Insulin-like Growth Factor-I Receptor Signaling Blockade Combined with Radiation

Gregory W. Allen, Corey Saba, Eric A. Armstrong, Shyh-Min Huang, Sergio Benavente, Dale L. Ludwig, Daniel J. Hicklin, Paul M. Harari
2007 Cancer Research  
Signaling through the insulin-like growth factor-I receptor (IGF-IR) is implicated in cellular proliferation, apoptosis, carcinogenesis, metastasis, and resistance to cytotoxic cancer therapies. Targeted disruption of IGF-IR signaling combined with cytotoxic therapy may therefore yield improved anticancer efficacy over conventional treatments alone. In this study, a fully human anti-IGF-IR monoclonal antibody A12 (ImClone Systems, Inc., New York, NY) is examined as an adjunct to radiation
more » ... to radiation therapy. IGF-IR expression is shown for a diverse cohort of cell lines, whereas targeted IGF-IR blockade by A12 inhibits IGF-IR phosphorylation and activation of the downstream effectors Akt and mitogen-activated protein kinase. Anchorage-dependent proliferation and xenograft growth is inhibited by A12 in a dose-dependent manner, particularly for non-small cell lung cancer lines. Clonogenic radiation survival of H226 and H460 cells grown under anchoragedependent conditions is impaired by A12, demonstrating a radiation dose-enhancing effect for IGF-IR blockade. Postradiation anchorage-independent colony formation is inhibited by A12 in A549 and H460 cells. In the H460 xenograft model, combining A12 and radiation significantly enhances antitumor efficacy compared with either modality alone. These effects may be mediated by promotion of radiationinduced, double-stranded DNA damage and apoptosis as observed in cell culture. In summary, these results validate IGF-IR signal transduction blockade as a promising strategy to improve radiation therapy efficacy in human tumors, forming a basis for future clinical trials. [Cancer Res 2007;67(3):1155-62] Materials and Methods Reagents. Cell culture media were obtained from Life Technologies, Inc. (Gaithersburg, MD). SeaPlaque low-melting temperature agarose was purchased from Cambrex BioScience (Rockland, ME). Propidium iodide, Requests for reprints: Paul M. Harari,
doi:10.1158/0008-5472.can-06-2000 pmid:17283150 fatcat:35gefeecgzahxavtprstbr6pt4