PMID- 21159653 OWN - NLM STAT- MEDLINE DCOM- 20110120 LR - 20191210 IS - 1538-7445 (Electronic) IS - 0008-5472 (Linking) VI - 70 IP - 24 DP - 2010 Dec 15 TI - Role of survivin in EGFR inhibitor-induced apoptosis in non-small cell lung cancers positive for EGFR mutations. PG - 10402-10 LID - 10.1158/0008-5472.CAN-10-2438 [doi] AB - The molecular mechanism by which epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKI) induce apoptosis in non-small cell-lung cancer (NSCLC) cells that are positive for activating mutations of the EGFR remains unclear. In this study, we report the effects of the EGFR-TKI gefitinib on expression of the antiapoptotic protein survivin that have functional consequences in EGFR mutation-positive NSCLC cells. Immunoblot analysis revealed that gefitinib downregulated survivin expression, likely through inhibition of the PI3K-AKT signaling pathway, in NSCLC cells positive for EGFR mutation. Stable overexpression of survivin attenuated gefitinib-induced apoptosis and also inhibited the antitumor effect of gefitinib in human tumor xenografts. Furthermore, the combination of survivin overexpression with inhibition of the gefitinib-induced upregulation of the proapoptotic protein BIM attenuated gefitinib-induced apoptosis to a greater extent than either approach alone. Our results indicate that downregulation of survivin plays a pivotal role in gefitinib-induced apoptosis in EGFR mutation-positive NSCLC cells. Furthermore, they suggest that simultaneous interruption of the PI3K-AKT-survivin and MEK-ERK-BIM signaling pathways is responsible for EGFR-TKI-induced apoptotic death in these cells. CI - (c)2010 AACR. FAU - Okamoto, Kunio AU - Okamoto K AD - Department of Medical Oncology, Kinki University School of Medicine, 377-2 Ohno-higashi, Osaka-Sayama, Osaka, Japan. FAU - Okamoto, Isamu AU - Okamoto I FAU - Okamoto, Wataru AU - Okamoto W FAU - Tanaka, Kaoru AU - Tanaka K FAU - Takezawa, Ken AU - Takezawa K FAU - Kuwata, Kiyoko AU - Kuwata K FAU - Yamaguchi, Haruka AU - Yamaguchi H FAU - Nishio, Kazuto AU - Nishio K FAU - Nakagawa, Kazuhiko AU - Nakagawa K LA - eng PT - Journal Article PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (BCL2L11 protein, human) RN - 0 (BIRC5 protein, human) RN - 0 (Bcl-2-Like Protein 11) RN - 0 (Inhibitor of Apoptosis Proteins) RN - 0 (Membrane Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Quinazolines) RN - 0 (RNA, Messenger) RN - 0 (Survivin) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (Oncogene Protein v-akt) RN - S65743JHBS (Gefitinib) SB - IM MH - Apoptosis/*drug effects/physiology MH - Apoptosis Regulatory Proteins/biosynthesis/genetics MH - Bcl-2-Like Protein 11 MH - Carcinoma, Non-Small-Cell Lung/drug therapy/*enzymology/genetics/pathology MH - Cell Line, Tumor MH - Down-Regulation/drug effects MH - ErbB Receptors/*antagonists & inhibitors/genetics/metabolism MH - Gefitinib MH - Gene Knockdown Techniques MH - *Genes, erbB-1 MH - Humans MH - Inhibitor of Apoptosis Proteins MH - Lung Neoplasms/drug therapy/*enzymology/genetics/pathology MH - Membrane Proteins/biosynthesis/genetics MH - Microtubule-Associated Proteins/*biosynthesis/genetics MH - *Mutation MH - Oncogene Protein v-akt/antagonists & inhibitors/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Phosphoinositide-3 Kinase Inhibitors MH - Proto-Oncogene Proteins/biosynthesis/genetics MH - Quinazolines/*pharmacology MH - RNA, Messenger/biosynthesis/genetics MH - Survivin EDAT- 2010/12/17 06:00 MHDA- 2011/01/21 06:00 CRDT- 2010/12/17 06:00 PHST- 2010/12/17 06:00 [entrez] PHST- 2010/12/17 06:00 [pubmed] PHST- 2011/01/21 06:00 [medline] AID - 70/24/10402 [pii] AID - 10.1158/0008-5472.CAN-10-2438 [doi] PST - ppublish SO - Cancer Res. 2010 Dec 15;70(24):10402-10. doi: 10.1158/0008-5472.CAN-10-2438.