PMID- 17047074 OWN - NLM STAT- MEDLINE DCOM- 20061204 LR - 20220321 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 66 IP - 20 DP - 2006 Oct 15 TI - Heterodimerization of insulin-like growth factor receptor/epidermal growth factor receptor and induction of survivin expression counteract the antitumor action of erlotinib. PG - 10100-11 AB - Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) have been used to treat non-small cell lung cancer (NSCLC). However, the overall response rate to EGFR TKIs is limited, and the mechanisms mediating resistance to the drugs are poorly understood. Here, we report that insulin-like growth factor-I receptor (IGF-IR) activation interferes with the antitumor activity of erlotinib, an EGFR TKI. Treatment with erlotinib increased the levels of EGFR/IGF-IR heterodimer localized on cell membrane, activated IGF-IR and its downstream signaling mediators, and stimulated mammalian target of rapamycin (mTOR)-mediated de novo protein synthesis of EGFR and survivin in NSCLC cells. Inhibition of IGF-IR activation, suppression of mTOR-mediated protein synthesis, or knockdown of survivin expression abolished resistance to erlotinib and induced apoptosis in NSCLC cells in vitro and in vivo. Our data suggest that enhanced synthesis of survivin protein mediated by the IGFR/EGFR heterodimer counteracts the antitumor action of erlotinib, indicating the needs of integration of IGF-IR-targeted agents to the treatment regimens with EGFR TKI for patients with lung cancer. FAU - Morgillo, Floriana AU - Morgillo F AD - Department of Thoracic/Head and Neck Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas 77030, USA. FAU - Woo, Jong Kyu AU - Woo JK FAU - Kim, Edward S AU - Kim ES FAU - Hong, Waun Ki AU - Hong WK FAU - Lee, Ho-Young AU - Lee HY LA - eng GR - R01 CA100816/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (BIRC5 protein, human) RN - 0 (Inhibitor of Apoptosis Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Neoplasm Proteins) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Quinazolines) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Somatomedin) RN - 0 (Survivin) RN - DA87705X9K (Erlotinib Hydrochloride) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/metabolism/pathology MH - Cell Line, Tumor MH - Cell Membrane/metabolism MH - Dimerization MH - Drug Resistance, Neoplasm MH - ErbB Receptors/biosynthesis/genetics/*metabolism MH - Erlotinib Hydrochloride MH - Female MH - Humans MH - Inhibitor of Apoptosis Proteins MH - Lung Neoplasms/*drug therapy/metabolism/pathology MH - Mice MH - Mice, Nude MH - Microtubule-Associated Proteins/*biosynthesis/genetics MH - Neoplasm Proteins/*biosynthesis/genetics MH - Protein Kinase Inhibitors/pharmacology MH - Protein Kinases/metabolism MH - Quinazolines/*pharmacology MH - RNA, Messenger/biosynthesis/genetics MH - Receptors, Somatomedin/*metabolism MH - Signal Transduction MH - Survivin MH - TOR Serine-Threonine Kinases MH - Xenograft Model Antitumor Assays EDAT- 2006/10/19 09:00 MHDA- 2006/12/09 09:00 CRDT- 2006/10/19 09:00 PHST- 2006/10/19 09:00 [pubmed] PHST- 2006/12/09 09:00 [medline] PHST- 2006/10/19 09:00 [entrez] AID - 66/20/10100 [pii] AID - 10.1158/0008-5472.CAN-06-1684 [doi] PST - ppublish SO - Cancer Res. 2006 Oct 15;66(20):10100-11. doi: 10.1158/0008-5472.CAN-06-1684.