c‐Met‐mediated reactivation of PI3K/AKT signaling contributes to insensitivity of BRAF (V600E) mutant thyroid cancer to BRAF inhibition

HK Byeon, HJ Na, YJ Yang, HJ Kwon… - Molecular …, 2016 - Wiley Online Library
HK Byeon, HJ Na, YJ Yang, HJ Kwon, JW Chang, MJ Ban, WS Kim, DY Shin, EJ Lee…
Molecular carcinogenesis, 2016Wiley Online Library
BRAF (V600E) mutation is the most commonly detected genetic alteration in thyroid cancer.
Unlike its high treatment response to selective BRAF inhibitor (PLX4032) in metastatic
melanoma, the treatment response in thyroid cancer is reported to be low. The purpose of
this study is to investigate the resistance mechanism responsible for this low treatment
response to BRAF inhibitor in order to maximize the effect of targeted therapy. We examined
the expression of feedback regulation mechanisms and alterations in the upper signal …
BRAF (V600E) mutation is the most commonly detected genetic alteration in thyroid cancer. Unlike its high treatment response to selective BRAF inhibitor (PLX4032) in metastatic melanoma, the treatment response in thyroid cancer is reported to be low. The purpose of this study is to investigate the resistance mechanism responsible for this low treatment response to BRAF inhibitor in order to maximize the effect of targeted therapy. We examined the expression of feedback regulation mechanisms and alterations in the upper signal transduction pathway in thyroid cancer cell lines harboring BRAF mutation. Also, we investigated the effect of dual inhibition from combinatorial therapy. Two thyroid cancer cell lines, 8505C (anaplastic thyroid cancer) and BCPAP (papillary thyroid cancer) were selected and treated with PLX4032 and its drug sensitivity were examined and compared. Further investigation on the changes in signals responsible for the different treatment response to PLX4032 was carried out and the same experiment was performed on orthotopic xenograft mouse models. Unlike BCPAP cells, 8505C cells presented drug resistance to PLX4032 treatment and this was mainly due to increased expression of c‐Met. Effective inhibitions of c‐Met, p‐AKT, and p‐ERK were achieved after dual treatment with BRAF inhibitor (PLX4032) and c‐Met inhibitor (PHA665752). Similar results were confirmed by in vivo study with orthotopic xenograft mouse model. c‐Met‐mediated reactivation of the PI3K/AKT pathway and MAPK pathway contributes to the relative insensitivity of BRAF (V600E) mutant anaplastic thyroid cancer cells to PLX4032. Dual inhibition of BRAF and c‐Met leads to sustained treatment response. © 2015 Wiley Periodicals, Inc.
Wiley Online Library