Amplification of MET may identify a subset of cancers with extreme sensitivity to the selective tyrosine kinase inhibitor PHA-665752

GA Smolen, R Sordella, B Muir… - Proceedings of the …, 2006 - National Acad Sciences
GA Smolen, R Sordella, B Muir, G Mohapatra, A Barmettler, H Archibald, WJ Kim…
Proceedings of the National Academy of Sciences, 2006National Acad Sciences
The success of molecular targeted therapy in cancer may depend on the selection of
appropriate tumor types whose survival depends on the drug target, so-called “oncogene
addiction.” Preclinical approaches to defining drug-responsive subsets are needed if initial
clinical trials are to be directed at the most susceptible patient population. Here, we show
that gastric cancer cells with high-level stable chromosomal amplification of the growth factor
receptor MET are extraordinarily susceptible to the selective inhibitor PHA-665752. Although …
The success of molecular targeted therapy in cancer may depend on the selection of appropriate tumor types whose survival depends on the drug target, so-called “oncogene addiction.” Preclinical approaches to defining drug-responsive subsets are needed if initial clinical trials are to be directed at the most susceptible patient population. Here, we show that gastric cancer cells with high-level stable chromosomal amplification of the growth factor receptor MET are extraordinarily susceptible to the selective inhibitor PHA-665752. Although MET activation has primarily been linked with tumor cell migration and invasiveness, the amplified wild-type MET in these cells is constitutively activated, and its continued signaling is required for cell survival. Treatment with PHA-665752 triggers massive apoptosis in 5 of 5 gastric cancer cell lines with MET amplification but in 0 of 12 without increased gene copy numbers (P = 0.00016). MET amplification may thus identify a subset of epithelial cancers that are uniquely sensitive to disruption of this pathway and define a patient group that is appropriate for clinical trials of targeted therapy using MET inhibitors.
National Acad Sciences