klarisa rikova, benjamin hall understanding of differing ...klarisa rikova cell signaling...

1
Wehavedevelopedauniqueproteomicapproachtoeluci- datechangesinsignalingpathwaysupondrugtreatment inRTKdrivencelllines. OurdatasuggestthatALKactivatesdifferentpathways inALKdrivencelllinesincomparisontocelllinesdriv- enbyEGFR/Met. ThepresenceofEGFRasaparallelpathwayinH2228 cellscouldexplainthedifferingsensitivityobservedto theALKinhibitorcrizotinib. GeldanamycininhibitedALKandotherRTKsinacrizotinib- sensitivecellline(H3122)andhadnoeffectsonRTKsina crizotinib-insensitivecellline(H2228). TherapywithALKinhibitorsaloneisonlyeffectiveina subsetofNSCLCALK-positivepatientswithEML4-ALK fusions.IncasesofresistancetoALKinhibitors, combinationtherapymaybedesirable. Summary Contact Information Klarisa Rikova Cell Signaling Technology, Inc. Tel: (978) 867-2330 Email: [email protected] Understanding of Differing Sensitivity in EML4-ALK NSCLC Patients to Crizotinib and Geldanamycin KLARISA RIKOVA, BENJAMIN HALL , ANTHONY POSSEMATO, KERI MROSZCZYK, KIMBERLY A. LEE, JOAN MACNEILL, JIAN MIN REN, AILAN GUO, DANIEL MULHERN, YI WANG, SEAN A. BEAUSOLEIL, MICHAEL J. COMB www.cellsignal.com Cell Signaling Technology ® and PhosphoScan ® are registered trademarks of Cell Signaling Technology, Inc. / LTQ ® and Orbitrap ® are registered trademarks of Thermo Fisher Scientific Inc. / Sep-Pak ® is a trademark of Waters Corporation. Non-smallcelllungcancer(NSCLC)isthemostcommonformoflungcancer,afflictingnearly200,000 peopleintheUnitedStateseachyear.AbnormalALKisfoundinabout5%ofNSCLCcases,meaning morethan5,000newpatientscouldbenefitfromthetyrosinekinaseinhibitor(TKI)crizotinib. However,notallpatientsbenefitfromsuchtreatment,withtheclinicalresponsetocrizotinibdiffering amongpatientswhoharborthesamemolecularabnormality.Similarly,patientswithALKfusion proteinshaveshownvaryingsensitivitytotheHSP90inhibitorgeldanamycininpreclinicalstudies. WehavechosentwoNSCLCcelllines,H3122andH2228,asamodeltoaddressthesequestions. BothcelllinesharborEML4-ALKfusionswithdifferingsensitivitytotheinhibitorscrizotiniband geldanamycin.WeusedtheestablishedmethodofTMTpeptidelabelingcoupledwithserialpeptide immunoprecipitation.ToobservetheeffectsofcrizotinibandgeldanamycinonALKsensitiveH3122 andnon-sensitiveH2228NSCLCcelllinesquantitativeanalysiswasperformed.Phosphotyrosine, acetylation,methylation,ATM/ATRsubstrate(s/tQ),Akt/AMPKsubsAGC/CAMK/STE,andMAPK familykinasemotifantibodieswereusedforimmunoprecipitationallowingustocharacterizeand quantifyposttranslationalmodificationsbeforeandaftertreatment. Inthisstudy,weidentifyextensivesignalingnetworksdownstreamofALKacrossmultiplespaces, includingphosphorylation,acetylation,andmethylation.Thesedifferencesmaybeclinicallysig- nificantandhighlightthepossibilitythatALKinhibitorsalonemayonlybeeffectiveinasubsetof NSCLCALK-positivepatientswithEML4-ALKinversion. Abstract Table 1. 