The ALKF1174L Mutation Potentiates the Oncogenic Activity of MYCN in Neuroblastoma

被引:241
作者
Berry, Teeara [1 ,2 ]
Luther, William [4 ]
Bhatnagar, Namrata [4 ]
Jamin, Yann [3 ]
Poon, Evon [1 ,2 ]
Sanda, Takaomi [4 ]
Pei, Desheng [4 ]
Sharma, Bandana [4 ]
Vetharoy, Winston R. [1 ,2 ]
Hallsworth, Albert [1 ,2 ]
Ahmad, Zai [1 ,2 ]
Barker, Karen [1 ,2 ]
Moreau, Lisa [4 ]
Webber, Hannah [1 ,2 ]
Wang, Wenchao [4 ]
Liu, Qingsong [5 ]
Perez-Atayde, Antonio [7 ]
Rodig, Scott [6 ]
Cheung, Nai-Kong [8 ]
Raynaud, Florence [1 ,2 ]
Hallberg, Bengt [9 ]
Robinson, Simon P. [3 ]
Gray, Nathanael S. [5 ]
Pearson, Andrew D. J. [1 ,2 ,10 ]
Eccles, Suzanne A. [1 ,2 ]
Chesler, Louis [1 ,2 ,10 ]
George, Rani E. [4 ]
机构
[1] Inst Canc Res, Div Clin Studies, Surrey SM2 5NG, England
[2] Inst Canc Res, Div Canc Therapeut, Surrey SM2 5NG, England
[3] Inst Canc Res, Div Radiotherapy & Imaging, Surrey SM2 5NG, England
[4] Harvard Univ, Sch Med, Dana Farber Canc Inst & Childrens Hosp Boston, Dept Pediat Hematol & Oncol, Boston, MA 02115 USA
[5] Harvard Univ, Sch Med, Dana Farber Canc Inst & Biol Chem & Mol Pharmacol, Dept Canc Biol, Boston, MA 02115 USA
[6] Harvard Univ, Sch Med, Dept Pathol, Boston, MA 02115 USA
[7] Childrens Hosp, Dept Pathol, Boston, MA 02115 USA
[8] Mem Sloan Kettering Canc Ctr, Dept Pediat, New York, NY 10065 USA
[9] Umea Univ, Dept Mol Biol, Umea, Sweden
[10] Royal Marsden NHS Trust, Children & Young Peoples Unit, Surrey SM2 5PT, England
基金
英国惠康基金; 英国医学研究理事会; 英国工程与自然科学研究理事会; 美国国家卫生研究院;
关键词
ANAPLASTIC LYMPHOMA KINASE; N-MYC; ALK KINASE; C-MYC; ACTIVATING MUTATIONS; EXPRESSION; PHOSPHORYLATION; PROGRESSION; INHIBITION; RESISTANCE;
D O I
10.1016/j.ccr.2012.06.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The ALK(F1174L) mutation is associated with intrinsic and acquired resistance to crizotinib and cosegregates with MYCN in neuroblastoma. In this study, we generated a mouse model overexpressing ALK(F1174L) in the neural crest. Compared to ALKF1174L and MYCN alone, co-expression of these two oncogenes led to the development of neuroblastomas with earlier onset, higher penetrance, and enhanced lethality. ALK(F1174L)/MYCN tumors exhibited increased MYCN dosage due to ALK(F1174L)-induced activation of the PI3K/AKT/mTOR and MAPK pathways, coupled with suppression of MYCN pro-apoptotic effects. Combined treatment with the ATP-competitive mTOR inhibitor Torin2 overcame the resistance of ALK(F1174L)/MYCN tumors to crizotinib. Our findings demonstrate a pathogenic role for ALK(F1174L) in neuroblastomas overexpressing MYCN and suggest a strategy for improving targeted therapy for ALK-positive neuroblastoma.
引用
收藏
页码:117 / 130
页数:14
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