Cited by 98Lung Cancer Treatments and MutationsHER2/EGFR in Cancer ResearchNF-κB Signaling Pathways

TNF-driven adaptive response mediates resistance to EGFR inhibition in lung cancer

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Gong, Ke, Guo, Gao, Gerber, David E., Gao, Boning, Peyton, Michael, Huang, Chun, Minna, John D., Hatanpaa, Kimmo J. +16 more·2018·Journal of Clinical Investigation

Abstract

Although aberrant EGFR signaling is widespread in cancer, EGFR inhibition is effective only in a subset of non-small cell lung cancer (NSCLC) with EGFR activating mutations. A majority of NSCLCs express EGFR wild type (EGFRwt) and do not respond to EGFR inhibition. TNF is a major mediator of inflammation-induced cancer. We find that a rapid increase in TNF level is a universal adaptive response to EGFR inhibition in NSCLC, regardless of EGFR status. EGFR signaling actively suppresses TNF mRNA levels by inducing expression of miR-21, resulting in decreased TNF mRNA stability. Conversely, EGFR inhibition results in loss of miR-21 and increased TNF mRNA stability. In addition, TNF-induced NF-κB activation leads to increased TNF transcription in a feed-forward loop. Inhibition of TNF signaling renders EGFRwt-expressing NSCLC cell lines and an EGFRwt patient-derived xenograft (PDX) model highly sensitive to EGFR inhibition. In EGFR-mutant oncogene-addicted cells, blocking TNF enhances the effectiveness of EGFR inhibition. EGFR plus TNF inhibition is also effective in NSCLC with acquired resistance to EGFR inhibition. We suggest concomitant EGFR and TNF inhibition as a potentially new treatment approach that could be beneficial for a majority of lung cancer patients.

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  • The EGFR pathway is known to interact with the TNF-α signaling pathway, suggesting interplay between the two signaling pathways during ADD development.

    “It is also noteworthy that the EGFR pathway is known to interact with the TNF-α signaling pathway41, which suggests interplay between the two signaling pathways during the ADD development.”

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Authors
Gong, K., Guo, G., Gerber, D. E., Gao, B., Peyton, M., Huang, C., Minna, J. D., Hatanpaa, K. J., Kernstine, K., Cai, L., Xie, Y., Zhu, H., Fattah, F. J., Zhang, S., Takahashi, M., Mukherjee, B., Burma, S., Dowell, J., Dao, K., Papadimitrakopoulou, V. A., Olivas, V., Bivona, T. G., Zhao, D., & Habib, A. A.
Affiliations
  • Harold C. Simmons Comprehensive Cancer Center (US)
  • The University of Texas Southwestern Medical Center (US)
  • VA North Texas Health Care System (US)
  • The University of Texas MD Anderson Cancer Center (US)
  • University of California, San Francisco (US)
  • Wake Forest University Health Sciences (US)
Corresponding author
Habib, Amyn A.
Venue
Journal of Clinical Investigation
Published
2018-05-07
Volume
128
Issue
6
Pages
2500-2518
ISSN
  • 0021-9738 (ISSN-L)
  • 1558-8238
OpenAlex
W2795384223
Cited by
98
References
63
Citations by year
2026: 4 · 2025: 12 · 2024: 12 · 2023: 14 · 2022: 14 · 2021: 20 · 2020: 11 · 2019: 9 · 2018: 2
FWCI
7.91
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
NINDs (R01 NS062080)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
  • Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › NF-κB Signaling Pathways
Keywords
TNF-α, EGFR inhibition, non-small cell lung cancer, acquired drug resistance, adaptive resistance, miR-21, NF-κB activation, feed-forward loop, EGFR-mutant lung cancer, combination therapy, inflammation in cancer
MeSH terms
A549 Cells, Animals, Carcinoma, Non-Small-Cell Lung, Female, Humans, Lung Neoplasms, Mice, Nude, Neoplasm Proteins, Neoplasms, Experimental, RNA, Messenger, RNA, Neoplasm, Tumor Necrosis Factor-alpha, Drug Resistance, Neoplasm, MicroRNAs, Mice, ErbB Receptors

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