Overcoming cetuximab resistance in HNSCC: the role of AURKB and DUSP proteins

Cancer Lett. 2014 Nov 28;354(2):365-77. doi: 10.1016/j.canlet.2014.08.039. Epub 2014 Sep 2.

Abstract

Unraveling the underlying mechanisms of cetuximab resistance in head and neck squamous cell carcinoma (HNSCC) is of major importance as many tumors remain non-responsive or become resistant. Our microarray results suggest that "resistant" cells still exhibit RAS-MAPK pathway signaling contributing to drug resistance, as witnessed by low expression of DUSP5 and DUSP6, negative regulators of ERK1/2, and increased expression of AURKB, a key regulator of mitosis. Therefore, interrupting the RAS-MAPK pathway by an ERK1/2 inhibitor (apigenin) or an AURKB inhibitor (barasertib) might be a new strategy for overcoming cetuximab resistance in HNSCC.

Keywords: Anti-EGFR therapy; Aurora kinase B; Cetuximab resistance; Dual-specificity phosphatase 5 and 6; Head and neck squamous cell carcinoma; NanoPro 1000.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Monoclonal / pharmacology
  • Antibodies, Monoclonal, Humanized / administration & dosage
  • Antibodies, Monoclonal, Humanized / pharmacology*
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology*
  • Apoptosis / drug effects
  • Aurora Kinase B / metabolism*
  • Carcinoma, Squamous Cell / drug therapy*
  • Carcinoma, Squamous Cell / enzymology*
  • Carcinoma, Squamous Cell / genetics
  • Cell Line, Tumor
  • Cetuximab
  • Dose-Response Relationship, Drug
  • Drug Resistance, Neoplasm
  • Drug Synergism
  • Dual-Specificity Phosphatases / metabolism*
  • Gene Expression Profiling
  • Head and Neck Neoplasms / drug therapy*
  • Head and Neck Neoplasms / enzymology*
  • Head and Neck Neoplasms / genetics
  • Humans
  • MAP Kinase Signaling System / drug effects
  • Male
  • Middle Aged
  • Mitogen-Activated Protein Kinase 1 / antagonists & inhibitors
  • Mitogen-Activated Protein Kinase 1 / metabolism
  • Mitogen-Activated Protein Kinase 3 / antagonists & inhibitors
  • Mitogen-Activated Protein Kinase 3 / metabolism
  • Organophosphates / administration & dosage
  • Organophosphates / pharmacology
  • Panitumumab
  • Phosphorylation
  • Quinazolines / administration & dosage
  • Quinazolines / pharmacology
  • Squamous Cell Carcinoma of Head and Neck

Substances

  • 2-((3-((4-((5-(2-((3-fluorophenyl)amino)-2-oxoethyl)-1H-pyrazol-3-yl)amino)quinazolin-7-yl)oxy)propyl)(ethyl)amino)ethyl dihydrogen phosphate
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents
  • Organophosphates
  • Quinazolines
  • Panitumumab
  • AURKB protein, human
  • Aurora Kinase B
  • MAPK1 protein, human
  • Mitogen-Activated Protein Kinase 1
  • Mitogen-Activated Protein Kinase 3
  • Dual-Specificity Phosphatases
  • Cetuximab