PMID- 26916220 OWN - NLM STAT- MEDLINE DCOM- 20170908 LR - 20200923 IS - 1098-2744 (Electronic) IS - 0899-1987 (Linking) VI - 56 IP - 1 DP - 2017 Jan TI - Significance of FGF9 gene in resistance to anti-EGFR therapies targeting colorectal cancer: A subset of colorectal cancer patients with FGF9 upregulation may be resistant to anti-EGFR therapies. PG - 106-117 LID - 10.1002/mc.22476 [doi] AB - Although fibroblast growth factor (FGF) signals are strongly associated with malignancy, limited information is available regarding the role of the FGF9 signal in colorectal cancer (CRC). In this study, we investigated the frequency of FGF9 amplification in CRC clinical specimens and the association between the FGF9 gene and resistance to anti-EGFR therapies. In clinical samples, an FGF9 copy number gain of >5 copies was observed at a frequency of 8/145 (5.5%) and tended to be related to wild-type KRAS (7/96, 7.3%). Furthermore, FGF9 amplification was not observed in any of the samples from the 15 responders to anti-EGFR therapies but was observed in one sample from the seven non-responders with wild-type KRAS, and two samples from non-responders also had high FGF9 mRNA expression levels. FGF9 amplification was validated using a fluorescence in situ hybridization (FISH) analysis, and FGF9-amplified sections showed readily detectable signals originating from FGF9 protein when examined using immunohistochemistry. In both the in vitro and in vivo experiments using FGF9-overexpressing CRC cell lines, FGF9 overexpression induced strong resistance to anti-EGFR therapies via the enforced FGFR signal, and this resistance was cancelled by the application of an FGFR inhibitor. Considering these results, the FGF9 gene may play an important role in resistance to anti-EGFR therapies in patients with CRC, and such resistance might be overcome by combined treatment with an anti-FGFR inhibitor. These findings strongly encourage the development of FGFR-targeted therapy for CRC patients with FGF9 gene upregulation. (c) 2016 Wiley Periodicals, Inc. CI - (c) 2016 Wiley Periodicals, Inc. FAU - Mizukami, Takuro AU - Mizukami T AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. AD - Department of Clinical Oncology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan. FAU - Togashi, Yosuke AU - Togashi Y AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Naruki, Saeko AU - Naruki S AD - Department of Pathology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan. FAU - Banno, Eri AU - Banno E AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Terashima, Masato AU - Terashima M AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - de Velasco, Marco A AU - de Velasco MA AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Sakai, Kazuko AU - Sakai K AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Yoneshige, Azusa AU - Yoneshige A AD - Department of Pathology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Hayashi, Hidetoshi AU - Hayashi H AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. AD - Department of Medical Oncology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Fujita, Yoshihiko AU - Fujita Y AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Tomida, Shuta AU - Tomida S AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Nakajima, Takako Eguchi AU - Nakajima TE AD - Department of Clinical Oncology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan. FAU - Fujino, Takashi AU - Fujino T AD - Department of Pathology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan. FAU - Boku, Narikazu AU - Boku N AD - Department of Clinical Oncology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan. FAU - Ito, Akihiko AU - Ito A AD - Department of Pathology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Nakagawa, Kazuhiko AU - Nakagawa K AD - Department of Medical Oncology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Nishio, Kazuto AU - Nishio K AD - Department of Genome Biology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. LA - eng PT - Journal Article DEP - 20160224 PL - United States TA - Mol Carcinog JT - Molecular carcinogenesis JID - 8811105 RN - 0 (Antineoplastic Agents) RN - 0 (Fgf9 protein, mouse) RN - 0 (Fibroblast Growth Factor 9) RN - 0 (Phenylurea Compounds) RN - 0 (Pyrimidines) RN - 0 (Receptors, Fibroblast Growth Factor) RN - A4055ME1VK (infigratinib) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Aged MH - Animals MH - Antineoplastic Agents/pharmacology/*therapeutic use MH - Colon/drug effects/metabolism/pathology MH - Colorectal Neoplasms/*drug therapy/*genetics/pathology MH - *Drug Resistance, Neoplasm/drug effects MH - ErbB Receptors/*antagonists & inhibitors MH - Female MH - Fibroblast Growth Factor 9/*genetics MH - Humans MH - Male MH - Mice, Inbred BALB C MH - Mice, Nude MH - Middle Aged MH - Phenylurea Compounds/pharmacology/therapeutic use MH - Pyrimidines/pharmacology/therapeutic use MH - Receptors, Fibroblast Growth Factor/antagonists & inhibitors MH - Rectum/drug effects/metabolism/pathology MH - Up-Regulation OTO - NOTNLM OT - FGF9 OT - KRAS OT - anti-EGFR therapy OT - colorectal cancer OT - drug resistance EDAT- 2016/02/27 06:00 MHDA- 2017/09/09 06:00 CRDT- 2016/02/27 06:00 PHST- 2015/11/26 00:00 [received] PHST- 2016/01/31 00:00 [revised] PHST- 2016/02/06 00:00 [accepted] PHST- 2016/02/27 06:00 [pubmed] PHST- 2017/09/09 06:00 [medline] PHST- 2016/02/27 06:00 [entrez] AID - 10.1002/mc.22476 [doi] PST - ppublish SO - Mol Carcinog. 2017 Jan;56(1):106-117. doi: 10.1002/mc.22476. Epub 2016 Feb 24.