Shipping out MEK inhibitor resistance with SHP2 inhibitors
Abstract
Summary: RAS is one of the most frequently altered oncogenes, yet RAS-driven tumors are largely refractory to anticancer therapies. Fedele and colleagues demonstrate that SHP2 inhibitors prevent adaptive MEK inhibitor resistance; therefore, combining MEK and SHP2 inhibitors represents an exciting new therapeutic approach for the treatment of RAS-driven cancers. Cancer Discov; 8(10); 1210–2. ©2018 AACR. See related article by Fedele et al., p. 1237.
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In normal cells, RTKs activate Ras by recruiting the SHC-GRB2-SOS1 complex independent of SHP2.
“In normal cells, RTKs activates Ras by recruiting the SHC-GRB2-SOS1 complex independent of SHP2.85”
From Overcoming Resistance to Drugs Targeting KRAS Mutation (2020) · cites this paper as [85]
Cites
Cerami, E., Gao, J., Dogrusoz, U., Gross, B. E., Sumer, S. O., Aksoy, B. A., Jacobsen, A., Byrne, C. J., Heuer, M. L., Larsson, E., et al. (2012) · Cancer Discovery · doi:10.1158/2159-8290.cd-12-0095 · Cited by 17,455 · see citing works
Targeting RAS signalling pathways in cancer therapy
Downward, J. (2003) · Nature reviews. Cancer · doi:10.1038/nrc969 · Cited by 3,262 · see citing works
Targeting KRAS mutant cancers with a covalent G12C-specific inhibitor
Janes, M. R., Zhang, J., Li, L.-S., Hansen, R., Peters, U., Guo, X., Chen, Y., Babbar, A., Firdaus, S. J., Darjania, L., et al. (2018) · Cell · doi:10.1016/j.cell.2018.01.006 · Cited by 1,172 · see citing works
Allosteric inhibition of SHP2 phosphatase inhibits cancers driven by receptor tyrosine kinases
Chen, Y.-N. P., LaMarche, M. J., Chan, H. M., Fekkes, P., Garcia-Fortanet, J., Acker, M. G., Antonakos, B., Chen, C. H.-T., Chen, Z., Cooke, V. G., et al. (2016) · Nature · doi:10.1038/nature18621 · Cited by 925 · see citing works
Mutant KRAS-driven cancers depend on PTPN11/SHP2 phosphatase
Ruess, D. A., Heynen, G. J., Ciecielski, K. J., Ai, J., Berninger, A., Kabacaoglu, D., Görgülü, K., Dantes, Z., Wörmann, S. M., Diakopoulos, K. N., et al. (2018) · Nature Medicine · doi:10.1038/s41591-018-0024-8 · Cited by 370 · see citing works
SHP2 is required for growth of KRAS-mutant non-small-cell lung cancer in vivo
Mainardi, S., Mulero-Sánchez, A., Prahallad, A., Germano, G., Bosma, A., Krimpenfort, P., Lieftink, C., Steinberg, J. D., de Wit, N., Gonçalves-Ribeiro, S., et al. (2018) · Nature Medicine · doi:10.1038/s41591-018-0023-9 · Cited by 320 · see citing works
SHP2 inhibition prevents adaptive resistance to MEK inhibitors in multiple cancer models
Fedele, C., Ran, H., Diskin, B., Wei, W., Jen, J., Geer, M. J., Araki, K., Ozerdem, U., Simeone, D. M., Miller, G., et al. (2018) · Cancer Discovery · doi:10.1158/2159-8290.cd-18-0444 · Cited by 315 · see citing works
Targeting wild-type KRAS-amplified gastroesophageal cancer through combined MEK and SHP2 inhibition
Wong, G. S., Zhou, J., Liu, J. B., Wu, Z., Xu, X., Li, T., Xu, D., Schumacher, S. E., Puschhof, J., McFarland, J., et al. (2018) · Nature Medicine · doi:10.1038/s41591-018-0022-x · Cited by 266 · see citing works
Dardaei, L., Wang, H. Q., Singh, M., Fordjour, P., Shaw, K. X., Yoda, S., Kerr, G., Yu, K., Liang, J., Cao, Y., et al. (2018) · Nature Medicine · doi:10.1038/nm.4497 · Cited by 199 · see citing works
MEK and PI3K inhibition in solid tumors: rationale and evidence to date
Jokinen, E., & Koivunen, J. P. (2015) · Therapeutic Advances in Medical Oncology · doi:10.1177/1758834015571111 · Cited by 116 · see citing works
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Hofmann, M. H., Gmachl, M., Ramharter, J., Savarese, F., Gerlach, D., Marszalek, J. R., Sanderson, M. P., Kessler, D., Trapani, F., Arnhof, H., et al. (2021) · Cancer Discovery · doi:10.1158/2159-8290.cd-20-0142 · Cited by 444 · see citing works
“While the precise mechanism by which SHP2 contributes to KRAS activation is yet to be 480 determined, SHP2 is not a direct activator of KRAS and may in part act via SOS1 (50,51).”
