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Molecular analysis of acquired resistance to targeted therapies and search for overcoming drugs

Research Project

Project/Area Number 15H02368
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Tumor therapeutics
Research InstitutionJapanese Foundation for Cancer Research

Principal Investigator

Fujita Naoya  公益財団法人がん研究会, がん化学療法センター, 所長 (20280951)

Project Period (FY) 2015-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥42,510,000 (Direct Cost: ¥32,700,000、Indirect Cost: ¥9,810,000)
Fiscal Year 2019: ¥8,320,000 (Direct Cost: ¥6,400,000、Indirect Cost: ¥1,920,000)
Fiscal Year 2018: ¥8,320,000 (Direct Cost: ¥6,400,000、Indirect Cost: ¥1,920,000)
Fiscal Year 2017: ¥8,320,000 (Direct Cost: ¥6,400,000、Indirect Cost: ¥1,920,000)
Fiscal Year 2016: ¥8,320,000 (Direct Cost: ¥6,400,000、Indirect Cost: ¥1,920,000)
Fiscal Year 2015: ¥9,230,000 (Direct Cost: ¥7,100,000、Indirect Cost: ¥2,130,000)
Keywords癌 / 薬剤反応性 / 融合遺伝子 / 分子標的治療
Outline of Final Research Achievements

Kinase fusion oncogenes have been reported to be involved in tumorigenesis. Thus, it is speculated that the kinase fusion-oncogene products are the promising therapeutic targets for the kinase fusion-positive cancers, and many pharmaceutical companies have developed kinase inhibitors as therapeutic agents. The developed kinase inhibitors have elicited remarkable anti-tumor effects in the kinase-fusion positive cancers in the early stages of administration, however, tumors gradually develop resistance to the drugs. Integrated genetic, molecular and cellular analysis of the resistant tumor cells found in the relapsed tumors resulted in the identification of novel resistant mutations in ALK-, ROS1-, NTRK1-positive cancers. Drug screening using the resistant mutation-positive cancers also resulted in the identification of the overcoming drugs.

Academic Significance and Societal Importance of the Research Achievements

治療薬耐性をもたらす耐性変異や分子細胞生物学的変化を、治療薬が効かなくなったヒト再発検体を用いて検討して治療薬耐性化に関わる遺伝子変異を多数同定したこと、さらにはヒト細胞における治療薬耐性化の分子機構を明らかにしたことは、未知の部分が多く残されているヒト体内における治療薬耐性の一端を明らかにしたという意味で大きな学術的意義がある。また、将来的に起こりうる耐性変異を事前予測可能にしたことと、臨床で用いられている薬剤を多く含むライブラリーをスクリーニングすることで克服薬候補を得られたことは、再発した患者さんに次の治療法をいち早く提供できる成果が挙がったという意味で大きな社会的意義があったと考える。

Report

(6 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • Research Products

    (53 results)

All 2020 2019 2018 2017 2016 2015 Other

All Int'l Joint Research (2 results) Journal Article (11 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 11 results,  Open Access: 11 results,  Acknowledgement Compliant: 2 results) Presentation (31 results) (of which Int'l Joint Research: 3 results,  Invited: 10 results) Remarks (8 results) Patent(Industrial Property Rights) (1 results)

  • [Int'l Joint Research] Massachusetts General Hospital(米国)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] MGH Cancer Center(米国)

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Drug resistance mechanisms in Japanese anaplastic lymphoma kinase‐positive non?small cell lung cancer and the clinical responses based on the resistant mechanisms2020

    • Author(s)
      Yanagitani N、Uchibori K、Koike S、Tsukahara、Kitazono、Yoshizawa、Horiike、Ohyanagi、Tambo、Nishikawa、Fujita、Katayama、Nishio M.
    • Journal Title

      Cancer Science

      Volume: 111 Issue: 3 Pages: 932-939

    • DOI

      10.1111/cas.14314

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Overcoming resistance by ALK compound mutation (I1171S + G1269A) after sequential treatment of multiple ALK inhibitors in non‐small cell lung cancer2020

    • Author(s)
      Takahashi、Seto、Okada、Uematsu、Uchibori、Tsukahara、Oh‐hara、Fujita、Yanagitani、Nishio、Okubo、Katayama R.
    • Journal Title

