Page 48 - D. Cancer biology
P. 48

[D. Cancer biology-35]



               Gastric cancer cells develop resistance to IGF1R inhibitors,


                                  anti-cancer drug, through Dexras1




                Kyu Hye Chun¹˙², Bo Kyung Yoon¹, Na Hee Hwang¹˙², Sungsoon Fang²˙³, Jae-woo Kim¹˙²˙*

          ¹Biochemistry and Molecular Biology, Yonsei University College of Medicine, Seoul 120-752, South Korea, ²Brain

        Korea21 Project for Medical Science, Yonsei University, Seoul 120-752, South Korea, ³Severance Biomedical Science
                          Institute, Yonsei University College of Medicine, Seoul 120-752, South Korea




        Dexamethasone-induced Ras-related protein1, called Dexras1, is a protein which regulates Ras signal transduction

        pathways. We previously reported that Dexras1 mediates glucocorticoid-associated adipogenesis and diet-induced

        obesity through IGF1R-dependent manner. In cancer cells, IGF1R is already known to be important in proliferation,
        migration, and invasion. However, IGF1R inhibitor (Linsitinib) was failed to increase the survival of adrenocortical
        carcinoma  patients  in  phase  III  clinical  trial.  Here,  we  hypothesized  that  high  level  of  Dexras1  induces  IGF1R

        resistance and ablation of Dexras1 is able to increase the sensitivity to Linsitinib. In TCGA and GDSC database,
        Dexras1 expression level was correlated with IGF1R expression level and sensitivity to IGF1R inhibitor, which brought

        us to proceed to experiments in vitro and in vivo. Surprisingly, in Linsitinib-resistant cancer cell lines, expression
        level of Dexras1 was up-regulated. Also, sensitivity of Linsitinib in xenograft mouse model increased dramatically

        when using Dexras1 KO cells in vivo.

        Collectively, ablation of dexras1 should be considered as a combination therapy with IGF1R inhibiton.
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