ECCO15 and 34th ESMO Multidisciplinary Congress
Berlin, 20-24 September 2009
Expression of BRAK/CXCL14 is associated with antitumor efficacy of gefitinib in head and neck squamous cell carcinoma
Ryu-Ichiro Hata,1,6 Shigeyuki Ozawa,2,6 Yasumasa Kato,1,6 Shin Ito,1,6 Reika Komori,1,3 Naoto Shiiki,4 Keiichi Tsukinoki,4,6 Yojiro Maehata,5,6 Eiro Kubota2,6
Departments of 1Biochemistry and Molecular Biology, 2Oral and Maxillofacial Surgery, 3Pediatric Dentistry, 4Pathology, and 5Pharmacology; 6Oral Health Science Research Center, Kanagawa Dental College, 82 Inaoka-cho, Yokosuka 238-8580, Japan
Background: The clinical efficacy of gefitinib (ZD1839, Iressa), which is an inhibitor specific for the epidermal growth factor (EGF) receptor tyrosine kinase, has been demonstrated in non-small cell lung carcinoma patients with EGF receptor mutations, and so these mutations are a useful marker(s) to find responders to this drug. However recent studies showed that the EGF receptor gene mutation is rare in squamous cell carcinomas of the esophagus and head and neck regions. In the present study we investigated the relationship between BRAK expression and gefitinib efficacy for tumor suppression.
Material and methods: HNSCC cells were cultured in Dulbecco's Modified Eagle’s Medium (DMEM) containing 10% fetal bovine serum. Nearly confluent cells were cultured overnight in serum-free DMEM. After starvation, they were incubated with or without EGF (10 ng/ml) and/or gefitinib (1 micro M). HSC-3 cells were subcutaneously injected into athymic nude mice. Tumor cell-xenografted mice were daily administered gefitinib (50 mg/kg) orally. In some experiments, tumor cells were introduced BRAK ShRNA expressing vector to knockdown BRAK mRNA expression and established stable transformants.
Results: Gefitinib attenuated the effect of EGF, or even stimulated BRAK mRNA expression of HNSCC cells in vitro. Oral administration of gefitinib significantly (P<0.001) reduced tumor growth of xenografts in female athymic nude mice accompanied by increased in BRAK expression specifically in tumor tissue. Introduction of BRAK ShRNA vector reduced both the expression of BRAK in the cells and the antitumor efficacy of gefitinib in vivo.
Conclusions: Our results indicate that oral administration of gefitinib reduced tumor size, at least in part, through elevation of BRAK expression. Thus, the use of gefitinib for treatment of patients with HNSCC in whom there is an inducing effect of the drug on the BRAK expression in cancer cells in culture may be advantageous. Furthermore, BRAK may be a promising molecule for gene therapy of HNSCC.
This work was performed in collaboration with Drs. Takahide Taguchi, Yukari Imagawa-Ishiguro and Mamoru Tsukuda, Department of Biology and Function in the Head and Neck, Yokohama City University Graduate School of Medicine.