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© 2018. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Recurrent or metastatic head and neck squamous cell carcinoma (HNSCC) has been a longstanding challenge for head and neck oncologists, and current treatments still have limited efficacy. ERK is aberrantly overexpressed and activated in HNSCC. Herein, we aimed to investigate the cause of the limited therapeutic effect of selumetinib, a selective inhibitor of MEK in HNSCC, as MEK/ERK reactivation inevitably occurs. We assessed the effects of combining selumetinib with fibroblast growth factor receptor 3 (FGFR3) inhibitor (PD173074) on tumor growth. Selumetinib transiently inhibited MAPK signaling and reactivated ERK signaling in HNSCC cells. Rebound in the ERK and Akt pathways in HNSCC cells was accompanied by increased FGFR3 signaling after selumetinib treatment. Feedback activation of FGFR3 was a result of autocrine secretion of the FGF2 ligand. The FGFR3 inhibitor PD173074 prevented MAPK rebound and sensitized the response of HNSCC cells to selumetinib. These results provided rational therapeutic strategies for clinical studies of this subtype of patients that show a poor prognosis with selumetinib. Our data provide a rationale for combining a MEK inhibitor with inhibitors of feedback activation of FGFR3 signaling in HNSCC cells. ERK rebound as a result of the upregulation of FGFR3 and the ligand FGF2 diminished the antitumor effects of selumetinib, which was overcome by combination treatment with the FGFR3 inhibitor.

Details

Title
Fibroblast growth factor receptor 3‐mediated reactivation of ERK signaling promotes head and neck squamous cancer cell insensitivity to MEK inhibition
Author
Myung Jin Ban 1 ; Hyung Kwon Byeon 2 ; Yang, Yeon Ju 3 ; An, Sojung 3 ; Kim, Jae Wook 4 ; Ji‐Hoon Kim 5 ; Kim, Da Hee 3 ; Yang, Jaemoon 6 ; Kee, Hyunjung 3 ; Yoon Woo Koh 7   VIAFID ORCID Logo 

 Department of Otorhinolaryngology–Head and Neck Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea; Department of Medicine, The Graduate School of Yonsei University, Seoul, Korea 
 Department of Otorhinolaryngology–Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea 
 Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea 
 Department of Otorhinolaryngology–Head and Neck Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea 
 Department of Otorhinolaryngology–Head and Neck Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea 
 Department of Radiology, Yonsei University College of Medicine, Seoul, Korea; Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul, Korea 
 Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea; The Airway Mucus Institute, Yonsei University College of Medicine, Seoul, Korea 
Pages
3816-3825
Section
ORIGINAL ARTICLES
Publication year
2018
Publication date
Dec 2018
Publisher
John Wiley & Sons, Inc.
ISSN
13479032
e-ISSN
13497006
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2287987301
Copyright
© 2018. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.