Imatinib is the first-line drug for gastrointestinal stromal tumors (GISTs), as mutated KIT is closely associated with the occurrence of GIST. However, Imatinib resistance (IMA-resistance) occurs inevitably in most GIST patients. Although the over-expression of KIT in GIST is one of the major factors contributing to IMA-resistance, the underlying mechanism is still unclear. In this study, we demonstrate that p55PIK, an isoform of phosphoinositide 3-kinase (PI3K), increases KIT expression, leading to IMA-resistance in GISTs by activating NF-kappa B signaling pathway. Furthermore, down-regulation of p55PIK significantly decreases KIT expression and re-sensitizes IMA-resistance-GIST cells to Imatinib in vitro and in vivo. Interestingly, the expression of both p55PIK and KIT proteins is significantly increased in tumor samples from IMA-resistance-GIST patients, suggesting that p55PIK up-regulation may be important for IMA-resistance in the clinical setting. Altogether, our data provide evidence that p55PIK-PI3K signaling can contribute to IMA-resistance in GIST by increasing KIT expression. Moreover, p55PIK may be a novel potential drug target for treating tumors that develop IMA-resistance.
基金:
National Natural Science Foundation [81301899, 81300411, 81372662, 81272278]; "973" Program [2009CB521802]
第一作者单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Gastrointestinal Surg Ctr,Wuhan 430030,Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Lai Senyan,Wang Guihua,Cao Xiaonian,et al.KIT over-expression by p55PIK-PI3K leads to Imatinib-resistance in patients with gastrointestinal stromal tumors[J].ONCOTARGET.2016,7(2):1367-1379.doi:10.18632/oncotarget.6011.
APA:
Lai, Senyan,Wang, Guihua,Cao, Xiaonian,Luo, Xuelai,Wang, Guoping...&Wang, Jing.(2016).KIT over-expression by p55PIK-PI3K leads to Imatinib-resistance in patients with gastrointestinal stromal tumors.ONCOTARGET,7,(2)
MLA:
Lai, Senyan,et al."KIT over-expression by p55PIK-PI3K leads to Imatinib-resistance in patients with gastrointestinal stromal tumors".ONCOTARGET 7..2(2016):1367-1379