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  • The ERBB network facilitate...
    Kruspig, Björn; Monteverde, Tiziana; Neidler, Sarah; Hock, Andreas; Kerr, Emma; Nixon, Colin; Clark, William; Hedley, Ann; Laing, Sarah; Coffelt, Seth B; Le Quesne, John; Dick, Craig; Vousden, Karen H; Martins, Carla P; Murphy, Daniel J

    Science translational medicine, 06/2018, Letnik: 10, Številka: 446
    Journal Article

    KRAS is the most frequently mutated driver oncogene in human adenocarcinoma of the lung. There are presently no clinically proven strategies for treatment of KRAS-driven lung cancer. Activating mutations in KRAS are thought to confer independence from upstream signaling; however, recent data suggest that this independence may not be absolute. We show that initiation and progression of KRAS-driven lung tumors require input from ERBB family receptor tyrosine kinases (RTKs): Multiple ERBB RTKs are expressed and active from the earliest stages of KRAS-driven lung tumor development, and treatment with a multi-ERBB inhibitor suppresses formation of KRAS -driven lung tumors. We present evidence that ERBB activity amplifies signaling through the core RAS pathway, supporting proliferation of KRAS-mutant tumor cells in culture and progression to invasive disease in vivo. Brief pharmacological inhibition of the ERBB network enhances the therapeutic benefit of MEK (mitogen-activated protein kinase kinase) inhibition in an autochthonous tumor setting. Our data suggest that lung cancer patients with KRAS-driven disease may benefit from inclusion of multi-ERBB inhibitors in rationally designed treatment strategies.