AMG-510 and cisplatin combination increases antitumor effect in lung adenocarcinoma with mutation of KRAS G12C: a preclinical and translational research

Abstract Background The efficacy of monotherapy of AMG-510 is limited. This study explored whether the AMG-510 and cisplatin combination increases the anti-tumor effect in lung adenocarcinoma with the mutation of Kirsten rat sarcoma viral oncogene (KRAS) G12C. Methods Patients’ data were used to ana...

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Main Authors: Lei-Lei Wu, Wen-Mei Jiang, Zhi-Yuan Liu, Yi-Yi Zhang, Jia-Yi Qian, Yu’e Liu, Yang-Yu Huang, Kun Li, Zhi-Xin Li, Guo-Wei Ma, Dong Xie
Format: Article
Language:English
Published: Springer 2023-06-01
Series:Discover Oncology
Subjects:
Online Access:https://doi.org/10.1007/s12672-023-00698-z
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author Lei-Lei Wu
Wen-Mei Jiang
Zhi-Yuan Liu
Yi-Yi Zhang
Jia-Yi Qian
Yu’e Liu
Yang-Yu Huang
Kun Li
Zhi-Xin Li
Guo-Wei Ma
Dong Xie
author_facet Lei-Lei Wu
Wen-Mei Jiang
Zhi-Yuan Liu
Yi-Yi Zhang
Jia-Yi Qian
Yu’e Liu
Yang-Yu Huang
Kun Li
Zhi-Xin Li
Guo-Wei Ma
Dong Xie
author_sort Lei-Lei Wu
collection DOAJ
description Abstract Background The efficacy of monotherapy of AMG-510 is limited. This study explored whether the AMG-510 and cisplatin combination increases the anti-tumor effect in lung adenocarcinoma with the mutation of Kirsten rat sarcoma viral oncogene (KRAS) G12C. Methods Patients’ data were used to analyze the proportion of KRAS G12C mutation. Besides, the next-generation sequencing data was used to uncover information about co-mutations. The cell viability assay, the concentration inhibiting 50% of cell viability (IC50) determination, colony formation, and cell-derived xenografts were conducted to explore the anti-tumor effect of AMG-510, Cisplatin, and their combination in vivo. The bioinformatic analysis was conducted to reveal the potential mechanism of drug combination with improved anticancer effect. Results The proportion of KRAS mutation was 2.2% (11/495). In this cohort with KRAS mutation, the proportion of G12D was higher than others. Besides, KRAS G12A mutated tumors had the likelihood of concurrent serine/threonine kinase 11 (STK11) and kelch-like ECH-associated protein 1 (KEAP1) mutations. KRAS G12C and tumor protein p53 (TP53) mutations could appear at the same time. In addition, KRAS G12D mutations and C-Ros oncogene 1 (ROS1) rearrangement were likely to be present in one tumor simultaneously. When the two drugs were combined, the respective IC50 values were lower than when used alone. In addition, there was a minimum number of clones among all wells in the drug combination. In in vivo experiments, the tumor size reduction in the drug combination group was more than twice that of the single drug group (p < 0.05). The differential expression genes were enriched in the pathways of phosphatidylinositol 3 kinase-protein kinase B (PI3K-Akt) signaling and extracellular matrix (ECM) proteoglycans compared the combination group to the control group. Conclusions The anticancer effect of the drug combination was confirmed to be better than monotherapy in vitro and in vivo. The results of this study may provide some information for the plan of neoadjuvant therapy and the design of clinical trials for lung adenocarcinoma patients with KRAS G12C mutation.
