TY - JOUR
T1 - Emergence of MET hyper-amplification at progression to MET and BRAF inhibition in colorectal cancer
AU - Oddo, Daniele
AU - Siravegna, Giulia
AU - Gloghini, Annunziata
AU - Vernieri, Claudio
AU - Mussolin, Benedetta
AU - Morano, Federica
AU - Crisafulli, Giovanni
AU - Berenato, Rosa
AU - Corti, Giorgio
AU - Volpi, Chiara Costanza
AU - Buscarino, Michela
AU - Niger, Monica
AU - Dunne, Philip D
AU - Rospo, Giuseppe
AU - Valtorta, Emanuele
AU - Bartolini, Alice
AU - Fucà, Giovanni
AU - Lamba, Simona
AU - Martinetti, Antonia
AU - Di Bartolomeo, Maria
AU - de Braud, Filippo
AU - Bardelli, alberto
AU - Pietrantonio, Filippo
AU - Di Nicolantonio, Federica
PY - 2017
Y1 - 2017
N2 - BACKGROUND: Combined MET and BRAF inhibition showed clinical benefit in a patient with rectal cancer carrying BRAF(V600E) and MET amplification. However after 4 months, acquired resistance emerged and the patient deceased shortly after disease progression. The mechanism of resistance to this drug combination is unknown.METHODS: We analysed plasma circulating tumour DNA obtained at progression by exome sequencing and digital PCR. MET gene and mRNA in situ hybridisation analyses in two bioptic specimens obtained at progression were used to confirm the plasma data.RESULTS: We identified in plasma MET gene hyper-amplification as a potential mechanism underlying therapy resistance. Increased MET gene copy and transcript levels were detected in liver and lymph node metastatic biopsies. Finally, transduction of MET in BRAF mutant colorectal cancer cells conferred refractoriness to BRAF and MET inhibition.CONCLUSIONS: We identified in a rectal cancer patient MET gene hyper-amplification as mechanism of resistance to dual BRAF and MET inhibition.
AB - BACKGROUND: Combined MET and BRAF inhibition showed clinical benefit in a patient with rectal cancer carrying BRAF(V600E) and MET amplification. However after 4 months, acquired resistance emerged and the patient deceased shortly after disease progression. The mechanism of resistance to this drug combination is unknown.METHODS: We analysed plasma circulating tumour DNA obtained at progression by exome sequencing and digital PCR. MET gene and mRNA in situ hybridisation analyses in two bioptic specimens obtained at progression were used to confirm the plasma data.RESULTS: We identified in plasma MET gene hyper-amplification as a potential mechanism underlying therapy resistance. Increased MET gene copy and transcript levels were detected in liver and lymph node metastatic biopsies. Finally, transduction of MET in BRAF mutant colorectal cancer cells conferred refractoriness to BRAF and MET inhibition.CONCLUSIONS: We identified in a rectal cancer patient MET gene hyper-amplification as mechanism of resistance to dual BRAF and MET inhibition.
KW - Journal Article
U2 - 10.1038/bjc.2017.196
DO - 10.1038/bjc.2017.196
M3 - Article
C2 - 28654634
SN - 0007-0920
VL - 117
SP - 347
EP - 352
JO - British Journal of Cancer
JF - British Journal of Cancer
IS - 3
ER -