Literature DB >> 25759024

A functional landscape of resistance to ALK inhibition in lung cancer.

Frederick H Wilson1, Cory M Johannessen2, Federica Piccioni2, Pablo Tamayo2, Jong Wook Kim1, Eliezer M Van Allen1, Steven M Corsello1, Marzia Capelletti3, Antonio Calles3, Mohit Butaney3, Tanaz Sharifnia1, Stacey B Gabriel2, Jill P Mesirov2, William C Hahn1, Jeffrey A Engelman4, Matthew Meyerson5, David E Root2, Pasi A Jänne6, Levi A Garraway7.   

Abstract

We conducted a large-scale functional genetic study to characterize mechanisms of resistance to ALK inhibition in ALK-dependent lung cancer cells. We identify members of known resistance pathways and additional putative resistance drivers. Among the latter were members of the P2Y purinergic receptor family of G-protein-coupled receptors (P2Y1, P2Y2, and P2Y6). P2Y receptors mediated resistance in part through a protein-kinase-C (PKC)-dependent mechanism. Moreover, PKC activation alone was sufficient to confer resistance to ALK inhibitors, whereas combined ALK and PKC inhibition restored sensitivity. We observed enrichment of gene signatures associated with several resistance drivers (including P2Y receptors) in crizotinib-resistant ALK-rearranged lung tumors compared to treatment-naive controls, supporting a role for these identified mechanisms in clinical ALK inhibitor resistance.
Copyright © 2015 Elsevier Inc. All rights reserved.

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Year:  2015        PMID: 25759024      PMCID: PMC4398996          DOI: 10.1016/j.ccell.2015.02.005

Source DB:  PubMed          Journal:  Cancer Cell        ISSN: 1535-6108            Impact factor:   31.743


  53 in total

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