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Inhibitors of the tyrosine kinase activity of epidermal growth factor receptor, as erlotinib, have an established role in treating several cancer types. However, resistance to erlotinib, particularly in breast cancer cell lines, and erlotinib treatment-associated disorders have also been described. Also, methods and combination therapies that could reverse resistance and ameliorate non-desirable effects represent a clinical challenge. Here, we show that the ATP non-competitive CDK2/cyclin A inhibitor NBI1 sensitizes erlotinib-resistant tumor cells to the combination treatment (co-treatment) for apoptosis-mediated cell death. Furthermore, in erlotinib-sensitive cells, the effective dose of erlotinib was lower in the presence of NBI1. The analysis in the breast cancer MDA-MB-468 erlotinib-resistant and in lung cancer A549 cell lines of the molecular mechanism underlying the apoptosis induced by co-treatment highlighted that the accumulation of DNA defects and depletion of cIAP and XIAP activates the ripoptosome that ultimately activates caspases-8 and -10 and apoptosis. This finding could have significant implications for future treatment strategies in clinical settings.
erlotinib, Cyclin-Dependent Kinase 2/antagonists & inhibitors, Cell Survival, Caspase 8/genetics, EGFR, Drug Resistance, Cell Cycle/drug effects, Apoptosis, Cyclin A, Drug Resistance, Neoplasm/drug effects, Antineoplastic Combined Chemotherapy Protocols/pharmacology, Cell Line, Erlotinib Hydrochloride, Drug Therapy, Neoplasm/drug effects, Cell Line, Tumor, Neoplasms, Antineoplastic Combined Chemotherapy Protocols, cancer, Humans, Cyclin A/antagonists & inhibitors, Cancer, Quinazolines/pharmacology, Caspase 8, Tumor, Manchester Cancer Research Centre, Apoptosis/drug effects, Cell Cycle, Cyclin-Dependent Kinase 2, Cyclin-dependent kinases, ResearchInstitutes_Networks_Beacons/mcrc; name=Manchester Cancer Research Centre, Neoplasms/drug therapy, NBI1, Drug Resistance, Neoplasm, Combination, Quinazolines, cyclin-dependent kinases, Original Article, Drug Therapy, Combination, ripoptosome, Cell Survival/drug effects
erlotinib, Cyclin-Dependent Kinase 2/antagonists & inhibitors, Cell Survival, Caspase 8/genetics, EGFR, Drug Resistance, Cell Cycle/drug effects, Apoptosis, Cyclin A, Drug Resistance, Neoplasm/drug effects, Antineoplastic Combined Chemotherapy Protocols/pharmacology, Cell Line, Erlotinib Hydrochloride, Drug Therapy, Neoplasm/drug effects, Cell Line, Tumor, Neoplasms, Antineoplastic Combined Chemotherapy Protocols, cancer, Humans, Cyclin A/antagonists & inhibitors, Cancer, Quinazolines/pharmacology, Caspase 8, Tumor, Manchester Cancer Research Centre, Apoptosis/drug effects, Cell Cycle, Cyclin-Dependent Kinase 2, Cyclin-dependent kinases, ResearchInstitutes_Networks_Beacons/mcrc; name=Manchester Cancer Research Centre, Neoplasms/drug therapy, NBI1, Drug Resistance, Neoplasm, Combination, Quinazolines, cyclin-dependent kinases, Original Article, Drug Therapy, Combination, ripoptosome, Cell Survival/drug effects
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| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
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