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Publication : The ERBB network facilitates KRAS-driven lung tumorigenesis.

First Author  Kruspig B Year  2018
Journal  Sci Transl Med Volume  10
Issue  446 PubMed ID  29925636
Mgi Jnum  J:263858 Mgi Id  MGI:6188818
Doi  10.1126/scitranslmed.aao2565 Citation  Kruspig B, et al. (2018) The ERBB network facilitates KRAS-driven lung tumorigenesis. Sci Transl Med 10(446)
abstractText  KRAS is the most frequently mutated driver oncogene in human adenocarcinoma of the lung. There are presently no clinically proven strategies for treatment of KRAS-driven lung cancer. Activating mutations in KRAS are thought to confer independence from upstream signaling; however, recent data suggest that this independence may not be absolute. We show that initiation and progression of KRAS-driven lung tumors require input from ERBB family receptor tyrosine kinases (RTKs): Multiple ERBB RTKs are expressed and active from the earliest stages of KRAS-driven lung tumor development, and treatment with a multi-ERBB inhibitor suppresses formation of KRAS(G12D)-driven lung tumors. We present evidence that ERBB activity amplifies signaling through the core RAS pathway, supporting proliferation of KRAS-mutant tumor cells in culture and progression to invasive disease in vivo. Brief pharmacological inhibition of the ERBB network enhances the therapeutic benefit of MEK (mitogen-activated protein kinase kinase) inhibition in an autochthonous tumor setting. Our data suggest that lung cancer patients with KRAS-driven disease may benefit from inclusion of multi-ERBB inhibitors in rationally designed treatment strategies.
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