2mg of each sample was labeled using TMT reagents with 100ug used for total proteome analysis and the rest used to profile PTM spaces. Labeled samples were then combined and subjected to sequential immunoprecipitations using motif antibodies for PTMs and in parallel basic reverse phase (bRP) chromatography was performed to profile the full proteome. Samples were purified over Sep-Pak ® C18 columns before being processed by LC-MS/MS/MS analysis. Data generated from the MS analysis were processed through several modules in CORE, ending with quantitated data. Table 2. Motif antibodies chosen for PhosphoScan ® profile (MS/MS). Figure 1. Experimental flowchart. Cell lysates were prepared from RTK inhibitor treated and untreated cell lines, proteins were digested with trypsin, peptides were TMT-labeled, and samples were mixed for 6-plex analysis. The peptide mixtures were serially fractionated through immunoprecipitation with antibodies specific for phosphotyrosine, ATM/ATR substrate motif, AGC/CAMK/STE family kinase motif, acetyl-lysine, and methyl-arginine, though any motif-recognizing antibody could be used with this protocol. The enriched peptides from each immuno- precipitation were analyzed by LCMS/MS using an LTQ ® Orbitrap ® Elite System, with quantification of the TMT labels enabled by HCD fragmentation. Figure 2. RTK driven cell lines profiled through the following spaces: phosphotyrosine, phosphoserine/phosphothreonine, acetylation, methylation. Figure 3. Number of proteins inhibited in different PTM classes (phosphotyrosine, ATM/ ATR substrate phosphorylation, AGC/CAMK/STE kinase family motif phosphorylation, AKT/AMPK, lysine acetylation, arginine methylation, lysine methylation) by greater than 3.8 fold upon TKI treatment. Sample Channel H3255 Control 126 H3255 Control 127 H3255 1 hr Iressa 128 H3255 3 hr Iressa 129 H3255 6 hr Iressa 130 H3255 24 hr Iressa 131 MKN 45 Control Starved 126 MKN 45 Control Starved 127 MKN 45 1 hr Crizotinib 128 MKN 45 3 hr Crizotinib 129 MKN 45 6 hr Crizotinib 130 MKN 45 24 hr Crizotinib 131 Sample Channel H2228 Control Starved 126 H2228 Control Unstarved 127 H2228 1hr Crizotinib 128 H2228 3hr Crizotinib 129 H2228 15hr Geldanamycin 130 H2228 24hr Geldanamycin 131 H3122 Control Starved 126 H3122 Control Unstarved 127 H3122 1hr Crizotinib 128 H3122 3hr Crizotinib 129 H3122 15hr Geldanamycin 130 H3122 24hr Geldanamycin 131 Ab Target Clone # Motif pY-1000 D1G10/D2D1 Phospho Tyr AGC/PSD Akt substrate AMPK ATM/ATR substrate ATM/ATR substrate D3E5/D8D9/D4E2/D8B11 100B7 D72H3/D78G9 D23/D69 D14/D86 