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KIT over-expression by p55PIK-PI3K leads to Imatinib-resistance in patients with gastrointestinal stromal tumors

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Gastrointestinal Surg Ctr,Wuhan 430030,Peoples R China [2]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Pathol,Wuhan 430030,Peoples R China [3]Hubei Univ Technol, Dept Bioengn, Wuhan 430068, Peoples R China [4]Huazhong Univ Sci & Technol, Dept Immunol, Tongji Med Coll, Wuhan 430030, Peoples R China
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关键词: p55PIK Imatinib resistance gastrointestinal stromal tumors

摘要:
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.

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出版当年[2015]版:
大类 | 1 区 医学
小类 | 2 区 肿瘤学 3 区 细胞生物学
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Q1 ONCOLOGY Q1 CELL BIOLOGY
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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Gastrointestinal Surg Ctr,Wuhan 430030,Peoples R China
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