Mutant PIK3CA as a negative predictive biomarker for treatment with a highly selective PIM1 inhibitor in human colon cancer

Significant improvement in targeted therapy for colorectal cancer (CRC) has occurred over the past few decades since the approval of the EGFR inhibitor cetuximab. However, cetuximab is used only for patients possessing the wild-type oncogene KRAS, NRAS, and BRAF, and even most of these eventually ac...

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Main Authors: Yoon Sun Park, Joseph kim, Yea Seong Ryu, Jai-Hee moon, Yu Jin shin, Jeong Hee kim, Seung-Woo hong, Soo-A jung, Seul lee, Seung-Mi kim, Dae Hee lee, Do Yeon kim, Hyeseon yun, Ji-Eun you, Dong Il yoon, Chul Hee kim, Dong-In koh, Dong-Hoon jin
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Cancer Biology & Therapy
Subjects:
Online Access:http://dx.doi.org/10.1080/15384047.2023.2246208
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author Yoon Sun Park
Joseph kim
Yea Seong Ryu
Jai-Hee moon
Yu Jin shin
Jeong Hee kim
Seung-Woo hong
Soo-A jung
Seul lee
Seung-Mi kim
Dae Hee lee
Do Yeon kim
Hyeseon yun
Ji-Eun you
Dong Il yoon
Chul Hee kim
Dong-In koh
Dong-Hoon jin
author_facet Yoon Sun Park
Joseph kim
Yea Seong Ryu
Jai-Hee moon
Yu Jin shin
Jeong Hee kim
Seung-Woo hong
Soo-A jung
Seul lee
Seung-Mi kim
Dae Hee lee
Do Yeon kim
Hyeseon yun
Ji-Eun you
Dong Il yoon
Chul Hee kim
Dong-In koh
Dong-Hoon jin
author_sort Yoon Sun Park
collection DOAJ
description Significant improvement in targeted therapy for colorectal cancer (CRC) has occurred over the past few decades since the approval of the EGFR inhibitor cetuximab. However, cetuximab is used only for patients possessing the wild-type oncogene KRAS, NRAS, and BRAF, and even most of these eventually acquire therapeutic resistance, via activation of parallel oncogenic pathways such as RAS-MAPK or PI3K/Akt/mTOR. The two aforementioned pathways also contribute to the development of therapeutic resistance in CRC patients, due to compensatory and feedback mechanisms. Therefore, combination drug therapies (versus monotherapy) targeting these multiple pathways may be necessary for further efficacy against CRC. In this study, we identified PIK3CA mutant (PIK3CA MT) as a determinant of resistance to SMI-4a, a highly selective PIM1 kinase inhibitor, in CRC cell lines. In CRC cell lines, SMI-4a showed its effect only in PIK3CA wild type (PIK3CA WT) cell lines, while PIK3CA MT cells did not respond to SMI-4a in cell death assays. In vivo xenograft and PDX experiments confirmed that PIK3CA MT is responsible for the resistance to SMI-4a. Inhibition of PIK3CA MT by PI3K inhibitors restored SMI-4a sensitivity in PIK3CA MT CRC cell lines. Taken together, these results demonstrate that sensitivity to SMI-4a is determined by the PIK3CA genotype and that co-targeting of PI3K and PIM1 in PIK3CA MT CRC patients could be a promising and novel therapeutic approach for refractory CRC patients.
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spelling doaj.art-1768709d29094b5387a1c7c373462d072023-12-05T15:58:14ZengTaylor & Francis GroupCancer Biology & Therapy1538-40471555-85762023-12-0124110.1080/15384047.2023.22462082246208Mutant PIK3CA as a negative predictive biomarker for treatment with a highly selective PIM1 inhibitor in human colon cancerYoon Sun Park0Joseph kim1Yea Seong Ryu2Jai-Hee moon3Yu Jin shin4Jeong Hee kim5Seung-Woo hong6Soo-A jung7Seul lee8Seung-Mi kim9Dae Hee lee10Do Yeon kim11Hyeseon yun12Ji-Eun you13Dong Il yoon14Chul Hee kim15Dong-In koh16Dong-Hoon jin17Asan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterUniversity of Ulsan College of MedicineSignificant improvement in targeted therapy for colorectal cancer (CRC) has occurred over the past few decades since the approval of the EGFR inhibitor cetuximab. However, cetuximab is used only for patients possessing the wild-type oncogene KRAS, NRAS, and BRAF, and even most of these eventually acquire therapeutic resistance, via activation of parallel oncogenic pathways such as RAS-MAPK or PI3K/Akt/mTOR. The two aforementioned pathways also contribute to the development of therapeutic resistance in CRC patients, due to compensatory and feedback mechanisms. Therefore, combination drug therapies (versus monotherapy) targeting these multiple pathways may be necessary for further efficacy against CRC. In this study, we identified PIK3CA mutant (PIK3CA MT) as a determinant of resistance to SMI-4a, a highly selective PIM1 kinase inhibitor, in CRC cell lines. In CRC cell lines, SMI-4a showed its effect only in PIK3CA wild type (PIK3CA WT) cell lines, while PIK3CA MT cells did not respond to SMI-4a in cell death assays. In vivo xenograft and PDX experiments confirmed that PIK3CA MT is responsible for the resistance to SMI-4a. Inhibition of PIK3CA MT by PI3K inhibitors restored SMI-4a sensitivity in PIK3CA MT CRC cell lines. Taken together, these results demonstrate that sensitivity to SMI-4a is determined by the PIK3CA genotype and that co-targeting of PI3K and PIM1 in PIK3CA MT CRC patients could be a promising and novel therapeutic approach for refractory CRC patients.http://dx.doi.org/10.1080/15384047.2023.2246208pim1pik3camutant krascolorectal cancerpredictive marker
spellingShingle Yoon Sun Park
Joseph kim
Yea Seong Ryu
Jai-Hee moon
Yu Jin shin
Jeong Hee kim
Seung-Woo hong
Soo-A jung
Seul lee
Seung-Mi kim
Dae Hee lee
Do Yeon kim
Hyeseon yun
Ji-Eun you
Dong Il yoon
Chul Hee kim
Dong-In koh
Dong-Hoon jin
Mutant PIK3CA as a negative predictive biomarker for treatment with a highly selective PIM1 inhibitor in human colon cancer
Cancer Biology & Therapy
pim1
pik3ca
mutant kras
colorectal cancer
predictive marker
title Mutant PIK3CA as a negative predictive biomarker for treatment with a highly selective PIM1 inhibitor in human colon cancer
title_full Mutant PIK3CA as a negative predictive biomarker for treatment with a highly selective PIM1 inhibitor in human colon cancer
title_fullStr Mutant PIK3CA as a negative predictive biomarker for treatment with a highly selective PIM1 inhibitor in human colon cancer
title_full_unstemmed Mutant PIK3CA as a negative predictive biomarker for treatment with a highly selective PIM1 inhibitor in human colon cancer
title_short Mutant PIK3CA as a negative predictive biomarker for treatment with a highly selective PIM1 inhibitor in human colon cancer
title_sort mutant pik3ca as a negative predictive biomarker for treatment with a highly selective pim1 inhibitor in human colon cancer
topic pim1
pik3ca
mutant kras
colorectal cancer
predictive marker
url http://dx.doi.org/10.1080/15384047.2023.2246208
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