Decreased glutathione biosynthesis contributes to EGFR T790M-driven erlotinib resistance in non-small cell lung cancer
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Accepted version
Published version
Author(s)
Type
Journal Article
Abstract
Epidermal growth factor receptor (EGFR) inhibitors such as erlotinib are novel effective agents in the treatment of EGFR-driven lung cancer, but their clinical impact is often impaired by acquired drug resistance through the secondary T790M EGFR mutation. To overcome this problem, we analysed the metabonomic differences between two independent pairs of erlotinib-sensitive/resistant cells and discovered that glutathione (GSH) levels were significantly reduced in T790M EGFR cells. We also found that increasing GSH levels in erlotinib-resistant cells re-sensitised them, whereas reducing GSH levels in erlotinib-sensitive cells made them resistant. Decreased transcription of the GSH-synthesising enzymes (GCLC and GSS) due to the inhibition of NRF2 was responsible for low GSH levels in resistant cells that was directly linked to the T790M mutation. T790M EGFR clinical samples also showed decreased expression of these key enzymes; increasing intra-tumoural GSH levels with a small-molecule GST inhibitor re-sensitised resistant tumours to erlotinib in mice. Thus, we identified a new resistance pathway controlled by EGFR T790M and a therapeutic strategy to tackle this problem in the clinic.
Date Issued
2016-09-27
Date Acceptance
2016-07-14
Citation
Cell Discovery, 2016, 2
ISSN
2056-5968
Publisher
Nature Publishing Group
Journal / Book Title
Cell Discovery
Volume
2
Copyright Statement
This work is licensed under a Creative Commons
Attribution 4.0 International License. The images or
other third party material in this article are included in the article’s
Creative Commons license, unless indicated otherwise in the
credit line; if the material is not included under the Creative
Commons license, users will need to obtain permission from the
license holder to reproduce the material. To view a copy of this
license, visit http://creativecommons.org/licenses/by/4.0/
© The Author(s) 2016
Attribution 4.0 International License. The images or
other third party material in this article are included in the article’s
Creative Commons license, unless indicated otherwise in the
credit line; if the material is not included under the Creative
Commons license, users will need to obtain permission from the
license holder to reproduce the material. To view a copy of this
license, visit http://creativecommons.org/licenses/by/4.0/
© The Author(s) 2016
License URL
Sponsor
Commission of the European Communities
Cancer Treatment & Research Trust
Cancer Research UK
Cancer Treatment & Research Trust
National Institute for Health Research
Worldwide Cancer Research
Imperial College Healthcare NHS Trust- BRC Funding
Cancer Treatment & Research Trust
Grant Number
259770
n/a
C1312/A15589
N/A
RDEMC 79560
13-0318
RDB01 79560
N/A
Publication Status
Published
Article Number
16031