Anti-epidermal growth factor vaccine antibodies increase the antitumor activity of kinase inhibitors in ALK and RET rearranged lung cancer cells

Advanced NSCLC patients harboring EML4-ALK and CCDC6-RET rearrangements derive benefit from treatment with ALK and RET TKIs but not immune checkpoint inhibitors. New immunotherapeutic approaches, such as immunization against growth factors, can be of particular interest for combination treatment in...

Full description

Bibliographic Details
Main Authors: Jordi Codony-Servat, Silvia García-Roman, Miguel Ángel Molina-Vila, Jordi Bertran-Alamillo, Santiago Viteri, Erik d'Hondt, Rafael Rosell
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Translational Oncology
Online Access:http://www.sciencedirect.com/science/article/pii/S193652332030379X
_version_ 1818381719082893312
author Jordi Codony-Servat
Silvia García-Roman
Miguel Ángel Molina-Vila
Jordi Bertran-Alamillo
Santiago Viteri
Erik d'Hondt
Rafael Rosell
author_facet Jordi Codony-Servat
Silvia García-Roman
Miguel Ángel Molina-Vila
Jordi Bertran-Alamillo
Santiago Viteri
Erik d'Hondt
Rafael Rosell
author_sort Jordi Codony-Servat
collection DOAJ
description Advanced NSCLC patients harboring EML4-ALK and CCDC6-RET rearrangements derive benefit from treatment with ALK and RET TKIs but not immune checkpoint inhibitors. New immunotherapeutic approaches, such as immunization against growth factors, can be of particular interest for combination treatment in these patients. Here, we investigated the effects of anti-EGF antibodies generated by vaccination (anti-EGF VacAbs), TKIs and combinations in EML4-ALK and CCDC6-RET NSCLC cell lines. We found that EGF and tumor growth factor alpha (TGFα) significantly decreased the antiproliferative activity of the RET inhibitor BLU-667 in CCDC6-RET cells and brigatinib, alectinib and crizotinib in EML4-ALK translocated cells. The addition of anti-EGF VacAbs reversed the effects of EGF and TGFα, potentiated the antitumor effects of the kinase inhibitors and delayed the appearance in vitro of resistant clones. Western blotting demonstrated that the combination of anti-EGF VacAbs with ALK or RET TKIs effectively suppressed EGFR downstream pathways in EML4-ALK translocated and CCDC6-RET cells, respectively. In conclusion, anti-EGF VacAbs significantly increased the antitumor activity of TKIs in ALK and RET-positive cell lines. Clinical trials of an EGF vaccine in combination with ALK and RET TKIs are warranted.
first_indexed 2024-12-14T02:39:02Z
format Article
id doaj.art-ffe440135f614a88ae6f23e8d7bf0ef5
institution Directory Open Access Journal
issn 1936-5233
language English
last_indexed 2024-12-14T02:39:02Z
publishDate 2021-01-01
publisher Elsevier
record_format Article
series Translational Oncology
spelling doaj.art-ffe440135f614a88ae6f23e8d7bf0ef52022-12-21T23:20:04ZengElsevierTranslational Oncology1936-52332021-01-01141100887Anti-epidermal growth factor vaccine antibodies increase the antitumor activity of kinase inhibitors in ALK and RET rearranged lung cancer cellsJordi Codony-Servat0Silvia García-Roman1Miguel Ángel Molina-Vila2Jordi Bertran-Alamillo3Santiago Viteri4Erik d'Hondt5Rafael Rosell6Laboratory of Oncology/Pangaea Oncology S.L., Quirón-Dexeus University Institute, Barcelona, SpainLaboratory of Oncology/Pangaea Oncology S.L., Quirón-Dexeus University Institute, Barcelona, SpainLaboratory of Oncology/Pangaea Oncology S.L., Quirón-Dexeus University Institute, Barcelona, Spain; Corresponding author at: Laboratory of Oncology/Pangaea Oncology S.L., Quirón-Dexeus University Institute, C/Sabino Arana 5, 08023 Barcelona, Spain.Laboratory of Oncology/Pangaea Oncology S.L., Quirón-Dexeus University Institute, Barcelona, SpainInstituto Oncológico Dr. Rosell (IOR), Quirón-Dexeus University Institute, Barcelona, SpainIn3Bio (Europe) Ltd, Aberdeen, UKInstituto Oncológico Dr. Rosell (IOR), Quirón-Dexeus