PMID- 23994953 OWN - NLM STAT- MEDLINE DCOM- 20140214 LR - 20220409 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 3 DP - 2013 TI - IGF-1R/epithelial-to-mesenchymal transition (EMT) crosstalk suppresses the erlotinib-sensitizing effect of EGFR exon 19 deletion mutations. PG - 2560 LID - 10.1038/srep02560 [doi] LID - 2560 AB - Using non-small cell lung carcinoma (NSCLC) cells harboring the erlotinib-sensitizing Epidermal Growth Factor Receptor (EGFR) exon 19 mutation delE746-A750, we developed erlotinib-refractory derivatives in which hyperactive Insulin-like Growth Factor-1 Receptor (IGF-1R) signaling associated with enrichment in epithelial-to-mesenchymal transition (EMT)-related morphological and transcriptional features. We then explored whether an IGF-1R/EMT crosstalk was sufficient to promote erlotinib refractoriness in the absence of second-site EGFR mutations, MET and AXL hyperactivation. Transforming Growth Factor-beta1 (TGFbeta1)-induced mesenchymal trans-differentiation was sufficient to impede erlotinib functioning in the presence of drug-sensitive delE746-A750 EGFR mutation. Pharmacological blockade of IGF-1R fully prevented the TGFbeta1's ability to activate an EMT protein signature [E-cadherin low/vimentin high]. The sole presence of erlotinib was capable of rapidly activate an IGF-1R-dependent, vimentin-enriched mesenchymal-like phenotype in delE746-A750-mutated epithelial cells. Even if transient, NSCLC cells' intrinsic plasticity to undergo crosstalk between IGF-1R and EMT signaling pathways can sufficiently eliminate the erlotinib-sensitizing effect of highly prevalent EGFR mutations and suggests the urgent need for dual IGF-1R/EMT-targeting strategies to circumvent erlotinib resistance. FAU - Vazquez-Martin, Alejandro AU - Vazquez-Martin A AD - Metabolism & Cancer Group, Translational Research Laboratory, Catalan Institute of Oncology, Girona, Catalonia, Spain. FAU - Cufi, Silvia AU - Cufi S FAU - Oliveras-Ferraros, Cristina AU - Oliveras-Ferraros C FAU - Torres-Garcia, Violeta Zenobia AU - Torres-Garcia VZ FAU - Corominas-Faja, Bruna AU - Corominas-Faja B FAU - Cuyas, Elisabet AU - Cuyas E FAU - Bonavia, Rosa AU - Bonavia R FAU - Visa, Joana AU - Visa J FAU - Martin-Castillo, Begona AU - Martin-Castillo B FAU - Barrajon-Catalan, Enrique AU - Barrajon-Catalan E FAU - Micol, Vicente AU - Micol V FAU - Bosch-Barrera, Joaquim AU - Bosch-Barrera J FAU - Menendez, Javier A AU - Menendez JA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Quinazolines) RN - DA87705X9K (Erlotinib Hydrochloride) RN - EC 2.7.10.1 (Receptor, IGF Type 1) SB - IM MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/pathology/*physiopathology MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm MH - Epithelial-Mesenchymal Transition/drug effects/*physiology MH - Erlotinib Hydrochloride MH - Exons/genetics MH - Genes, erbB-1/*genetics MH - Humans MH - Quinazolines/*administration & dosage MH - Receptor, IGF Type 1/*metabolism MH - Sequence Deletion/*genetics MH - Treatment Outcome PMC - PMC3759044 COIS- AstraZeneca (Spain) provided partial financial support for the present study via an educational grant to J.A.M. and J.B.-B. EDAT- 2013/09/03 06:00 MHDA- 2014/02/15 06:00 PMCR- 2013/09/02 CRDT- 2013/09/03 06:00 PHST- 2013/03/14 00:00 [received] PHST- 2013/07/31 00:00 [accepted] PHST- 2013/09/03 06:00 [entrez] PHST- 2013/09/03 06:00 [pubmed] PHST- 2014/02/15 06:00 [medline] PHST- 2013/09/02 00:00 [pmc-release] AID - srep02560 [pii] AID - 10.1038/srep02560 [doi] PST - ppublish SO - Sci Rep. 2013;3:2560. doi: 10.1038/srep02560.