PMID- 19117999 OWN - NLM STAT- MEDLINE DCOM- 20090130 LR - 20240328 IS - 1538-7445 (Electronic) IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 69 IP - 1 DP - 2009 Jan 1 TI - The mechanisms of differential sensitivity to an insulin-like growth factor-1 receptor inhibitor (BMS-536924) and rationale for combining with EGFR/HER2 inhibitors. PG - 161-70 LID - 10.1158/0008-5472.CAN-08-0835 [doi] AB - Overexpression and enhanced activity of insulin-like growth factor-I receptor (IGF-IR) in diverse tumor types make it an attractive target for cancer therapy. BMS-536924 is a potent small molecule inhibitor of IGF-IR, which shows antitumor activity in multiple tumor models, including sarcoma. To facilitate the development of IGF-IR inhibitors as cancer therapy, identification of biomarkers for selecting patients most likely to derive clinical benefit is needed. To do so, 28 sarcoma and neuroblastoma cell lines were screened for in vitro response to BMS-536924 to identify sensitive and resistant cell lines. Notably, Ewing's sarcoma, rhabdomyosarcoma, and neuroblastoma are more responsive to BMS-536924, suggesting these specific subtypes may represent potential targeted patient subpopulations for the IGF-IR inhibitor. Gene expression and protein profiling were performed on these cell lines, and candidate biomarkers correlating with intrinsic and/or acquired resistance to BMS-536924 were identified. IGF-I, IGF-II, and IGF-IR were highly expressed in sensitive cell lines, whereas IGFBP-3 and IGFBP-6 were highly expressed in resistant lines. Overexpression of epidermal growth factor receptor (EGFR) and its ligands in resistant cell lines may represent one possible resistance mechanism by the adaptation of IGF-IR-independent growth using alternative signaling pathways. Based on cross-talk between IGF-IR and EGFR pathways, combination studies to target both pathways were performed, and enhanced inhibitory activities were observed. These results provide a strategy for testing combinations of IGF-IR inhibitors with other targeted therapies in clinical studies to achieve improved patient outcomes. Further exploration of mechanisms for intrinsic and acquired drug resistance by these preclinical studies may lead to more rationally designed drugs that target multiple pathways for enhanced antitumor efficacy. FAU - Huang, Fei AU - Huang F AD - Bristol-Myers Squibb Company, Princeton, NJ 08543, USA. fei.huang@bms.com FAU - Greer, Ann AU - Greer A FAU - Hurlburt, Warren AU - Hurlburt W FAU - Han, Xia AU - Han X FAU - Hafezi, Rameh AU - Hafezi R FAU - Wittenberg, Gayle M AU - Wittenberg GM FAU - Reeves, Karen AU - Reeves K FAU - Chen, Jiwen AU - Chen J FAU - Robinson, Douglas AU - Robinson D FAU - Li, Aixin AU - Li A FAU - Lee, Francis Y AU - Lee FY FAU - Gottardis, Marco M AU - Gottardis MM FAU - Clark, Edwin AU - Clark E FAU - Helman, Lee AU - Helman L FAU - Attar, Ricardo M AU - Attar RM FAU - Dongre, Ashok AU - Dongre A FAU - Carboni, Joan M AU - Carboni JM LA - eng GR - Z01 SC006891/ImNIH/Intramural NIH HHS/United States GR - ZIA SC006891/ImNIH/Intramural NIH HHS/United States GR - Z01 SC006891-19/ImNIH/Intramural NIH HHS/United States GR - ZIA BC010566/ImNIH/Intramural NIH HHS/United States GR - Z01 SC006892/ImNIH/Intramural NIH HHS/United States PT - Journal Article PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (BMS 536924) RN - 0 (Benzimidazoles) RN - 0 (Pyridones) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.10.1 (Receptor, IGF Type 1) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Apoptosis/drug effects MH - Benzimidazoles/*pharmacology MH - Cell Growth Processes/drug effects MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm MH - Drug Synergism MH - ErbB Receptors/*antagonists & inhibitors/metabolism MH - Gene Expression/drug effects MH - Gene Expression Profiling MH - Humans MH - Neuroblastoma/*drug therapy/genetics/metabolism/pathology MH - Pyridones/*pharmacology MH - Receptor, ErbB-2/*antagonists & inhibitors/metabolism MH - Receptor, IGF Type 1/*antagonists & inhibitors MH - Sarcoma/*drug therapy/genetics/metabolism/pathology PMC - PMC7255694 MID - NIHMS1583519 COIS- Disclosure of Potential Conflicts of Interest No potential conflicts of interest were disclosed. EDAT- 2009/01/02 09:00 MHDA- 2009/01/31 09:00 PMCR- 2020/05/28 CRDT- 2009/01/02 09:00 PHST- 2009/01/02 09:00 [entrez] PHST- 2009/01/02 09:00 [pubmed] PHST- 2009/01/31 09:00 [medline] PHST- 2020/05/28 00:00 [pmc-release] AID - 69/1/161 [pii] AID - 10.1158/0008-5472.CAN-08-0835 [doi] PST - ppublish SO - Cancer Res. 2009 Jan 1;69(1):161-70. doi: 10.1158/0008-5472.CAN-08-0835.