SHP2 is required for growth of KRAS-mutant non-small-cell lung cancer in vivo

S Mainardi, A Mulero-Sánchez, A Prahallad… - Nature medicine, 2018 - nature.com
S Mainardi, A Mulero-Sánchez, A Prahallad, G Germano, A Bosma, P Krimpenfort, C Lieftink…
Nature medicine, 2018nature.com
RAS mutations are frequent in human cancer, especially in pancreatic, colorectal and non-
small-cell lung cancers (NSCLCs),–. Inhibition of the RAS oncoproteins has proven difficult,
and attempts to target downstream effectors,–have been hampered by the activation of
compensatory resistance mechanisms. It is also well established that KRAS-mutant tumors
are insensitive to inhibition of upstream growth factor receptor signaling. Thus, epidermal
growth factor receptor antibody therapy is only effective in KRAS wild-type colon cancers …
Abstract
RAS mutations are frequent in human cancer, especially in pancreatic, colorectal and non-small-cell lung cancers (NSCLCs), –. Inhibition of the RAS oncoproteins has proven difficult, and attempts to target downstream effectors, – have been hampered by the activation of compensatory resistance mechanisms. It is also well established that KRAS-mutant tumors are insensitive to inhibition of upstream growth factor receptor signaling. Thus, epidermal growth factor receptor antibody therapy is only effective in KRAS wild-type colon cancers,. Consistently, inhibition of SHP2 (also known as PTPN11), which links receptor tyrosine kinase signaling to the RAS–RAF–MEK–ERK pathway,, was shown to be ineffective in KRAS-mutant or BRAF-mutant cancer cell lines. Our data also indicate that SHP2 inhibition in KRAS-mutant NSCLC cells under normal cell culture conditions has little effect. By contrast, SHP2 inhibition under growth factor–limiting conditions in vitro results in a senescence response. In vivo, inhibition of SHP2 in KRAS-mutant NSCLC also provokes a senescence response, which is exacerbated by MEK inhibition. Our data identify SHP2 inhibition as an unexpected vulnerability of KRAS-mutant NSCLC cells that remains undetected in cell culture and can be exploited therapeutically.
nature.com