AGC/CAMK/STE kinase acitivation loop RXX(s/t) LXRXXT(S) (s/t)Q (s/t)Q Ac-K K-Me R-Me Epigenetic Regulator Mix D10G3/11D/16E D4P3J, D3Z9J, D8R1C Me-R4-100 - Acetyl lysine K-Me R-Me - Ubiquitin Library D4A7A10 kGG Cell Line Control Control 1 hr Proteolytic Digestion 3 hr 6 hr 24 hr TMT Labeling Labeled Peptides Mix Samples Methylation IP Methyl-arginine Peptides Acetylation IP Acetyl-lysine Peptides Ser/Thr Kinases IP AGC Kinases Motif Peptides DNA Damage IP ATM/ATR Substrate Peptides Tyr Kinases IP Phospho Tyrosine Peptides LCMS/MS Analysis LCMS/MS Analysis LCMS/MS Analysis LCMS/MS Analysis LCMS/MS Analysis TMT Peptide Quant TMT Peptide Quant TMT Peptide Quant TMT Peptide Quant TMT Peptide Quant EGFR Alk Met Methylases, Demethylases Tyrosine Space Ser/Thr Space Acetylation Methylation Tyrosine Kinases Serine Kinases Acetylases, HDACs Alk EML4 H2228 (EML4-ALK) non-sensitive Met AXL EphA2 IGF1R MERTK EGFR CIT PRKAA1 CDK1 MAPK1 MAPK10 MAPK3 MAPK9 PBK PEAK1 SGK223 AGC CAMK CMGC Other BCR Atypical TK Crizotinib Alk Alk EML4 Possible Secondary Driver H3122 (EML4-ALK) sensitive EphA2 Met CIT PRKAA1 BCR PBK GSG2 SGK223 CAMK CDK1 MAPK1 MAPK10 MAPK3 CMGC Atypical Other TK Crizotinib AGC Alk Alk EML4 Figure 4. Kinases inhibited by greater than 3.8 fold change upon treatment with HSP90 inhibitor geldanamycin after 24hr treatment. H2228 (EML4-ALK) non-sensitive MAPK3 SIK3 CDK1 MAP4K4 STK39 CAMK CMGC STE Geldanamycin H3122 (EML4-ALK) sensitive Met Met EGFR EphA2 IGF1R Geldanamycin CIT PKN1 PKN2 PRKCD PRKCE PRKCG PRKCI PRKCZ STK38L ATR MTOR CAMK1D CAMK2G MAPKAPK3 MARK1 MARK2 MARK3 PRKD2 PRKD3 SIK3 NEK9 PLK1 WNK1 WNK2 MAP3K4 MAP4K4 STK10 STK24 STK39 TAOK3 ARAF KSR1 PTK2 PKM2 TYK2 Atypical CAMK Other STE TKL TK AGC CDK1 CDK11A CDK5 MAPK14 MAPK6 CMGC Alk Alk EML4 Figure 5. MTT assay showing sensitivity of H2228 to crizotinib vs. crizotinib combined with iressa. Figure 7. Sum of fold change above 3.8 in RTK driven cell lines upon treatment with TKIs by protein type (transcriptional regulation, translation, protein kinsases, cytoskeletal/adhesion). 100 90 80 70 % of Control 60 50 40 30 0 0.01 0.05 0.1 Drug Conc. (μM) Alk Inhibitor, Crizotinib Alk+EGFR Inhibitor (Iressa) 0.5 1 5 10 Inhibition of Kinase Signaling H2228 0 200 400 600 800 1000 1200 H3122 H3255 MKN45 Protein Kinase, Ser/Thr Protein Kinase, Tyr Sum of Fold Change Sum of Fold Change Inhibition of Transcription/Translation Signaling H2228 0 2000 1000 3000 4000 H3122 H3255 MKN45 Translation Transcription Sum of Fold Change Inhibition of Adhesion/Cytoskeletal Signaling H2228 0 6000 4000 2000 8000 10000 H3122 H3255 MKN45 Figure 6. Kinases inhibited by greater than 3.8 fold change upon treatment with ALK inhibitor crizotinib after 1hr treatment.

