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Increased Lactate Secretion by Cancer Cells Sustains Non-cell-autonomous Adaptive Resistance to MET and EGFR Targeted Therapies.

Cell metabolism | 2018

The microenvironment influences cancer drug response and sustains resistance to therapies targeting receptor-tyrosine kinases. However, if and how the tumor microenvironment can be altered during treatment, contributing to resistance onset, is not known. We show that, under prolonged treatment with tyrosine kinase inhibitors (TKIs), EGFR- or MET-addicted cancer cells displayed a metabolic shift toward increased glycolysis and lactate production. We identified secreted lactate as the key molecule instructing cancer-associated fibroblasts to produce hepatocyte growth factor (HGF) in a nuclear factor κB-dependent manner. Increased HGF, activating MET-dependent signaling in cancer cells, sustained resistance to TKIs. Functional or pharmacological targeting of molecules involved in the lactate axis abrogated in vivo resistance, demonstrating the crucial role of this metabolite in the adaptive process. This adaptive resistance mechanism was observed in lung cancer patients progressed on EGFR TKIs, demonstrating the clinical relevance of our findings and opening novel scenarios in the challenge to drug resistance.

Pubmed ID: 30174307 RIS Download

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Rabbit IgG Control Antibody, Unconjugated (antibody)

RRID:AB_1163659

This unknown targets Rabbit IgG Control

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Monoclonal Anti-Vinculin antibody produced in mouse (antibody)

RRID:AB_477629

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H3K9me3-human,H3K9me3-mouse (antibody)

RRID:AB_306848

This polyclonal targets H3K9me3

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H3K36me3-human (antibody)

RRID:AB_1950412

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H3K27ac-mouse (antibody)

RRID:AB_2561016

This polyclonal targets H3K27ac

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H3K27me3-human (antibody)

RRID:AB_2616029

This unknown targets H3K27me3

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H3K4me3-dmelanogaster (antibody)

RRID:AB_2615077

This unknown targets H3K4me3

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H3-celegans (antibody)

RRID:AB_302613

This polyclonal targets H3

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Pan-Keratin (antibody)

RRID:AB_2132885

This monoclonal targets Human epidermal callus1

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EGFR (3H2094) (antibody)

RRID:AB_1122467

This monoclonal targets EGFR (3H2094)

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EGFR (phospho Y1068) antibody (antibody)

RRID:AB_305012

This polyclonal targets EGFR (phospho Y1068) antibody

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Goat Anti-Actin Polyclonal antibody, Unconjugated (antibody)

RRID:AB_630836

This polyclonal targets ACTG1, ACTC1, ACTA1, ACTA2, ACTG2, ACTB

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LDH-B (Q-21) (antibody)

RRID:AB_10614508

This monoclonal targets LDH-B (Q-21)

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NFkappaB p65 (F-6) (antibody)

RRID:AB_628017

This monoclonal targets Genetic locus: RELA (human) mapping to 11q13.1; Rela (mouse) mapping to 19 A.

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MCT4 (H-90) (antibody)

RRID:AB_2189333

This polyclonal targets SLC16A3

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Met (C-28) (antibody)

RRID:AB_631941

This polyclonal targets Met (C-28)

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LDHA Antibody (antibody)

RRID:AB_2137173

This polyclonal targets LDHA

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Glut1 (D3J3A) Rabbit Antibody (antibody)

RRID:AB_2687899

This monoclonal targets Glut1

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p44/42 MAPK (Erk1/2) Antibody (antibody)

RRID:AB_330744

This polyclonal targets p44/42 MAPK (Erk1/2)

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Akt Antibody (antibody)

RRID:AB_329827

This polyclonal targets Akt

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Phospho-Akt (Ser473) (D9E) XP® Rabbit mAb (antibody)

RRID:AB_2315049

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Mouse IgG1, kappa Isotype Control, FITC Conjugated, Clone MOPC-21 (antibody)

RRID:AB_394297

This unknown targets Mouse IgG1 kappa Isotype Control FITC Clone MOPC-21

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Mouse Anti-Human CD326 (EpCAM) Monoclonal Antibody, FITC Conjugated Clone HEA-125 (antibody)

RRID:AB_244192

This monoclonal targets Mouse Human CD326 (EpCAM) FITC Clone HEA-125

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MATLAB (software resource)

RRID:SCR_001622

Multi paradigm numerical computing environment and fourth generation programming language developed by MathWorks. Allows matrix manipulations, plotting of functions and data, implementation of algorithms, creation of user interfaces, and interfacing with programs written in other languages, including C, C++, Java, Fortran and Python. Used to explore and visualize ideas and collaborate across disciplines including signal and image processing, communications, control systems, and computational finance.

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