      Thoracic Cancer

      Volume: 11 Issue: 3 Pages: 581-587

    • DOI

      10.1111/1759-7714.13299

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The new-generation selective ROS1/NTRK inhibitor DS-6051b overcomes crizotinib resistant ROS1-G2032R mutation in preclinical models2019

    • Author(s)
      Katayama R、Bo G、Togashi N、Miyamoto M、Kiga M、Iwasaki S、Kamai Y、Tominaga Y、Takeda Y、Kagoshima Y、Shimizu Y、Seto Y、Oh-hara T、Koike S、Nakao N、Hanzawa H、Watanabe K、Yoda S、Yanagitani N、Hata AN.、Shaw AT、Nishio M、Fujita N、Isoyama T.
    • Journal Title

      Nature Communications

      Volume: 10 Issue: 1 Pages: 3604-3604

    • DOI

      10.1038/s41467-019-11496-z

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Prediction of ALK mutations mediating ALK-TKIs resistance and drug re-purposing to overcome the resistance2019

    • Author(s)
      Okada Koutaroh、Araki Mitsugu、Sakashita Takuya、Ma Biao、Kanada Ryo、Yanagitani Noriko、Horiike Atsushi、Koike Sumie、Oh-hara Tomoko、Watanabe Kana、Tamai Keiichi、Maemondo Makoto、Nishio Makoto、Ishikawa Takeshi、Okuno Yasushi、Fujita Naoya、Katayama Ryohei
    • Journal Title

      EBioMedicine

      Volume: 41 Pages: 105-119

    • DOI

      10.1016/j.ebiom.2019.01.019

    • NAID

      120006892063

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 3D culture system containing gellan gum restores oncogene dependence in ROS1 rearrangements non-small cell lung cancer.2018

    • Author(s)
      Bo Gong, Tomoko Oh-hara, Naoya Fujita, Ryohei Katayama
    • Journal Title

      Biochem. Biophys. Res. Commun.

      Volume: 501 Issue: 2 Pages: 527-533

    • DOI

      10.1016/j.bbrc.2018.05.031

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Identification of mutation accumulation as resistance mechanism emerging in first-line osimertinib treatment.2018

    • Author(s)
      Ken Uchibori, Naohiko Inase, Makoto Nishio, Naoya Fujita, Ryohei Katayama
    • Journal Title

      J. Thorac. Oncol.

      Volume: 13 Issue: 7 Pages: 915-925

    • DOI

      10.1016/j.jtho.2018.04.005

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] TKI-addicted ROS1-rearranged cells are destined to survival or death by the intensity of ROS1 kinase activity2017

    • Author(s)
      Hayato Ogura, Yuka Nagatake-Kobayashi, Jun Adachi, Takeshi Tomonaga, Naoya Fujita, Ryohei Katayama
    • Journal Title

      Sci. Rep.

      Volume: 7 Issue: 1 Pages: 5519-5519

    • DOI

      10.1038/s41598-017-05736-9

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 8. Mechanisms of resistance to NTRK inhibitors and therapeutic strategies in NTRK1-rearranged cancers.2017

    • Author(s)
      Miho Jane Fuse, Koutaroh Okada, Tomoko Oh-hara, Hayato Ogura, Naoya Fujita, Ryohei Katayama
    • Journal Title

      Mol Cancer Ther.

      Volume: 16 Issue: 10 Pages: 2130-2143

    • DOI

      10.1158/1535-7163.mct-16-0909

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Brigatinib combined with anti-EGFR antibody overcomes osimertinib resistance in EGFR-mutated non-small-cell lung cancer.2017

    • Author(s)
      Ken Uchibori, Naohiko Inase, Mitsugu Araki, Mayumi Kamada, Shigeo Sato, Yasushi Okuno, Naoya Fujita, Ryohei Katayama
    • Journal Title

      Nature Commun.