BackgroundMolecular alterations and targeted therapy in pancreatic ductal adenocarcinoma
Qian, Y., Gong, Y., Fan, Z., Luo, G., Huang, Q., Deng, S., Cheng, H., Jin, K., Ni, Q., Yu, X., et al. (2020) · Journal of Hematology & Oncology · doi:10.1186/s13045-020-00958-3 · Cited by 312 · see citing works
“failures of trametinib and selumetinib appear to be due to the activation of receptor tyrosine kinases (RTKs) [58].”
BackgroundSong, Y., Zhao, M., Zhang, H., & Yu, B. (2022) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2021.107966 · Cited by 125 · see citing works
A comprehensive review of SHP2 and its role in cancer
Asmamaw, M. D., Shi, X.-J., Zhang, L.-R., & Liu, H.-M. (2022) · Cellular Oncology · doi:10.1007/s13402-022-00698-1 · Cited by 119 · see citing works
“As a crucial node downstream of RTKs, SHP2 inhibition is an ideal strategy for treating a large class of RTK-driven cancers as well as for combating resistance to targeted anticancer therapies [222, 274, 275, 279, 280].”
BackgroundTurn and Face the Strange: A New View on Phosphatases
Köhn, M. (2020) · ACS Central Science · doi:10.1021/acscentsci.9b00909 · Cited by 113 · see citing works
Strategies Targeting Protein Tyrosine Phosphatase SHP2 for Cancer Therapy
Song, Y., Wang, S., Zhao, M., Yang, X., & Yu, B. (2022) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.1c02008 · Cited by 100 · see citing works
KRAS G12C Mutations in NSCLC: From Target to Resistance
Addeo, A., Banna, G. L., & Friedlaender, A. (2021) · Cancers · doi:10.3390/cancers13112541 · Cited by 84 · see citing works
“RTKs activates RAS in non-tumoral cells by recruiting the SHC-GRB2-SOS1 complex independently of SHP2[76].”
BackgroundOvercoming Resistance to Drugs Targeting KRAS Mutation
Jiao, D., & Yang, S. (2020) · The Innovation · doi:10.1016/j.xinn.2020.100035 · Cited by 61 · see citing works
“In normal cells, RTKs activates Ras by recruiting the SHC-GRB2SOS1 complex independent of SHP2.(85) However, in KRAS mutant cancer cells, SHP2 inhibition trigger a senescence response in vivo and in growth factor-limited conditions.”
Strategies to overcome drug resistance using SHP2 inhibitors
Liu, M., Gao, S., Elhassan, R. M., Hou, X., & Fang, H. (2021) · Acta Pharmaceutica Sinica B · doi:10.1016/j.apsb.2021.03.037 · Cited by 59 · see citing works
Liu, M., Gao, S., Tao, L., Qiu, X., Yang, X., Fang, H., & Hou, X. (2022) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.2c00866 · Cited by 45 · see citing works
An allosteric interaction controls the activation mechanism of SHP2 tyrosine phosphatase
Anselmi, M., & Hub, J. S. (2020) · Scientific Reports · doi:10.1038/s41598-020-75409-7 · Cited by 39 · see citing works
Crystallographic landscape of SHP2 provides molecular insights for SHP2 targeted drug discovery
Song, Y., Yang, X., Wang, S., Zhao, M., & Yu, B. (2022) · Medicinal Research Reviews · doi:10.1002/med.21890 · Cited by 37 · see citing works
Tyrosine phosphatase PTPN11/SHP2 in solid tumors - bull’s eye for targeted therapy?
