351. Methylation of death-associated protein kinase is associated with cetuximab and erlotinib resistance.
- Author
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Ogawa T, Liggett TE, Melnikov AA, Monitto CL, Kusuke D, Shiga K, Kobayashi T, Horii A, Chatterjee A, Levenson VV, Koch WM, Sidransky D, and Chang X
- Subjects
- Antibodies, Monoclonal chemistry, Antibodies, Monoclonal, Humanized, Antineoplastic Agents chemistry, Antineoplastic Agents pharmacology, Apoptosis Regulatory Proteins antagonists & inhibitors, Apoptosis Regulatory Proteins genetics, Calcium-Calmodulin-Dependent Protein Kinases antagonists & inhibitors, Calcium-Calmodulin-Dependent Protein Kinases genetics, Carcinoma, Non-Small-Cell Lung enzymology, Carcinoma, Non-Small-Cell Lung pathology, Carcinoma, Squamous Cell enzymology, Carcinoma, Squamous Cell pathology, Cell Line, Tumor, Cetuximab, Death-Associated Protein Kinases, Drug Resistance, Neoplasm, Erlotinib Hydrochloride, Head and Neck Neoplasms enzymology, Head and Neck Neoplasms pathology, Humans, Lung Neoplasms enzymology, Lung Neoplasms pathology, Promoter Regions, Genetic, Quinazolines chemistry, RNA Interference, RNA, Small Interfering metabolism, Antibodies, Monoclonal pharmacology, Apoptosis Regulatory Proteins metabolism, Calcium-Calmodulin-Dependent Protein Kinases metabolism, DNA Methylation drug effects, Quinazolines pharmacology
- Abstract
Anti-EGFR therapy is among the most promising molecular targeted therapies against cancer developed in the past decade. However, drug resistance eventually arises in most, if not all, treated patients. Emerging evidence has linked epigenetic changes, such as DNA methylation at CpG islands, to the development of resistance to multiple anticancer drugs. In addition, genes that are differentially methylated have increasingly been appreciated as a source of clinically relevant biomarker candidates. To identify genes that are specifically methylated during the evolution of resistance to anti-EGFR therapeutic agents, we performed a methylation-specific array containing a panel of 56 genes that are commonly known to be regulated through promoter methylation in two parental non-small cell lung cancer (NSCLC) and head and neck squamous cell carcinoma (HNSCC) cell lines and their resistant derivatives to either erlotinib or cetuximab. We found that death-associated protein kinase (DAPK) was hypermethylated in drug-resistant derivatives generated from both parental cell lines. Restoration of DAPK into the resistant NSCLC cells by stable transfection re-sensitized the cells to both erlotinib and cetuximab. Conversely, siRNA-mediated knockdown of DAPK induced resistance in the parental sensitive cells. These results demonstrate that DAPK plays important roles in both cetuximab and erlotinib resistance, and that gene silencing through promoter methylation is one of the key mechanisms of developed resistance to anti-EGFR therapeutic agents. In conclusion, DAPK could be a novel target to overcome resistance to anti-EGFR agents to improve the therapeutic benefit, and further evaluation of DAPK methylation as a potential biomarker of drug response is needed.
- Published
- 2012
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