      Volume: 8 Issue: 1 Pages: 14768-14768

    • DOI

      10.1038/ncomms14768

    • NAID

      120006027079

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] APC mutations as a predictive biomarker for sensitivity to tankyrase inhibitors in colorectal cancer.2017

    • Author(s)
      Noritaka Tanaka, Tetsuo Mashima, Anna Mizutani, Ayana Sato, Aki Aoyama, Bo Gong, Haruka Yoshida, Yukiko Muramatsu, Kento Nakata, Masaaki Matsuura, Ryohei Katayama, Satoshi Nagayama, Naoya Fujita, Yoshikazu Sugimoto, Hiroyuki Seimiya
    • Journal Title

      Mol. Cancer Ther.

      Volume: 16 Issue: 4 Pages: 739-751

    • DOI

      10.1158/1535-7163.mct-16-0578

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] P-glycoprotein mediates ceritinib resistance in anaplastic lymphoma kinase-rearranged non-small cell lung cancer.2016

    • Author(s)
      Katayama R*, Sakashita T, Yanagitani N, Ninomiya H, Horiike A, Friboulet L, Gainor JF, Motoi N, Dobashi A, Sakata S, Tambo Y, Kitazono S, Sato S, Koike S, Iafrate AJ, Mino-Kenudson M, Ishikawa Y, Shaw AT, Engelman JA, Takeuchi K, Nishio M*, Fujita N*
    • Journal Title

      EBioMedicine

      Volume: 3 Pages: 54-66

    • DOI

      10.1016/j.ebiom.2015.12.009

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Presentation] がん治療薬開発のこれまでと未来2019

    • Author(s)
      藤田直也
    • Organizer
      第78回日本癌学会学術総会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Crizotinib resistance mechanisms and potential therapeutic strategies to overcome the resistance in ROS1 rearranged non-small cell lung cancer.2019

    • Author(s)
      Ryohei Katayama, Bo Gong, Makoto Nishio, Naoya Fujita
    • Organizer
      2019 AACR-NCI-EORTC International Conference on Molecular Targets and Cancer Therapeutics
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] EML4-ALK融合タンパク質の新規リン酸化基質の同定とがん化メカニズムの解明2019

    • Author(s)
      岡田康太郎, 藤田 直也, 西尾 誠人, 足立 淳, 朝長 毅, 片山 量平
    • Organizer
      第42回日本分子生物学会年会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 第 3 世代 ALK 阻害薬 Lorlatinib 耐性を示す ALK-L1256F 変異 の特性解析2019

    • Author(s)
      大原智子、藤田直也、片山量平
    • Organizer
      第78回日本癌学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] ALK-L1256F変異体は第3世代ALK阻害薬Lorlatinibに高度耐性を示し、第2世代ALK阻害薬Alectinibに高感受性を示す2019

    • Author(s)
      岡田康太郎、藤田直也、片山量平
    • Organizer
      第23回日本がん分子標的治療学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 肺がんにおける分子標的薬耐性機構解析と耐性克服法予測の可能性2018

    • Author(s)
      片山量平、藤田直也
    • Organizer
      第77回日本癌学会学術総会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 三次元培養システムによるRET再構成肺癌細胞の薬物感受性評価システムの確立2018

    • Author(s)
      小池清恵、藤田直也、片山量平
    • Organizer
      第77回日本癌学会学術総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 肺がん分子標的薬耐性メカニズムの探索と耐性機構予測への挑戦2018

    • Author(s)
      片山量平、岡田康太郎、藤田直也
    • Organizer
      第22回日本がん分子標的治療学会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 次世代 ALK 阻害薬 Lorlatinib 耐性重複変異の発見とその治療戦略の示唆2018

    • Author(s)
      岡田康太郎、藤田直也、片山量平
    • Organizer
      第22回日本がん分子標的治療学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 非接着培養を用いた新規 ROS1 阻害剤評価系の構築2018

    • Author(s)
      キョウ博、大原智子、小池清恵、藤田直也、片山量平
    • Organizer
      第22回日本がん分子標的治療学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] がん患者検体を用いた腫瘍組織の統合解析と新薬開発2018

    • Author(s)
      藤田直也
    • Organizer
      理研・生命医科学シンポジウム「新たな生命医科学の融合 ~ゲノム・免疫・疾患システムを究める~」
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Development of the molecular targeted therapy in memory of Dr. Takashi Tsuruo2017

