Combined inhibition of epidermal growth factor receptor and JAK/STAT pathways results in greater growth inhibition in vitro than single agent therapy

Mol Cancer Ther. 2004 Apr;3(4):459-63.

Abstract

Epidermal growth factor receptor (EGFR) inhibition with small molecule tyrosine kinase inhibitors results in antitumor activity in only a minority of patients whose tumors express EGFR. One hypothesis to explain this suboptimal clinical activity is that multiple growth regulatory pathways are abnormal in most EGFR-expressing cancers. Given the importance of Stat-3 signaling pathway in epidermoid tumors, we hypothesized that blocking complementary pathways in an epidermal growth factor (EGF)-driven model of proliferation in the A431 cell line would demonstrate improved antiproliferative activity. Exposure of A431 cells to the EGF results in a significant increase in EGFR and Stat-3 phosphorylation. However, inhibition of EGFR by AG1478 fails to decrease EGF-induced Stat-3 phosphorylation. This suggests that EGF continues to drive Stat-3 phosphorylation through other receptors. Our study suggests that residual ErbB2 activation by EGF, despite EGFR blockade, is responsible for persistent downstream activation of Stat-3. In this setting, combined exposure to an EGFR blocker and Stat-3 blocker (AG490) results in significantly greater tumor growth inhibition than either agent alone. We conclude that targeting multiple pathways (EGFR and JAK/STAT pathways) in EGF-driven tumors may result in greater antiproliferative activity than blocking EGFR alone.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antibodies, Monoclonal / pharmacology
  • Cell Division / drug effects
  • Cell Line, Tumor
  • DNA-Binding Proteins / antagonists & inhibitors*
  • DNA-Binding Proteins / metabolism
  • Drug Synergism
  • Enzyme Activation / drug effects
  • Enzyme Inhibitors / pharmacology*
  • Epidermal Growth Factor / pharmacology
  • ErbB Receptors / antagonists & inhibitors*
  • ErbB Receptors / metabolism
  • Humans
  • Inhibitory Concentration 50
  • Phosphorylation / drug effects
  • Quinazolines
  • Receptor, ErbB-2 / antagonists & inhibitors
  • Receptor, ErbB-2 / metabolism
  • STAT3 Transcription Factor
  • Signal Transduction / drug effects*
  • Trans-Activators / antagonists & inhibitors*
  • Trans-Activators / metabolism
  • Tyrphostins / pharmacology

Substances

  • 2C4 antibody
  • Antibodies, Monoclonal
  • DNA-Binding Proteins
  • Enzyme Inhibitors
  • Quinazolines
  • STAT3 Transcription Factor
  • STAT3 protein, human
  • Trans-Activators
  • Tyrphostins
  • alpha-cyano-(3,4-dihydroxy)-N-benzylcinnamide
  • RTKI cpd
  • Epidermal Growth Factor
  • ErbB Receptors
  • Receptor, ErbB-2