AXL and CDCP1: A roadmap of innate resistance in EGFR mutant NSCLC.

Authors

null

Niki Karachaliou

Hospital Universitari Sagrat Cor - Grupo Quirónsalud- Oncology Department, Barcelona, Spain

Niki Karachaliou , Imane Chaib , Andres Felipe Cardona Zorrilla , Jordi Berenguer , Jillian Bracht , Jie Yang , Xueting Cai , Zhigang Wang , Ana Drozdowskyj , Ilaria Attili , July Katherine Rodríguez , Luis Leonardo Rojas Puentes , Santiago Viteri Ramirez , Sai-Hong Ignatius Ou , Tony Mok , Trever Grant Bivona , Mayumi Ono , Jingrong Jean Cui , Peng Cao , Rafael Rosell

Organizations

Hospital Universitari Sagrat Cor - Grupo Quirónsalud- Oncology Department, Barcelona, Spain, Institute for Health Science Research Germans Trias i Pujol (IGTP), Laboratory of Molecular Biology, Badalona, Barcelona, Spain, Clínica del Country, Bogotá, Colombia, Coyote Research Group, Pangaea Oncology, IOR, Quirón-Dexeus University Institute, Barcelona, Spain, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing, Jiangsu, China, Academy of Traditional Chinese Medicine, Laboratory of Celluar and Molecular Biology, Nanjing, Jiangsu, China, Pivotal, Madrid, Spain, Medical Oncology 2, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy, FICMAC Investigación clínica y Molecular del Cáncer, Bogotá, Colombia, Instituto Nacional De Cancerologia Mexico, Mexico DF, Mexico, Quirón Salud-Dexeus University Institute, IOR, Medical Oncology Department, Barcelona, Spain, University of California Irvine School of Medicine, Irvine, CA, State Key Laboratory of South China, Department of Clinical Oncology, Chinese University of Hong Kong, Hong Kong, China, Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, Department of Pharmaceutical Oncology, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan, TP Therapeutics, Inc., San Diego, CA, Hospital of Integrated Traditional Chinese and Western Medicine, Laboratory of Celluar and Molecular Biology, Nanjing, Jiangsu, China, Catalan Institute of Oncology, Barcelona, Spain

Research Funding

Other

Background: Several non receptor tyrosine kinases (RTKs) activated by EGFR tyrosine kinase inhibitors (TKI) have been identified. Src family kinases (SFKs), FAK and STAT3 protein and mRNA levels are elevated after EGFR TKI, driving activation of YAP1, which, in turn, upregulates AXL, MET and CDCP1. Methods: A combination of genomic, biological, in vivo models, and clinical patient cohorts were performed. The efficacy of gefitinib or osimertinib with several inhibitors, including dasatinib and TPX-0005, was examined. Since only TPX-0005 abrogated Src, FAK, JAK2 and STAT3 activity, the assays were carried out with this drug. Nude mice bearing PC9 or H1975 cells were treated with osimertinib plus TPX-0005. Gene expression analysis was conducted in two cohorts (Cohort 1 and 2) of EGFR mutant NSCLC patients and was correlated with progression-free survival (PFS), overall survival (OS), and response. Results: An array of RTKs and non-RTKs were overexpressed before therapy and were not ablated with either gefitinib or osimertinib. TPX-0005 with an EGFR TKI abolishes AXL and CDCP1 mRNA expression. In addition, SFKs siRNA reduced YAP1 phosphorylation. AXL, CDCP1 and MET phosphorylation were diminished when YAP1 or SFKs were knocked-down. The combination of an EGFR TKI with TPX-0005 was synergistic in several EGFR mutant NSCLC cell lines. Osimertinib plus TPX-0005 caused tumor regression in PC9 and H1975 xenograft models. In Cohort 1, the Cox analysis showed CDCP1 as an independent prognostic factor for PFS (hazard ratio [HR] 1.79, p = 0.0407) and OS (HR 2.23, p = 0.0192). A two-gene model based on AXL and CDCP1 expression was strongly associated with the clinical outcome to EGFR TKIs in both cohorts of patients. Conclusions: CDCP1 and AXL warn of an aberrant activation of SFKs, FAK, STAT3 and YAP1 pathways. A Phase I trial of EGFR TKI plus TPX-0005 in EGFR mutant NSCLC is desirable.

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Abstract Details

Meeting

2018 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Publication Only: Tumor Biology

Track

Tumor Biology

Sub Track

Cancer Angiogenesis and Metastases

Citation

J Clin Oncol 36, 2018 (suppl; abstr e24003)

DOI

10.1200/JCO.2018.36.15_suppl.e24003

Abstract #

e24003

Abstract Disclosures