Cellular Origins of EGFR‐Driven Lung Cancer Cells Determine Sensitivity to Therapy

Abstract Targeting the epidermal growth factor receptor (EGFR) with tyrosine kinase inhibitors (TKIs) is one of the major precision medicine treatment options for lung adenocarcinoma. Due to common development of drug resistance to first‐ and second‐generation TKIs, third‐generation inhibitors, incl...

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Main Authors: Fan Chen, Jinpeng Liu, Robert M. Flight, Kassandra J. Naughton, Alexsandr Lukyanchuk, Abigail R. Edgin, Xiulong Song, Haikuo Zhang, Kwok‐Kin Wong, Hunter N. B. Moseley, Chi Wang, Christine F. Brainson
Format: Article
Language:English
Published: Wiley 2021-11-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202101999
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author Fan Chen
Jinpeng Liu
Robert M. Flight
Kassandra J. Naughton
Alexsandr Lukyanchuk
Abigail R. Edgin
Xiulong Song
Haikuo Zhang
Kwok‐Kin Wong
Hunter N. B. Moseley
Chi Wang
Christine F. Brainson
author_facet Fan Chen
Jinpeng Liu
Robert M. Flight
Kassandra J. Naughton
Alexsandr Lukyanchuk
Abigail R. Edgin
Xiulong Song
Haikuo Zhang
Kwok‐Kin Wong
Hunter N. B. Moseley
Chi Wang
Christine F. Brainson
author_sort Fan Chen
collection DOAJ
description Abstract Targeting the epidermal growth factor receptor (EGFR) with tyrosine kinase inhibitors (TKIs) is one of the major precision medicine treatment options for lung adenocarcinoma. Due to common development of drug resistance to first‐ and second‐generation TKIs, third‐generation inhibitors, including osimertinib and rociletinib, have been developed. A model of EGFR‐driven lung cancer and a method to develop tumors of distinct epigenetic states through 3D organotypic cultures are described here. It is discovered that activation of the EGFR T790M/L858R mutation in lung epithelial cells can drive lung cancers with alveolar or bronchiolar features, which can originate from alveolar type 2 (AT2) cells or bronchioalveolar stem cells, but not basal cells or club cells of the trachea. It is also demonstrated that these clones are able to retain their epigenetic differences through passaging orthotopically in mice and crucially that they have distinct drug vulnerabilities. This work serves as a blueprint for exploring how epigenetics can be used to stratify patients for precision medicine decisions.
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spelling doaj.art-1d70799b294842b6a8cf3f7bd6a3471b2022-12-21T19:55:02ZengWileyAdvanced Science2198-38442021-11-01822n/an/a10.1002/advs.202101999Cellular Origins of EGFR‐Driven Lung Cancer Cells Determine Sensitivity to TherapyFan Chen0Jinpeng Liu1Robert M. Flight2Kassandra J. Naughton3Alexsandr Lukyanchuk4Abigail R. Edgin5Xiulong Song6Haikuo Zhang7Kwok‐Kin Wong8Hunter N. B. Moseley9Chi Wang10Christine F. Brainson11Department of Toxicology and Cancer Biology University of Kentucky Lexington KY 40536 USADepartment of Internal Medicine University of Kentucky Lexington KY 40536 USADepartment of Molecular and Cellular Biochemistry University of Kentucky Lexington KY 40536 USADepartment of Toxicology and Cancer Biology University of Kentucky Lexington KY 40536 USADepartment of Toxicology and Cancer Biology University of Kentucky Lexington KY 40536 USADepartment of Toxicology and Cancer Biology University of Kentucky Lexington KY 40536 USADepartment of Toxicology and Cancer Biology University of Kentucky Lexington KY 40536 USADNAtrix 10355 Science Center Drive, Suite 110 San Diego CA 92121 USALaura and Isaac Perlmutter Cancer Center NYU Langone Medical Center New York University New York NY 10016 USADepartment of Toxicology and Cancer Biology University of Kentucky Lexington KY 40536 USADepartment of Internal Medicine University of Kentucky Lexington KY 40536 USADepartment of Toxicology and Cancer Biology University of Kentucky Lexington KY 40536 USAAbstract Targeting the epidermal growth factor receptor (EGFR) with tyrosine kinase inhibitors (TKIs) is one of the major precision medicine treatment options for lung adenocarcinoma. Due to common development of drug resistance to first‐ and second‐generation TKIs, third‐generation inhibitors, including osimertinib and rociletinib, have been developed. A model of EGFR‐driven lung cancer and a method to develop tumors of distinct epigenetic states through 3D organotypic cultures are described here. It is discovered that activation of the EGFR T790M/L858R mutation in lung epithelial cells can drive lung cancers with alveolar or bronchiolar features, which can originate from alveolar type 2 (AT2) cells or bronchioalveolar stem cells, but not basal cells or club cells of the trachea. It is also demonstrated that these clones are able to retain their epigenetic differences through passaging orthotopically in mice and crucially that they have distinct drug vulnerabilities. This work serves as a blueprint for exploring how epigenetics can be used to stratify patients for precision medicine decisions.https://doi.org/10.1002/advs.202101999alveolarbronchiolarEGFRlung cancerorganoids
spellingShingle Fan Chen
Jinpeng Liu
Robert M. Flight
Kassandra J. Naughton
Alexsandr Lukyanchuk
Abigail R. Edgin
Xiulong Song
Haikuo Zhang
Kwok‐Kin Wong
Hunter N. B. Moseley
Chi Wang
Christine F. Brainson
Cellular Origins of EGFR‐Driven Lung Cancer Cells Determine Sensitivity to Therapy
Advanced Science
alveolar
bronchiolar
EGFR
lung cancer
organoids
title Cellular Origins of EGFR‐Driven Lung Cancer Cells Determine Sensitivity to Therapy
title_full Cellular Origins of EGFR‐Driven Lung Cancer Cells Determine Sensitivity to Therapy
title_fullStr Cellular Origins of EGFR‐Driven Lung Cancer Cells Determine Sensitivity to Therapy
title_full_unstemmed Cellular Origins of EGFR‐Driven Lung Cancer Cells Determine Sensitivity to Therapy
title_short Cellular Origins of EGFR‐Driven Lung Cancer Cells Determine Sensitivity to Therapy
title_sort cellular origins of egfr driven lung cancer cells determine sensitivity to therapy
topic alveolar
bronchiolar
EGFR
lung cancer
organoids
url https://doi.org/10.1002/advs.202101999
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