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spelling doaj.art-01f33144faf6435d8ceb20f40eb096e52023-06-11T11:17:35ZengSpringerDiscover Oncology2730-60112023-06-0114111510.1007/s12672-023-00698-zAMG-510 and cisplatin combination increases antitumor effect in lung adenocarcinoma with mutation of KRAS G12C: a preclinical and translational researchLei-Lei Wu0Wen-Mei Jiang1Zhi-Yuan Liu2Yi-Yi Zhang3Jia-Yi Qian4Yu’e Liu5Yang-Yu Huang6Kun Li7Zhi-Xin Li8Guo-Wei Ma9Dong Xie10Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer CenterSchool of Medicine, Tongji UniversitySchool of Medicine, Tongji UniversityDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversitySchool of Medicine, Tongji UniversityFaculty of Biology, Medicine and Health, School of Biological Sciences, The University of ManchesterDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer CenterDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityAbstract Background The efficacy of monotherapy of AMG-510 is limited. This study explored whether the AMG-510 and cisplatin combination increases the anti-tumor effect in lung adenocarcinoma with the mutation of Kirsten rat sarcoma viral oncogene (KRAS) G12C. Methods Patients’ data were used to analyze the proportion of KRAS G12C mutation. Besides, the next-generation sequencing data was used to uncover information about co-mutations. The cell viability assay, the concentration inhibiting 50% of cell viability (IC50) determination, colony formation, and cell-derived xenografts were conducted to explore the anti-tumor effect of AMG-510, Cisplatin, and their combination in vivo. The bioinformatic analysis was conducted to reveal the potential mechanism of drug combination with improved anticancer effect. Results The proportion of KRAS mutation was 2.2% (11/495). In this cohort with KRAS mutation, the proportion of G12D was higher than others. Besides, KRAS G12A mutated tumors had the likelihood of concurrent serine/threonine kinase 11 (STK11) and kelch-like ECH-associated protein 1 (KEAP1) mutations. KRAS G12C and tumor protein p53 (TP53) mutations could appear at the same time. In addition, KRAS G12D mutations and C-Ros oncogene 1 (ROS1) rearrangement were likely to be present in one tumor simultaneously. When the two drugs were combined, the respective IC50 values were lower than when used alone. In addition, there was a minimum number of clones among all wells in the drug combination. In in vivo experiments, the tumor size reduction in the drug combination group was more than twice that of the single drug group (p < 0.05). The differential expression genes were enriched in the pathways of phosphatidylinositol 3 kinase-protein kinase B (PI3K-Akt) signaling and extracellular matrix (ECM) proteoglycans compared the combination group to the control group. Conclusions The anticancer effect of the drug combination was confirmed to be better than monotherapy in vitro and in vivo. The results of this study may provide some information for the plan of neoadjuvant therapy and the design of clinical trials for lung adenocarcinoma patients with KRAS G12C mutation.https://doi.org/10.1007/s12672-023-00698-zKRAS G12C mutationAMG-510CisplatinIn vivoTranslational medicine
spellingShingle Lei-Lei Wu
Wen-Mei Jiang
Zhi-Yuan Liu
Yi-Yi Zhang
Jia-Yi Qian
Yu’e Liu
Yang-Yu Huang
Kun Li
Zhi-Xin Li
Guo-Wei Ma
Dong Xie
AMG-510 and cisplatin combination increases antitumor effect in lung adenocarcinoma with mutation of KRAS G12C: a preclinical and translational research
Discover Oncology
KRAS G12C mutation
AMG-510
Cisplatin
In vivo
Translational medicine
title AMG-510 and cisplatin combination increases antitumor effect in lung adenocarcinoma with mutation of KRAS G12C: a preclinical and translational research
title_full AMG-510 and cisplatin combination increases antitumor effect in lung adenocarcinoma with mutation of KRAS G12C: a preclinical and translational research
title_fullStr AMG-510 and cisplatin combination increases antitumor effect in lung adenocarcinoma with mutation of KRAS G12C: a preclinical and translational research
title_full_unstemmed AMG-510 and cisplatin combination increases antitumor effect in lung adenocarcinoma with mutation of KRAS G12C: a preclinical and translational research
title_short AMG-510 and cisplatin combination increases antitumor effect in lung adenocarcinoma with mutation of KRAS G12C: a preclinical and translational research
title_sort amg 510 and cisplatin combination increases antitumor effect in lung adenocarcinoma with mutation of kras g12c a preclinical and translational research
topic KRAS G12C mutation
AMG-510
Cisplatin
In vivo
Translational medicine
url https://doi.org/10.1007/s12672-023-00698-z
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