Upload: others

Post on 31-Jan-2021

1 views

Category:

Documents


0 download

TRANSCRIPT

  • Wehavedevelopedauniqueproteomicapproachtoeluci-datechangesinsignalingpathwaysupondrugtreatmentinRTKdrivencelllines.

    OurdatasuggestthatALKactivatesdifferentpathwaysinALKdrivencelllinesincomparisontocelllinesdriv-enbyEGFR/Met.

    ThepresenceofEGFRasaparallelpathwayinH2228cellscouldexplainthedifferingsensitivityobservedtotheALKinhibitorcrizotinib.

    GeldanamycininhibitedALKandotherRTKsinacrizotinib-sensitivecellline(H3122)andhadnoeffectsonRTKsinacrizotinib-insensitivecellline(H2228).

    TherapywithALKinhibitorsaloneisonlyeffectiveinasubsetofNSCLCALK-positivepatientswithEML4-ALKfusions.IncasesofresistancetoALKinhibitors,combinationtherapymaybedesirable.

    Summary

    Contact InformationKlarisa Rikova

    Cell Signaling Technology, Inc. Tel: (978) 867-2330 Email: [email protected]

    Understanding of Differing Sensitivity in EML4-ALK NSCLC Patients to Crizotinib and GeldanamycinKlarisa riKova, Benjamin Hall, anthony Possemato, Keri mroszczyK, Kimberly a. lee, Joan macneill, Jian min ren, ailan Guo, Daniel mulhern, yi WanG, sean a. beausoleil, michael J. comb

    www.cellsignal.com Cell Signaling Technology® and PhosphoScan® are registered trademarks of Cell Signaling Technology, Inc. / LTQ® and Orbitrap® are registered trademarks of Thermo Fisher Scientific Inc. / Sep-Pak® is a trademark of Waters Corporation.

    Non-smallcelllungcancer(NSCLC)isthemostcommonformoflungcancer,afflictingnearly200,000

    peopleintheUnitedStateseachyear.AbnormalALKisfoundinabout5%ofNSCLCcases,meaning

    morethan5,000newpatientscouldbenefitfromthetyrosinekinaseinhibitor(TKI)crizotinib.

    However,notallpatientsbenefitfromsuchtreatment,withtheclinicalresponsetocrizotinibdiffering

    amongpatientswhoharborthesamemolecularabnormality.Similarly,patientswithALKfusion

    proteinshaveshownvaryingsensitivitytotheHSP90inhibitorgeldanamycininpreclinicalstudies.

    WehavechosentwoNSCLCcelllines,H3122andH2228,asamodeltoaddressthesequestions.

    BothcelllinesharborEML4-ALKfusionswithdifferingsensitivitytotheinhibitorscrizotiniband

    geldanamycin.WeusedtheestablishedmethodofTMTpeptidelabelingcoupledwithserialpeptide

    immunoprecipitation.ToobservetheeffectsofcrizotinibandgeldanamycinonALKsensitiveH3122

    andnon-sensitiveH2228NSCLCcelllinesquantitativeanalysiswasperformed.Phosphotyrosine,

    acetylation,methylation,ATM/ATRsubstrate(s/tQ),Akt/AMPKsubsAGC/CAMK/STE,andMAPK

    familykinasemotifantibodieswereusedforimmunoprecipitationallowingustocharacterizeand

    quantifyposttranslationalmodificationsbeforeandaftertreatment.

    Inthisstudy,weidentifyextensivesignalingnetworksdownstreamofALKacrossmultiplespaces,

    includingphosphorylation,acetylation,andmethylation.Thesedifferencesmaybeclinicallysig-

    nificantandhighlightthepossibilitythatALKinhibitorsalonemayonlybeeffectiveinasubsetof

    NSCLCALK-positivepatientswithEML4-ALKinversion.

    Abstract

    Table 1. 2mg of each sample was labeled using TMT reagents with 100ug used for total proteome analysis and the rest used to profile PTM spaces. Labeled samples were then combined and subjected to sequential immunoprecipitations using motif antibodies for PTMs and in parallel basic reverse phase (bRP) chromatography was performed to profile the full proteome. Samples were purified over Sep-Pak® C18 columns before being processed by LC-MS/MS/MS analysis. Data generated from the MS analysis were processed through several modules in CORE, ending with quantitated data.

    Table 2. Motif antibodies chosen for PhosphoScan® profile (MS/MS).

    Figure 1. Experimental flowchart. Cell lysates were prepared from RTK inhibitor treated and untreated cell lines, proteins were digested with trypsin, peptides were TMT-labeled, and samples were mixed for 6-plex analysis. The peptide mixtures were serially fractionated through immunoprecipitation with antibodies specific for phosphotyrosine, ATM/ATR substrate motif, AGC/CAMK/STE family kinase motif, acetyl-lysine, and methyl-arginine, though any motif-recognizing antibody could be used with this protocol. The enriched peptides from each immuno-precipitation were analyzed by LCMS/MS using an LTQ® Orbitrap® Elite System, with quantification of the TMT labels enabled by HCD fragmentation.

    Figure 2. RTK driven cell lines profiled through the following spaces: phosphotyrosine, phosphoserine/phosphothreonine, acetylation, methylation.