University Institute, Barcelona, Spain; Catalan Institute of Oncology, Badalona, Spain; Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, SpainAdvanced NSCLC patients harboring EML4-ALK and CCDC6-RET rearrangements derive benefit from treatment with ALK and RET TKIs but not immune checkpoint inhibitors. New immunotherapeutic approaches, such as immunization against growth factors, can be of particular interest for combination treatment in these patients. Here, we investigated the effects of anti-EGF antibodies generated by vaccination (anti-EGF VacAbs), TKIs and combinations in EML4-ALK and CCDC6-RET NSCLC cell lines. We found that EGF and tumor growth factor alpha (TGFα) significantly decreased the antiproliferative activity of the RET inhibitor BLU-667 in CCDC6-RET cells and brigatinib, alectinib and crizotinib in EML4-ALK translocated cells. The addition of anti-EGF VacAbs reversed the effects of EGF and TGFα, potentiated the antitumor effects of the kinase inhibitors and delayed the appearance in vitro of resistant clones. Western blotting demonstrated that the combination of anti-EGF VacAbs with ALK or RET TKIs effectively suppressed EGFR downstream pathways in EML4-ALK translocated and CCDC6-RET cells, respectively. In conclusion, anti-EGF VacAbs significantly increased the antitumor activity of TKIs in ALK and RET-positive cell lines. Clinical trials of an EGF vaccine in combination with ALK and RET TKIs are warranted.http://www.sciencedirect.com/science/article/pii/S193652332030379X
spellingShingle Jordi Codony-Servat
Silvia García-Roman
Miguel Ángel Molina-Vila
Jordi Bertran-Alamillo
Santiago Viteri
Erik d'Hondt
Rafael Rosell
Anti-epidermal growth factor vaccine antibodies increase the antitumor activity of kinase inhibitors in ALK and RET rearranged lung cancer cells
Translational Oncology
title Anti-epidermal growth factor vaccine antibodies increase the antitumor activity of kinase inhibitors in ALK and RET rearranged lung cancer cells
title_full Anti-epidermal growth factor vaccine antibodies increase the antitumor activity of kinase inhibitors in ALK and RET rearranged lung cancer cells
title_fullStr Anti-epidermal growth factor vaccine antibodies increase the antitumor activity of kinase inhibitors in ALK and RET rearranged lung cancer cells
title_full_unstemmed Anti-epidermal growth factor vaccine antibodies increase the antitumor activity of kinase inhibitors in ALK and RET rearranged lung cancer cells
title_short Anti-epidermal growth factor vaccine antibodies increase the antitumor activity of kinase inhibitors in ALK and RET rearranged lung cancer cells
title_sort anti epidermal growth factor vaccine antibodies increase the antitumor activity of kinase inhibitors in alk and ret rearranged lung cancer cells
url http://www.sciencedirect.com/science/article/pii/S193652332030379X
work_keys_str_mv AT jordicodonyservat antiepidermalgrowthfactorvaccineantibodiesincreasetheantitumoractivityofkinaseinhibitorsinalkandretrearrangedlungcancercells
AT silviagarciaroman antiepidermalgrowthfactorvaccineantibodiesincreasetheantitumoractivityofkinaseinhibitorsinalkandretrearrangedlungcancercells
AT miguelangelmolinavila antiepidermalgrowthfactorvaccineantibodiesincreasetheantitumoractivityofkinaseinhibitorsinalkandretrearrangedlungcancercells
AT jordibertranalamillo antiepidermalgrowthfactorvaccineantibodiesincreasetheantitumoractivityofkinaseinhibitorsinalkandretrearrangedlungcancercells
AT santiagoviteri antiepidermalgrowthfactorvaccineantibodiesincreasetheantitumoractivityofkinaseinhibitorsinalkandretrearrangedlungcancercells
AT erikdhondt antiepidermalgrowthfactorvaccineantibodiesincreasetheantitumoractivityofkinaseinhibitorsinalkandretrearrangedlungcancercells
AT rafaelrosell antiepidermalgrowthfactorvaccineantibodiesincreasetheantitumoractivityofkinaseinhibitorsinalkandretrearrangedlungcancercells