    • Author(s)
      藤田直也
    • Organizer
      第76回 日本癌学会学術総会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] ブリガチニブと抗EGFR抗体の併用がC797S/T790M変異によるオシメルチニブ耐性を克服する2017

    • Author(s)
      内堀 健、藤田直也、片山量平
    • Organizer
      第76回 日本癌学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Driver Oncogene陽性肺がんにおける獲得耐性の分子基盤と新たな治療戦略2017

    • Author(s)
      片山量平、藤田直也
    • Organizer
      第76回 日本癌学会学術総会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Resistance mechanisms to NTRK-TKIs in NTRK1 rearranged cancer平2017

    • Author(s)
      大原智子、佐藤重夫、藤田直也、片山量平
    • Organizer
      第76回 日本癌学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] EGFR-C797S/T790M多剤耐性肺癌に対する新規療法2017

    • Author(s)
      内堀健、稲瀬直彦、荒木望嗣、鎌田真由美、佐藤重男、奥野恭史、藤田直也、片山量平
    • Organizer
      第15回日本臨床腫瘍学会学術集会(JSMO)
    • Related Report
      2017 Annual Research Report
  • [Presentation] G1202R変異型EML4-ALKの変異蓄積による次世代ALK阻害剤Lorlatinib耐性の獲得2017

    • Author(s)
      岡田康太郎、藤田直也、片山量平
    • Organizer
      第20回日本がん分子標的治療学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Driver oncogene陽性肺がんにおける多様な分子標的薬耐性とその克服法2017

    • Author(s)
      片山量平、藤田直也
    • Organizer
      第20回日本がん分子標的治療学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] cMET増幅を介したALK阻害薬耐性とその克服法2017

    • Author(s)
      小池清恵、藤田直也、片山量平
    • Organizer
      第20回日本がん分子標的治療学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Identification of the molecular mechanisms of resistance to NTRK inhibitors and the potential therapeutic strategies in NTRK1-rearranged cancers.2017

    • Author(s)
      Ryohei Katayama, Miho Jane Fuse, Tomoko Oh-hara, Hayato Ogura, Naoya Fujita
    • Organizer
      AACR Annual Meeting 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Analysis of "drug addiction" mechanisms in the drug-resistant ROS1-rearranged cancer cells.2017

    • Author(s)
      Hayato Ogura, Jun Adachi, Takeshi Tomonaga, Naoya Fujita, Ryohei Katayama
    • Organizer
      AACR Annual Meeting 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 第3世代EGFR-TKIの耐性機構C797S変異に対する阻害薬の発見2016

    • Author(s)
      内堀健、藤田直也、片山量平、稲瀬直彦
    • Organizer
      第57回日本肺癌学会学術集会
    • Place of Presentation
      福岡国際会議場、福岡
    • Year and Date
      2016-12-19
    • Related Report
      2016 Annual Research Report
  • [Presentation] Excessive oncogene signaling induced “drug addiction” characteristic2016

    • Author(s)
      小倉隼人、足立淳、朝長毅、藤田直也、片山量平
    • Organizer
      第75回日本癌学会学術総会
    • Place of Presentation
      パシフィコ横浜、横浜
    • Year and Date
      2016-10-06
    • Related Report
      2016 Annual Research Report
  • [Presentation] Identifications of inhibitors which can overcome acquired resistance to third-generation EGFR-TKI2016

    • Author(s)
      Ken Uchibori, Naoya Fujita, Ryohei Katayama
    • Organizer
      第75回日本癌学会学術総会
    • Place of Presentation
      パシフィコ横浜、横浜
    • Year and Date
      2016-10-06
    • Related Report
      2016 Annual Research Report
  • [Presentation] cMET gene amplification mediated ALK-TKI resistance2016

    • Author(s)
      大原智子、西尾誠人、藤田直也、片山量平
    • Organizer
      第75回日本癌学会学術総会
    • Place of Presentation
      パシフィコ横浜、横浜
    • Year and Date
      2016-10-06
    • Related Report
      2016 Annual Research Report
  • [Presentation] ABCトランスポーターを介したALK阻害薬耐性2016