    Figure 3. Number of proteins inhibited in different PTM classes (phosphotyrosine, ATM/ ATR substrate phosphorylation, AGC/CAMK/STE kinase family motif phosphorylation, AKT/AMPK, lysine acetylation, arginine methylation, lysine methylation) by greater than 3.8 fold upon TKI treatment.

    Sample Channel

    H3255 Control 126

    H3255 Control 127

    H3255 1 hr Iressa 128

    H3255 3 hr Iressa 129

    H3255 6 hr Iressa 130

    H3255 24 hr Iressa 131

    MKN 45 Control Starved 126

    MKN 45 Control Starved 127

    MKN 45 1 hr Crizotinib 128

    MKN 45 3 hr Crizotinib 129

    MKN 45 6 hr Crizotinib 130

    MKN 45 24 hr Crizotinib 131

    Sample Channel

    H2228 Control Starved 126

    H2228 Control Unstarved 127

    H2228 1hr Crizotinib 128

    H2228 3hr Crizotinib 129

    H2228 15hr Geldanamycin 130

    H2228 24hr Geldanamycin 131

    H3122 Control Starved 126

    H3122 Control Unstarved 127

    H3122 1hr Crizotinib 128

    H3122 3hr Crizotinib 129

    H3122 15hr Geldanamycin 130

    H3122 24hr Geldanamycin 131

    Ab Target Clone # Motif

    pY-1000 D1G10/D2D1 Phospho Tyr

    AGC/PSDAkt substrateAMPKATM/ATR substrateATM/ATR substrate

    D3E5/D8D9/D4E2/D8B11100B7D72H3/D78G9D23/D69D14/D86

    AGC/CAMK/STE kinase acitivation loopRXX(s/t)LXRXXT(S) (s/t)Q(s/t)Q

    Ac-KK-MeR-MeEpigenetic Regulator Mix

    D10G3/11D/16ED4P3J, D3Z9J, D8R1CMe-R4-100-

    Acetyl lysineK-MeR-Me-

    Ubiquitin Library D4A7A10 kGG

    Cell Line

    Control

    Control

    1 hr

    Proteolytic Digestion

    3 hr

    6 hr

    24 hr TMT Labeling

    Labeled PeptidesMix Samples

    Methylation

    IP Methyl-arginine Peptides

    Acetylation

    IP Acetyl-lysinePeptides

    Ser/Thr Kinases

    IP AGC KinasesMotif Peptides

    DNA Damage

    IP ATM/ATRSubstrate Peptides

    Tyr Kinases

    IP Phospho TyrosinePeptides

    LCMS/MS Analysis LCMS/MS Analysis LCMS/MS Analysis LCMS/MS Analysis LCMS/MS Analysis

    TMT Peptide Quant TMT Peptide Quant TMT Peptide Quant TMT Peptide Quant TMT Peptide Quant

