JAK2 inhibition sensitizes resistant EGFR-mutant lung adenocarcinoma to tyrosine kinase inhibitors Journal Article


Authors: Gao, S. P.; Chang, Q.; Mao, N.; Daly, L. A.; Vogel, R.; Chan, T.; Liu, S. H.; Bournazou, E.; Schori, E.; Zhang, H.; Brewer, M. R.; Pao, W.; Morris, L.; Ladanyi, M.; Arcila, M.; Manova-Todorova, K.; De Stanchina, E.; Norton, L.; Levine, R. L.; Altan-Bonnet, G.; Solit, D.; Zinda, M.; Huszar, D.; Lyden, D.; Bromberg, J. F.
Article Title: JAK2 inhibition sensitizes resistant EGFR-mutant lung adenocarcinoma to tyrosine kinase inhibitors
Abstract: Lung adenocarcinomas with mutant epidermal growth factor receptor (EGFR) respond to EGFR-targeted tyrosine kinase inhibitors (TKIs), but resistance invariably occurs. We found that the Janus kinase (JAK)/signal transduction and activator of transcription 3 (STAT3) signaling pathway was aberrantly increased in TKI-resistant EGFR-mutant non-small cell lung cancer (NSCLC) cells. JAK2 inhibition restored sensitivity to the EGFR inhibitor erlotinib in TKI-resistant cell lines and xenograftmodels of EGFR-mutant TKI-resistant lung cancer. JAK2 inhibition uncoupled EGFR from its negative regulator, suppressor of cytokine signaling 5(SOCS5), consequently increasing EGFR abundance and restoring the tumor cells' dependence on EGFR signaling. Furthermore, JAK2 inhibition led to heterodimerization of mutant and wild-type EGFR subunits, the activity of which was then blocked by TKIs. Our results reveal a mechanism whereby JAK2 inhibition overcomes acquired resistance to EGFR inhibitors and support the use of combination therapy with JAK and EGFR inhibitors for the treatment of EGFR-dependent NSCLC.
Journal Title: Science Signaling
Volume: 9
Issue: 421
ISSN: 1945-0877
Publisher: American Association for the Advancement of Science  
Date Published: 2016-03-29
Start Page: ra33
Language: English
DOI: 10.1126/scisignal.aac8460
PROVIDER: scopus
PUBMED: 27025877
PMCID: PMC4950506
DOI/URL:
Notes: Article -- Export Date: 2 May 2016 -- Source: Scopus
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MSK Authors
  1. Larry Norton
    758 Norton
  2. David C Lyden
    87 Lyden
  3. Jacqueline Bromberg
    141 Bromberg
  4. David Solit
    778 Solit
  5. Marc Ladanyi
    1326 Ladanyi
  6. Luc Morris
    278 Morris
  7. Ross Levine
    775 Levine
  8. Qing Chang
    36 Chang
  9. Sizhi Gao
    47 Gao
  10. Maria Eugenia Arcila
    657 Arcila
  11. Laura Daly
    11 Daly
  12. Robert Michael Vogel
    5 Vogel
  13. Ninghui   Mao
    19 Mao
  14. Shu Hui   Liu
    2 Liu
  15. Erez   Schori
    2 Schori
  16. Tyler Yu Chan
    2 Chan