Different responses of colorectal cancer cells to alternative sequences of cetuximab and oxaliplatin

Abstract Therapeutic protocols including EGFR antibodies in the context of oxaliplatin-based regimens have variable clinical effect in colorectal cancer. Here, we tested the effect of the EGFR antibody cetuximab in different sequential combinations with oxaliplatin on the growth of colorectal cancer...

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Autores principales: Elli Narvi, Katri Vaparanta, Anna Karrila, Deepankar Chakroborty, Sakari Knuutila, Arto Pulliainen, Maria Sundvall, Klaus Elenius
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Publicado: Nature Portfolio 2018
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Acceso en línea:https://doaj.org/article/6509ba9e46f9450ab57d53a05d5f7f52
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spelling oai:doaj.org-article:6509ba9e46f9450ab57d53a05d5f7f522021-12-02T15:08:17ZDifferent responses of colorectal cancer cells to alternative sequences of cetuximab and oxaliplatin10.1038/s41598-018-34938-y2045-2322https://doaj.org/article/6509ba9e46f9450ab57d53a05d5f7f522018-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-34938-yhttps://doaj.org/toc/2045-2322Abstract Therapeutic protocols including EGFR antibodies in the context of oxaliplatin-based regimens have variable clinical effect in colorectal cancer. Here, we tested the effect of the EGFR antibody cetuximab in different sequential combinations with oxaliplatin on the growth of colorectal cancer cells in vitro and in vivo. Cetuximab reduced the efficacy of oxaliplatin when administered before oxaliplatin but provided additive effect when administered after oxaliplatin regardless of the KRAS or BRAF mutation status of the cells. Systemic gene expression and protein phosphorylation screens revealed alternatively activated pathways regulating apoptosis, cell cycle and DNA damage response. Functional assays indicated that cetuximab-induced arrest of the cells into the G1 phase of the cell cycle was associated with reduced responsiveness of the cells to subsequent treatment with oxaliplatin. In contrast, oxaliplatin-enhanced responsiveness to subsequent treatment with cetuximab was associated with increased apoptosis, inhibition of STAT3 activity and increased EGFR down-regulation. This preclinical study indicates that optimizing the sequence of administration may enhance the antitumor effect of combination therapy with EGFR antibodies and oxaliplatin.Elli NarviKatri VaparantaAnna KarrilaDeepankar ChakrobortySakari KnuutilaArto PulliainenMaria SundvallKlaus EleniusNature PortfolioarticleCetuximabEpidermal Growth Factor Receptor (EGFR)EGFR Down-regulationBRAF Mutation StatusEGFR mAbsMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-13 (2018)
institution DOAJ
collection DOAJ
language EN
topic Cetuximab
Epidermal Growth Factor Receptor (EGFR)
EGFR Down-regulation
BRAF Mutation Status
EGFR mAbs
Medicine
R
Science
Q
spellingShingle Cetuximab
Epidermal Growth Factor Receptor (EGFR)
EGFR Down-regulation
BRAF Mutation Status
EGFR mAbs
Medicine
R
Science
Q
Elli Narvi
Katri Vaparanta
Anna Karrila
Deepankar Chakroborty
Sakari Knuutila
Arto Pulliainen
Maria Sundvall
Klaus Elenius
Different responses of colorectal cancer cells to alternative sequences of cetuximab and oxaliplatin
description Abstract Therapeutic protocols including EGFR antibodies in the context of oxaliplatin-based regimens have variable clinical effect in colorectal cancer. Here, we tested the effect of the EGFR antibody cetuximab in different sequential combinations with oxaliplatin on the growth of colorectal cancer cells in vitro and in vivo. Cetuximab reduced the efficacy of oxaliplatin when administered before oxaliplatin but provided additive effect when administered after oxaliplatin regardless of the KRAS or BRAF mutation status of the cells. Systemic gene expression and protein phosphorylation screens revealed alternatively activated pathways regulating apoptosis, cell cycle and DNA damage response. Functional assays indicated that cetuximab-induced arrest of the cells into the G1 phase of the cell cycle was associated with reduced responsiveness of the cells to subsequent treatment with oxaliplatin. In contrast, oxaliplatin-enhanced responsiveness to subsequent treatment with cetuximab was associated with increased apoptosis, inhibition of STAT3 activity and increased EGFR down-regulation. This preclinical study indicates that optimizing the sequence of administration may enhance the antitumor effect of combination therapy with EGFR antibodies and oxaliplatin.
format article
author Elli Narvi
Katri Vaparanta
Anna Karrila
Deepankar Chakroborty
Sakari Knuutila
Arto Pulliainen
Maria Sundvall
Klaus Elenius
author_facet Elli Narvi
Katri Vaparanta
Anna Karrila
Deepankar Chakroborty
Sakari Knuutila
Arto Pulliainen
Maria Sundvall
Klaus Elenius
author_sort Elli Narvi
title Different responses of colorectal cancer cells to alternative sequences of cetuximab and oxaliplatin
title_short Different responses of colorectal cancer cells to alternative sequences of cetuximab and oxaliplatin
title_full Different responses of colorectal cancer cells to alternative sequences of cetuximab and oxaliplatin
title_fullStr Different responses of colorectal cancer cells to alternative sequences of cetuximab and oxaliplatin
title_full_unstemmed Different responses of colorectal cancer cells to alternative sequences of cetuximab and oxaliplatin
title_sort different responses of colorectal cancer cells to alternative sequences of cetuximab and oxaliplatin
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/6509ba9e46f9450ab57d53a05d5f7f52
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