EGFR mutations that we established, there was increased e… Show more

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Cited by 120 publications
(103 citation statements)
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“…Our findings indicated that changes in Cdc42 activity, which is a Rho GTPase, and AKT were related to the modulation of integrinβ1 expression in DR-PDAC cells. A role for integrinβ1 in Rho GTPases and AKT activity was demonstrated in ovarian and lung cancer, respectively [38,39]. Therefore, our result combined with the current record [38][39][40] and supports integrinβ1 as the upstream factor in the regulation of Cdc42 and AKT activities during the acquisition of a DR phenotype in PDAC cells.…”
Section: Discussionsupporting
confidence: 79%
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“…Our findings indicated that changes in Cdc42 activity, which is a Rho GTPase, and AKT were related to the modulation of integrinβ1 expression in DR-PDAC cells. A role for integrinβ1 in Rho GTPases and AKT activity was demonstrated in ovarian and lung cancer, respectively [38,39]. Therefore, our result combined with the current record [38][39][40] and supports integrinβ1 as the upstream factor in the regulation of Cdc42 and AKT activities during the acquisition of a DR phenotype in PDAC cells.…”
Section: Discussionsupporting
confidence: 79%
“…A role for integrinβ1 in Rho GTPases and AKT activity was demonstrated in ovarian and lung cancer, respectively [38,39]. Therefore, our result combined with the current record [38][39][40] and supports integrinβ1 as the upstream factor in the regulation of Cdc42 and AKT activities during the acquisition of a DR phenotype in PDAC cells. We demonstrated that high integrinβ1 expression accounted for the inherent and acquired resistance to genotoxic drugs because GR-PDAC cells with integrinβ1 suppression became sensitive to gemcitabine similar to PCL cells, and resistance to gemcitabine was impaired as integrinβ1 levels decreased in GR-pPDAC cells.…”
Section: Discussionsupporting
confidence: 79%
“…Integrin β1-silencing in A549 cells causes a defective activation of the EGFR signaling cascade, leading to impaired cell proliferation, migration and invasive behavior in vitro. Integrin β1 overexpression in lung cancer cells also has a key role in chemoresistance (38,39). In the present study, in the A549 cells, maspin negatively regulated the integrin β1 expression.…”
Section: Discussionsupporting
confidence: 55%
“…Src family kinase activation has been observed in cetuximab-resistant colorectal adenocarcinoma and NSCLC squamous cell carcinoma in vitro models (29,30), and it has been reported that CRIPTO1-mediated EGFR TKI resistance in NSCLC is Src-dependent (31). Furthermore, a recent report described increased expression and activation of Src, mediated by integrin activation, in EGFR TKI-resistant lung adenocarcinoma models (32). The present study extends these findings to demonstrate that overexpression of SRC is itself sufficient to bypass EGFR dependence in EGFR-dependent NSCLC, and that this function is shared by seven of the nine family members.…”
Section: Discussionmentioning
confidence: 97%