    • Author(s)
      小池清恵、藤田直也、片山量平
    • Organizer
      第20回日本がん分子標的治療学会
    • Place of Presentation
      別府ビーコンプラザ、大分
    • Year and Date
      2016-05-30
    • Related Report
      2016 Annual Research Report
  • [Presentation] FGFR3またはcMETの過剰活性化を介したALK阻害薬耐性機構の発見2016

    • Author(s)
      Ryohei Katayama, Sumie Koike, Tomoko Oh-hara, Makoto Nishio, Naoya Fujita
    • Organizer
      第20回日本がん分子標的治療学会
    • Place of Presentation
      別府ビーコンプラザ、大分
    • Year and Date
      2016-05-30
    • Related Report
      2016 Annual Research Report
  • [Presentation] がんの再発に関わる薬剤耐性と転移を標的にした創薬2016

    • Author(s)
      藤田直也
    • Organizer
      第3回 次世代バイオ・医療技術研究会
    • Place of Presentation
      東京大学生産技術研究所、東京
    • Year and Date
      2016-01-07
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] がんの難治性に関わる治療薬耐性化と転移を克服する薬剤の探索2016

    • Author(s)
      藤田直也
    • Organizer
      第814回 千葉県がんセンター集談会
    • Place of Presentation
      千葉県がんセンター研究所、千葉
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] キナーゼ融合型がん遺伝子を標的にした治療薬への耐性化機構の解明とその克服2015

    • Author(s)
      藤田直也
    • Organizer
      平成27年度「がん研究分野の特性等を踏まえた支援活動」 公開シンポジウム
    • Place of Presentation
      一橋講堂、東京
    • Year and Date
      2015-09-09
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 培養細胞株と患者検体を用いたALK阻害薬耐性機構の解析2015

    • Author(s)
      片山量平、小池清恵、西尾誠人、藤田直也
    • Organizer
      第19回日本がん分子標的治療学会
    • Place of Presentation
      松山全日空ホテル、愛媛
    • Year and Date
      2015-06-10
    • Related Report
      2015 Annual Research Report
  • [Remarks] (公財)がん研究会・がん化学療法センターHP

    • URL

      https://www.jfcr.or.jp/chemotherapy/about/message/index.html

    • Related Report
      2019 Annual Research Report
  • [Remarks] (公財)がん研究会・がん化学療法センター臨床部HP

    • URL

      https://www.jfcr.or.jp/chemotherapy/department/clinical/index.html

    • Related Report
      2019 Annual Research Report
  • [Remarks] DS-6051bによるクリゾチニブ耐性変異を持つROS1融合遺伝子陽性肺がんへの抗腫瘍効果

    • URL

      https://www.jfcr.or.jp/chemotherapy/news/6813.html

    • Related Report
      2019 Annual Research Report
  • [Remarks] がん研究会がん化学療法センターのホームページ

    • URL

      https://www.jfcr.or.jp/chemotherapy/index.html

    • Related Report
      2018 Annual Research Report
  • [Remarks] ALK融合遺伝子陽性肺がんに対する薬剤耐性変異予測_プレスリリース

    • URL

      https://www.jfcr.or.jp/chemotherapy/news/5935.html

    • Related Report
      2018 Annual Research Report
  • [Remarks] がん研究会がん化学療法センターのホームページ

    • URL

      http://www.jfcr.or.jp/chemotherapy/index.html

    • Related Report
      2017 Annual Research Report
  • [Remarks] がん研究会基礎研究部のホームページ

    • URL

      http://www.jfcr.or.jp/chemotherapy/department/fundamental/index.html

    • Related Report
      2016 Annual Research Report
  • [Remarks] (公財)がん研究会がん化学療法センター基礎研究部ホームページ

    • URL

      http://www.jfcr.or.jp/chemotherapy/department/fundamental/index.html

    • Related Report
      2015 Annual Research Report
  • [Patent(Industrial Property Rights)] EGFR-TKI耐性を獲得した肺癌の治療薬2016

    • Inventor(s)
      片山量平、内堀健、藤田直也
    • Industrial Property Rights Holder
      公益財団法人がん研究会
    • Industrial Property Rights Type
      特許
    • Filing Date
      2016-05-17
    • Related Report
      2016 Annual Research Report

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Published: 2015-04-16   Modified: 2022-11-04  

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