PMID- 18339877 OWN - NLM STAT- MEDLINE DCOM- 20080409 LR - 20221102 IS - 1538-7445 (Electronic) IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 68 IP - 6 DP - 2008 Mar 15 TI - PIK3CA mutation/PTEN expression status predicts response of colon cancer cells to the epidermal growth factor receptor inhibitor cetuximab. PG - 1953-61 LID - 10.1158/0008-5472.CAN-07-5659 [doi] AB - Cetuximab is a monoclonal antibody that targets the human epidermal growth factor receptor (EGFR). Although approved for use in EGFR-overexpressing advanced colorectal cancer, recent studies have shown a lack of association between EGFR overexpression and cetuximab response, requiring the identification of novel biomarkers predictive of response to this agent. To do so, 22 colon cancer cell lines were screened for cetuximab response in vitro and sensitive and resistant lines were identified. In sensitive cell lines, cetuximab induced a G(0)-G(1) arrest without inducing apoptosis. Notably, cetuximab-sensitive but not cetuximab-resistant cell lines were preferentially responsive to EGF-stimulated growth. Whereas neither EGFR protein/mRNA expression nor gene copy number correlated with cetuximab response, examination of the mutation status of signaling components downstream of EGFR showed that cell lines with activating PIK3CA mutations or loss of PTEN expression (PTEN null) were more resistant to cetuximab than PIK3CA wild type (WT)/PTEN-expressing cell lines (14 +/- 5.0% versus 38.5 +/- 6.4% growth inhibition, mean +/- SE; P = 0.008). Consistently, PIK3CA mutant isogenic HCT116 cells showed increased resistance to cetuximab compared with PIK3CA WT controls. Furthermore, cell lines that were PIK3CA mutant/PTEN null and Ras/BRAF mutant were highly resistant to cetuximab compared with those without dual mutations/PTEN loss (10.8 +/- 4.3% versus 38.8 +/- 5.9% growth inhibition, respectively; P = 0.002), indicating that constitutive and simultaneous activation of the Ras and PIK3CA pathways confers maximal resistance to this agent. A priori screening of colon tumors for PTEN expression status and PIK3CA and Ras/BRAF mutation status could help stratify patients likely to benefit from this therapy. FAU - Jhawer, Minaxi AU - Jhawer M AD - Department of Oncology, Montefiore Medical Center, Albert Einstein Cancer Center, Bronx, NY 10467, USA. FAU - Goel, Sanjay AU - Goel S FAU - Wilson, Andrew J AU - Wilson AJ FAU - Montagna, Cristina AU - Montagna C FAU - Ling, Yi-He AU - Ling YH FAU - Byun, Do-Sun AU - Byun DS FAU - Nasser, Shannon AU - Nasser S FAU - Arango, Diego AU - Arango D FAU - Shin, Joongho AU - Shin J FAU - Klampfer, Lidija AU - Klampfer L FAU - Augenlicht, Leonard H AU - Augenlicht LH FAU - Perez-Soler, Roman AU - Perez-Soler R FAU - Mariadason, John M AU - Mariadason JM LA - eng GR - R01 CA123316/CA/NCI NIH HHS/United States PT - Journal Article PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (Quinazolines) RN - 0 (RNA, Messenger) RN - 62229-50-9 (Epidermal Growth Factor) RN - DA87705X9K (Erlotinib Hydrochloride) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.1.137 (Class I Phosphatidylinositol 3-Kinases) RN - EC 2.7.1.137 (PIK3CA protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) RN - EC 3.6.5.2 (ras Proteins) RN - PQX0D8J21J (Cetuximab) SB - IM EIN - Cancer Res. 2008 Aug 15;68(16):6859. Soler, Roman Perez [corrected to Perez-Soler, Roman] EIN - Cancer Res. 2009 Dec 1;69(23):9156 MH - Antibodies, Monoclonal/*pharmacology MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/*pharmacology MH - Cell Line, Tumor MH - Cetuximab MH - Class I Phosphatidylinositol 3-Kinases MH - Colonic Neoplasms/*drug therapy/genetics/metabolism/pathology MH - Epidermal Growth Factor/pharmacology MH - ErbB Receptors/biosynthesis/genetics/metabolism MH - Erlotinib Hydrochloride MH - G1 Phase/drug effects MH - Gene Dosage MH - Genes, ras MH - HCT116 Cells MH - Humans MH - MAP Kinase Signaling System MH - *Mutation MH - PTEN Phosphohydrolase/*biosynthesis MH - Phosphatidylinositol 3-Kinases/*genetics MH - Proto-Oncogene Proteins B-raf/genetics MH - Quinazolines/pharmacology MH - RNA, Messenger/biosynthesis/genetics MH - Resting Phase, Cell Cycle/drug effects MH - ras Proteins/genetics PMC - PMC3972216 MID - NIHMS545797 EDAT- 2008/03/15 09:00 MHDA- 2008/04/10 09:00 PMCR- 2014/04/01 CRDT- 2008/03/15 09:00 PHST- 2008/03/15 09:00 [pubmed] PHST- 2008/04/10 09:00 [medline] PHST- 2008/03/15 09:00 [entrez] PHST- 2014/04/01 00:00 [pmc-release] AID - 68/6/1953 [pii] AID - 10.1158/0008-5472.CAN-07-5659 [doi] PST - ppublish SO - Cancer Res. 2008 Mar 15;68(6):1953-61. doi: 10.1158/0008-5472.CAN-07-5659.