Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer

Detalhes bibliográficos
Autor(a) principal: Duarte, Raquel
Data de Publicação: 2022
Outros Autores: Rebelo de Almeida, Cátia, Negrão, Magda, Fernandes, Afonso, Borralho, Paula, Sobral, Daniel, Gallego-Paez, Lina M., Machado, Daniel, Gramaça, João, Vílchez, José, Xavier, Ana T., Ferreira, Miguel Godinho, Miranda, Ana R., Mansinho, Helder, Brito, Maria J., Pacheco, Teresa, Marques, Catarina, Lucia Costa, Ana, Mansinho, André, Fior, Rita, Costa, Luis, Martins, Marta
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/52256
Resumo: © 2022 The Authors; Published by the American Association for Cancer Research. This open access article is distributed under Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 International (CC BY-NC-ND)
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spelling Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer© 2022 The Authors; Published by the American Association for Cancer Research. This open access article is distributed under Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 International (CC BY-NC-ND)Purpose: Cetuximab is an EGFR-targeted therapy approved for the treatment of RAS wild-type (WT) metastatic colorectal cancer (mCRC). However, about 60% of these patients show innate resistance to cetuximab. To increase cetuximab efficacy, it is crucial to successfully identify responder patients, as well as to develop new therapeutic approaches to overcome cetuximab resistance. Experimental design: We evaluated the value of EGFR effector phospholipase C gamma 1 (PLCγ1) in predicting cetuximab responses, by analyzing progression-free survival (PFS) of a multicentric retrospective cohort of 94 treated patients with mCRC (log-rank test and Cox regression model). Furthermore, we used in vitro and zebrafish xenotransplant models to identify and target the mechanism behind PLCγ1-mediated resistance to cetuximab. Results: In this study, levels of PLCγ1 were found increased in RAS WT tumors and were able to predict cetuximab responses in clinical samples and in vitro and in vivo models. Mechanistically, PLCγ1 expression was found to bypass cetuximab-dependent EGFR inhibition by activating ERK and AKT pathways. This novel resistance mechanism involves a noncatalytic role of PLCγ1 SH2 tandem domains in the propagation of downstream signaling via SH2-containing protein tyrosine phosphatase 2 (SHP2). Accordingly, SHP2 inhibition sensitizes PLCγ1-resistant cells to cetuximab. Conclusions: Our discoveries reveal the potential of PLCγ1 as a predictive biomarker for cetuximab responses and suggest an alternative therapeutic approach to circumvent PLCγ1-mediated resistance to cetuximab in patients with RAS WT mCRC. In this way, this work contributes to the development of novel strategies in the medical management and treatment of patients with mCRC.M. Martins' research was supported by Liga Portuguesa Contra o Cancro (LPCC): Terry Fox Fundation; Investigador FCT- Fundação para a Ciência e Technologia (IF/00409/2014) and IMM Bridge grant; RC-D research was supported by Fundação para a Ciência e Technologia (SFRH/BD/139138/2018). A. Fernandes was supported by LPCC-IMM BIOBANK; R. Fior was supported by Champalimaud Foundation and L. Costa was supported by Merck Serono.Repositório da Universidade de LisboaDuarte, RaquelRebelo de Almeida, CátiaNegrão, MagdaFernandes, AfonsoBorralho, PaulaSobral, DanielGallego-Paez, Lina M.Machado, DanielGramaça, JoãoVílchez, JoséXavier, Ana T.Ferreira, Miguel GodinhoMiranda, Ana R.Mansinho, HelderBrito, Maria J.Pacheco, TeresaMarques, CatarinaLucia Costa, AnaMansinho, AndréFior, RitaCosta, LuisMartins, Marta2022-04-07T16:07:17Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/52256engClin Cancer Res. 2022 Mar 15;28(6):1203-12161078-043210.1158/1078-0432.CCR-21-19921557-3265info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:57:22Zoai:repositorio.ul.pt:10451/52256Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:03:23.750094Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer
title Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer
spellingShingle Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer
Duarte, Raquel
title_short Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer
title_full Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer
title_fullStr Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer
title_full_unstemmed Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer
title_sort Predictive and therapeutic implications of a novel PLCγ1/SHP2-driven mechanism of cetuximab resistance in metastatic colorectal cancer
author Duarte, Raquel
author_facet Duarte, Raquel
Rebelo de Almeida, Cátia
Negrão, Magda
Fernandes, Afonso
Borralho, Paula
Sobral, Daniel
Gallego-Paez, Lina M.
Machado, Daniel
Gramaça, João
Vílchez, José
Xavier, Ana T.
Ferreira, Miguel Godinho
Miranda, Ana R.
Mansinho, Helder
Brito, Maria J.
Pacheco, Teresa
Marques, Catarina
Lucia Costa, Ana
Mansinho, André
Fior, Rita
Costa, Luis
Martins, Marta
author_role author
author2 Rebelo de Almeida, Cátia
Negrão, Magda
Fernandes, Afonso
Borralho, Paula
Sobral, Daniel
Gallego-Paez, Lina M.
Machado, Daniel
Gramaça, João
Vílchez, José
Xavier, Ana T.
Ferreira, Miguel Godinho
Miranda, Ana R.
Mansinho, Helder
Brito, Maria J.
Pacheco, Teresa
Marques, Catarina
Lucia Costa, Ana
Mansinho, André
Fior, Rita
Costa, Luis
Martins, Marta
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Duarte, Raquel
Rebelo de Almeida, Cátia
Negrão, Magda
Fernandes, Afonso
Borralho, Paula
Sobral, Daniel
Gallego-Paez, Lina M.
Machado, Daniel
Gramaça, João
Vílchez, José
Xavier, Ana T.
Ferreira, Miguel Godinho
Miranda, Ana R.
Mansinho, Helder
Brito, Maria J.
Pacheco, Teresa
Marques, Catarina
Lucia Costa, Ana
Mansinho, André
Fior, Rita
Costa, Luis
Martins, Marta
description © 2022 The Authors; Published by the American Association for Cancer Research. This open access article is distributed under Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 International (CC BY-NC-ND)
publishDate 2022
dc.date.none.fl_str_mv 2022-04-07T16:07:17Z
2022
2022-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/52256
url http://hdl.handle.net/10451/52256
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Clin Cancer Res. 2022 Mar 15;28(6):1203-1216
1078-0432
10.1158/1078-0432.CCR-21-1992
1557-3265
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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