Chen, X., Keller, S. J., Hafner, P., Alrawashdeh, A. Y., Avery, T. Y., Norona, J., Zhou, J., & Ruess, D. A. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1340726 · Cited by 32 · see citing works
Inhibition of SHP2 as an approach to block RAS-driven cancers
Chou, Y., & Bivona, T. G. (2022) · Advances in cancer research · doi:10.1016/bs.acr.2021.07.002 · Cited by 30 · see citing works
Tojjari, A., Saeed, A., Sadeghipour, A., Kurzrock, R., & Cavalcante, L. L. (2023) · Cancers · doi:10.3390/cancers15225384 · Cited by 30 · see citing works
The loops of the N-SH2 binding cleft do not serve as allosteric switch in SHP2 activation
Anselmi, M., & Hub, J. S. (2021) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2025107118 · Cited by 28 · see citing works
Liu, Y., Zhang, W., Jang, H., & Nussinov, R. (2023) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-023-05052-8 · Cited by 25 · see citing works
Advances in SHP2 tunnel allosteric inhibitors and bifunctional molecules
Guo, Z., Duan, Y., Sun, K., Zheng, T., Liu, J., Xu, S., & Xu, J. (2024) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2024.116579 · Cited by 25 · see citing works
Targeting RAS in pediatric cancer: is it becoming a reality?
Vaseva, A. V., & Yohe, M. E. (2019) · Current Opinion in Pediatrics · doi:10.1097/mop.0000000000000856 · Cited by 23 · see citing works
“SHP2 inhibitors [71], as well as inhibitors of the RAS: SOS interaction [72], both of which function to inhibit RAS activation, have shown activity in both RAS-mutant and RAS WT cancer models.”
Zheng, W., Yang, Z., Song, P., Sun, Y., Liu, P., Yue, L., Lv, K., Wang, X., Shen, Y., Si, J., et al. (2023) · Cancer Letters · doi:10.1016/j.canlet.2022.216029 · Cited by 21 · see citing works
Chen, X., Zou, F., Hu, Z., Du, G., Yu, P., Wang, W., Wang, H., Ye, L., & Tian, J. (2020) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2020.115019 · Cited by 20 · see citing works
Tripathi, R. K. P., & Ayyannan, S. R. (2020) · Chemical Biology & Drug Design · doi:10.1111/cbdd.13807 · Cited by 18 · see citing works
Atomistic ensemble of active SHP2 phosphatase
Anselmi, M., & Hub, J. S. (2023) · Communications Biology · doi:10.1038/s42003-023-05682-5 · Cited by 17 · see citing works
Zhang, L., Yuan, C., Peng, J., Zhou, L., Jiang, Y., Lin, Y., Yin, W., Xu, S., Ma, J., & Lu, J. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2020.01230 · Cited by 15 · see citing works
“Moreover, SHP2 inhibitors have been shown to prevent adaptive resistance to MEK inhibitors (33), and dual SHP2/MEK inhibition is a clinically viable targeted therapy approach for KRAS-mutant tumors (34).”
BackgroundZhu, C., Zhao, H., Yang, W., Chen, K., Liu, X., Yu, Y., Li, R., Tan, R., & Yu, Z. (2024) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.4c01217 · Cited by 14 · see citing works
Antigen Peptide Transporter 1 (TAP1) Promotes Resistance to MEK Inhibitors in Pancreatic Cancers
Li, X., Feng, Y. C., Hou, Q., Fu, Y., & Luo, Y. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23137168 · Cited by 11 · see citing works
“Although specific inhibitors targeting the KRAS (G12C) mutant have recently been developed in solid tumors, most mutant forms of KRAS are still undruggable [8,9].”
BackgroundPharmacologic Inhibition of SHP2 Blocks Both PI3K and MEK Signaling in Low-epiregulin HNSCC via GAB1
Kurupi, R., Floros, K. V., Jacob, S., Chawla, A. T., Cai, J., Hu, B., Puchalapalli, M., Coon, C. M., Khatri, R., Crowther, G. S., et al. (2022) · Cancer Research Communications · doi:10.1158/2767-9764.crc-21-0137 · Cited by 10 · see citing works
“SHP2 has long been considered an attractive drug target and SHP099 is a novel allosteric SHP2 inhibitor that presents with good selectivity for RTK-driven cancer models (17).”
