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Molecular targeted therapy against adenocarcinoma of the lung harboring MET exon 14 skipping mutation

Research Project

Project/Area Number 16H05433
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Respiratory surgery
Research InstitutionKindai University

Principal Investigator

MITSUDOMI Tetsuya  近畿大学, 医学部, 教授 (70209807)

Co-Investigator(Kenkyū-buntansha) 西尾 和人  近畿大学, 医学部, 教授 (10208134)
冨田 秀太  岡山大学, 医歯薬学総合研究科, 准教授 (10372111)
Research Collaborator SUDA Kenichi  
KOBAYASHI Yoshihisa  
KOGA Takamasa  
FUJINO Toshio  
NISHINO Masaya  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥17,550,000 (Direct Cost: ¥13,500,000、Indirect Cost: ¥4,050,000)
Fiscal Year 2018: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2017: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2016: ¥7,410,000 (Direct Cost: ¥5,700,000、Indirect Cost: ¥1,710,000)
Keywords肺癌 / 分子標的治療 / ドライバー癌遺伝子 / チロシンキナーゼ / MET / エクソン14スキッピング / 肺がん / MET遺伝子 / チロシンキナーゼ阻害剤 / 獲得耐性 / ENU / EGFR遺伝子
Outline of Final Research Achievements

We established a Ba/F3 cell model with MET exon 14 skipping mutation that is present about3% of lung adenocarcinoma . Using this model, we tested its sensitivities to 8 MET-tyrosine kinase inhibitors (TKI) including 4 type I TKI that binds to the active form of the kinase, 3 type II that binds to the inactive form and one allosteric inhibitor. As a result, capmatinib was found to be most effective. Next, we derived resistant clones for each drug. D1228 and Y1230 were common sites of the secondary MET mutations for resistant cells against type I TKI, whereas L1195 and F1200 were common sites for the type II TKI. In general, the resistance mutation for type I is sensitive to type II, and vice versa.

Academic Significance and Societal Importance of the Research Achievements

現在わが国ではEGFR(50%), ALK(3%), ROS1(2%), BRAF(1%)の4種の遺伝子異常有する肺癌の分子標的治療が可能である。最近、新規のドライバーとしてMET遺伝子のエクソン14スキッピング変異が注目されているが、最適な薬剤の検討、耐性機序の解析については十分ではない。本研究ではこの変異の細胞モデルを作成し、8種のMET阻害剤の活性の比較、耐性機序の解析を行った。この結果は将来の肺癌治療の基礎データとして国民に還元し得るものである。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • Research Products

    (11 results)

All 2018 2017 2016

All Journal Article (4 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 4 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (7 results) (of which Int'l Joint Research: 4 results)

  • [Journal Article] EGFR T790M and C797S Mutations as Mechanisms of Acquired Resistance to Dacomitinib2018

    • Author(s)
      Kobayashi Y, Fujino T, Nishino M, Koga T, Chiba M, Sesumi Y, Ohara S, Shimoji M, Tomizawa K, Takemoto T, Mitsudomi T
    • Journal Title

      Journal of Thoracic Oncology

      Volume: ePub中 Issue: 5 Pages: 727-731

    • DOI

      10.1016/j.jtho.2018.01.009

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Efficacy of irreversible EGFR-TKIs for the uncommon secondary resistant EGFR mutations L747S, D761Y, and T854A.2017

    • Author(s)
      Chiba M, Togashi Y, Bannno E, Kobayashi Y, Nakamura Y, Hayashi H, Terashima M, De Velasco MA, Sakai K, Fujita Y, Mitsudomi T, Nishio K.
    • Journal Title

      BMC Cancer.

      Volume: 17 Issue: 1 Pages: 281-281

    • DOI

      10.1186/s12885-017-3263-z

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Effect of dasatinib on EMT-mediated-mechanism of resistance against EGFR inhibitors in lung cancer cells.2017

    • Author(s)
      Sesumi Y, Suda K, Mizuuchi H, Kobayashi Y, Sato K, Chiba M, Shimoji M, Tomizawa K, Takemoto T, Mitsudomi T.
    • Journal Title

      Lung Cancer

      Volume: 104 Pages: 85-90

    • DOI

      10.1016/j.lungcan.2016.12.012

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Characterization of EGFR T790M, L792F, and C797S Mutations as Mechanisms of Acquired Resistance to Afatinib in Lung Cancer.2017

    • Author(s)
      Kobayashi Y, Azuma K, Nagai H, Kim YH, Togashi Y, Sesumi Y, Chiba M, Shimoji M, Sato K, Tomizawa K, Takemoto T, Nishio K, Mitsudomi T
    • Journal Title

      Mol Cancer Ther.

      Volume: 16 Issue: 2 Pages: 357-364

    • DOI

      10.1158/1535-7163.mct-16-0407

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] In Vitro Evaluation for Optimal MET-TKI Selection in Lung Cancers with MET Mutations Including Exon 14 Skipping.2018

    • Author(s)
      Fujino T, Suda K, Kobayashi Y, Nishino M, Koga T, Ohara S, Chiba M, Shimoji M, Takemoto T, MItsudomi T.
    • Organizer
      19th World Conference on Lung Cancer
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] アファチニブ獲得耐性機序としてのEGFR二次変異T790M, L792F, C797Sの特徴2016

    • Author(s)
      小林祥久、光冨徹哉ら
    • Organizer
      第57回日本肺癌学会
    • Place of Presentation
      福岡国際会議場(福岡市)
    • Year and Date
      2016-12-19
    • Related Report
      2016 Annual Research Report
  • [Presentation] まれなEGFR遺伝子の耐性二次変異における各種EGFR-TKI感受性2016

    • Author(s)
      千葉眞人、光冨徹哉ら
    • Organizer
      第57回日本肺癌学会
    • Place of Presentation
      福岡国際会議場(福岡市)
    • Year and Date
      2016-12-19
    • Related Report
      2016 Annual Research Report
  • [Presentation] EGFR T790M, L792F, and C797S Mutations as Mechanisms of Acquired Resistance to Afatinib2016

    • Author(s)
      Kobayashi, Y., and Mitsudomi, T., et al.
    • Organizer
      World Conference of Lung Cancer
    • Place of Presentation
      Vienna, Austria
    • Year and Date
      2016-12-04
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Effect of dasatinib on EMT-mediated mechanism of resistance against EGFR inhibitors in lung cancer cells2016

    • Author(s)
      Sesumi, Y., and Mitsudomi, T., et al.
    • Organizer
      World Conference of Lung Cancer
    • Place of Presentation
      Vienna, Austria
    • Year and Date
      2016-12-04
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Dasatinib prevents EMT-mediated acquired resistance to EGFR-TKls in a mutant NSCLC cell line2016

    • Author(s)
      Sesumi, Y., and Mitsudomi, T., et al.
    • Organizer
      第75回日本癌学会
    • Place of Presentation
      パシフィコ横浜(横浜市)
    • Year and Date
      2016-10-06
    • Related Report
      2016 Annual Research Report
  • [Presentation] Sequential EGFR-TKI strategy to overcome acquired resistance to afatinib: novel secondary mutations L792F and C797S in addition to T790M2016

    • Author(s)
      Sesumi, Y., and Mitsudomi, T., et al.
    • Organizer
      Asia Pcific Lung Cancer Conference
    • Place of Presentation
      Chiang-Mai, Thailand
    • Year and Date
      2016-05-13
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research

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Published: 2016-04-21   Modified: 2020-03-30  

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