AXL mediates resistance to PI3Kα inhibition by activating the EGFR/PKC/mTOR axis in head and neck and esophageal squamous cell carcinomas Journal Article


Authors: Elkabets, M.; Pazarentzos, E.; Juric, D.; Sheng, Q.; Pelossof, R. A.; Brook, S.; Benzaken, A. O.; Rodon, J.; Morse, N.; Yan, J. J.; Liu, M.; Das, R.; Chen, Y.; Tam, A.; Wang, H.; Liang, J.; Gurski, J. M.; Kerr, D. A.; Rosell, R.; Teixidó, C.; Huang, A.; Ghossein, R. A.; Rosen, N.; Bivona, T. G.; Scaltriti, M.; Baselga, J.
Article Title: AXL mediates resistance to PI3Kα inhibition by activating the EGFR/PKC/mTOR axis in head and neck and esophageal squamous cell carcinomas
Abstract: Phosphoinositide-3-kinase (PI3K)-α inhibitors have shown clinical activity in squamous cell carcinomas (SCCs) of head and neck (H&N) bearing PIK3CA mutations or amplification. Studying models of therapeutic resistance, we have observed that SCC cells that become refractory to PI3Kα inhibition maintain PI3K-independent activation of the mammalian target of rapamycin (mTOR). This persistent mTOR activation is mediated by the tyrosine kinase receptor AXL. AXL is overexpressed in resistant tumors from both laboratory models and patients treated with the PI3Kα inhibitor BYL719. AXL dimerizes with and phosphorylates epidermal growth factor receptor (EGFR), resulting in activation of phospholipase Cγ (PLCγ)-protein kinase C (PKC), which, in turn, activates mTOR. Combined treatment with PI3Kα and either EGFR, AXL, or PKC inhibitors reverts this resistance. © 2015 Elsevier Inc.
Keywords: mammalia
Journal Title: Cancer Cell
Volume: 27
Issue: 4
ISSN: 1535-6108
Publisher: Cell Press  
Date Published: 2015-04-13
Start Page: 533
End Page: 546
Language: English
DOI: 10.1016/j.ccell.2015.03.010
PROVIDER: scopus
PMCID: PMC4398915
PUBMED: 25873175
DOI/URL:
Notes: Export Date: 4 May 2015 -- Source: Scopus
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MSK Authors
  1. Neal Rosen
    425 Rosen
  2. Ronald A Ghossein
    483 Ghossein
  3. Natasha Morse
    8 Morse
  4. Jose T Baselga
    484 Baselga
  5. Maurizio Scaltriti
    169 Scaltriti
  6. Samuel Ian Brook
    5 Brook