BackgroundInfluentialMarasco, M., Kirkpatrick, J., Carlomagno, T., Hub, J. S., & Anselmi, M. (2024) · Computational and Structural Biotechnology Journal · doi:10.1016/j.csbj.2024.02.023 · Cited by 9 · see citing works
“Currently, SHP2 represents a key target for anticancer therapy [22 – 29].”
BackgroundPromising natural products targeting protein tyrosine phosphatase SHP2 for cancer therapy
Lu, J., Yu, D., Li, H., Qin, P., Chen, H., & Chen, L. (2024) · Phytotherapy Research · doi:10.1002/ptr.8185 · Cited by 6 · see citing works
“…in several typical cell survival pathways, including Ras/ERK, PI3K/AKT, JAK/STAT pathway, immunomodulatory-related pro-gramed cell death protein 1 (PD-1)/programed death-ligand 1 (PD-L1) pathway, and other signaling pathways (Liu, Zhan, et al., 2021; Torres-Received Ayuso & Brognard, 2018).”
Pandey, G., Mazzacurati, L., Rowsell, T. M., Horvat, N. P., Amin, N. E., Zhang, G., Akuffo, A. A., Colin, C., Haura, E. B., Kuykendall, A. T., et al. (2024) · American Journal of Hematology · doi:10.1002/ajh.27282 · Cited by 6 · see citing works
Hu, Z., Zou, F., Zhao, F., Yu, P., Zhu, H., Yu, L., Wang, W., & Ye, L. (2026) · Frontiers in Pharmacology · doi:10.3389/fphar.2025.1554356 · Cited by 2 · see citing works
SHP2 is involved in the occurrence, development and prognosis of cancer
Li, S., Qu, J., Wang, X., Zou, Q., & Li, C. (2023) · Oncology Letters · doi:10.3892/ol.2023.13979 · Cited by 2 · see citing works
“the antitumor immune function of T cells (32,33).”
BackgroundSahu, P., Mitra, A., & Ganguly, A. (2024) · International review of cytology · doi:10.1016/bs.ircmb.2024.01.005 · Cited by 2 · see citing works
Li, J., Wu, W., Chen, J., Xu, Z., Yang, B., He, Q., Yang, X., Yan, H., & Luo, P. (2024) · Toxicological Sciences · doi:10.1093/toxsci/kfae129 · Cited by 2 · see citing works
Atomistic ensemble of active SHP2 phosphatasePreprint
Anselmi, M., & Hub, J. S. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.05.04.539460
BindingDB Entry 50022804: Advances in SHP2 tunnel allosteric inhibitors and bifunctional molecules.
BindingDB (2026) · UC San Diego · doi:10.7270/q2v98dw4
BindingDB Entry 50016243: Strategies Targeting Protein Tyrosine Phosphatase SHP2 for Cancer Therapy.
BindingDB (2023) · UC San Diego · doi:10.7270/q2x92g9p
- Authors
- Torres-Ayuso, P., & Brognard, J.
- Affiliations
- Signaling Networks in Cancer Section, Laboratory of Cell and Developmental Signaling, Center for Cancer Research, National Cancer Institute, Frederick, Maryland.
- Frederick National Laboratory for Cancer Research (US)
- Venue
- Cancer Discovery
- Published
- 2018-10-01
- Volume
- 8
- Issue
- 10
- Pages
- 1210-1212
- ISSN
- 2159-8274 (ISSN-L)
- 2159-8290
- OpenAlex
- W2895494778
- Cited by
- 37
- References
- 10
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 8 · 2023: 5 · 2022: 8 · 2021: 4 · 2020: 8 · 2019: 1
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Discovery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Tyrosine Phosphatases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Melanoma and MAPK Pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Keywords
- SHP2 inhibitors, MEK inhibitors, drug resistance, RAS-driven cancers, oncogenic Ras, combination therapy, MAPK signaling, targeted cancer therapy
- MeSH terms
- Cell Line, Tumor, Protein Kinase Inhibitors
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