    EGFR

    Alk

    Met

    Methylases,Demethylases

    Tyrosine Space

    Ser/Thr Space

    Acetylation

    Methylation

    Tyrosine Kinases

    Serine Kinases

    Acetylases, HDACs

    Alk

    EML4

    H2228 (EML4-ALK)non-sensitive

    Met

    AXL

    EphA2IGF1R

    MERTK

    EGFR

    CIT

    PRKAA1CDK1MAPK1MAPK10MAPK3MAPK9

    PBK

    PEAK1SGK223A

    GC

    CAM

    K

    CMGC

    Othe

    r

    BCR

    Atyp

    ical

    TK

    Crizotinib

    H2228 (EML4-ALK)non-sensitive

    MAPK3SIK3

    CDK1 MAP4K4STK39CA

    MK

    CMGC ST

    E

    Geldanamycin

    H3122 (EML4-ALK)sensitive

    EphA2 Met

    CIT

    PRKAA1BCR PBK

    GSG2

    SGK223

    CAM

    K

    CDK1MAPK1MAPK10MAPK3

    CMGC

    Atyp

    ical

    Othe

    r

    TK

    Crizotinib

    AGC

    H3122 (EML4-ALK)sensitive

    Met

    MetEGFR

    EphA2

    IGF1R

    Geldanamycin

    CITPKN1PKN2PRKCDPRKCEPRKCGPRKCIPRKCZSTK38L

    ATRMTOR

    CAMK1DCAMK2GMAPKAPK3MARK1MARK2MARK3PRKD2PRKD3SIK3

    NEK9PLK1WNK1WNK2

    MAP3K4MAP4K4STK10STK24STK39TAOK3

    ARAFKSR1

    PTK2PKM2TYK2

    Atyp

    ical

    CAM

    K

    Othe

    r

    STE

    TKL

    TK

    AGC

    CDK1CDK11ACDK5MAPK14MAPK6

    CMGC

    Alk

    Alk

    EML4

    Alk

    Alk

    EML4

    Alk

    Alk

    EML4

    Possible Secondary Driver

    H2228 (EML4-ALK)non-sensitive

    Met

    AXL

    EphA2IGF1R

    MERTK

    EGFR

    CIT

    PRKAA1CDK1MAPK1MAPK10MAPK3MAPK9

    PBK

    PEAK1SGK223A

    GC

    CAM

    K

    CMGC

    Othe

    r

    BCR

    Atyp

    ical

    TK

    Crizotinib

    H2228 (EML4-ALK)non-sensitive

    MAPK3SIK3

    CDK1 MAP4K4STK39CA

    MK

    CMGC ST

    E

    Geldanamycin

    H3122 (EML4-ALK)sensitive

    EphA2 Met

    CIT

    PRKAA1BCR PBK

    GSG2

    SGK223

    CAM

    K

    CDK1MAPK1MAPK10MAPK3

    CMGC

    Atyp

    ical

    Othe

    r

    TK

    Crizotinib

    AGC

    H3122 (EML4-ALK)sensitive

    Met

    MetEGFR

    EphA2

    IGF1R

    Geldanamycin

    CITPKN1PKN2PRKCDPRKCEPRKCGPRKCIPRKCZSTK38L

    ATRMTOR

    CAMK1DCAMK2GMAPKAPK3MARK1MARK2MARK3PRKD2PRKD3SIK3

    NEK9PLK1WNK1WNK2

    MAP3K4MAP4K4STK10STK24STK39TAOK3

    ARAFKSR1

    PTK2PKM2TYK2

    Atyp

    ical

    CAM

    K

    Othe

    r

    STE

    TKL

    TK

    AGC

    CDK1CDK11ACDK5MAPK14MAPK6

    CMGC

    Alk

    Alk

    EML4

    Alk

    Alk

    EML4

    Alk

    Alk

    EML4

    Possible Secondary Driver

    Figure 4. Kinases inhibited by greater than 3.8 fold change upon treatment with HSP90 inhibitor geldanamycin after 24hr treatment.

    H2228 (EML4-ALK)non-sensitive

    Met

    AXL

    EphA2IGF1R

    MERTK

    EGFR

    CIT

    PRKAA1CDK1MAPK1MAPK10MAPK3MAPK9

    PBK

    PEAK1SGK223A

    GC

    CAM

    K

    CMGC

    Othe

    r

    BCR

    Atyp

    ical

    TK

    Crizotinib

    H2228 (EML4-ALK)non-sensitive

    MAPK3SIK3

    CDK1 MAP4K4STK39CA

    MK

    CMGC ST

    E

    Geldanamycin

    H3122 (EML4-ALK)sensitive

    EphA2 Met

    CIT

    PRKAA1BCR PBK

    GSG2

    SGK223

    CAM

    K

    CDK1MAPK1MAPK10MAPK3

    CMGC

    Atyp

    ical

    Othe

    r

    TK

    Crizotinib

    AGC

    H3122 (EML4-ALK)sensitive

    Met

    MetEGFR

    EphA2

    IGF1R

    Geldanamycin

    CITPKN1PKN2PRKCDPRKCEPRKCGPRKCIPRKCZSTK38L

    ATRMTOR

    CAMK1DCAMK2GMAPKAPK3MARK1MARK2MARK3PRKD2PRKD3SIK3

    NEK9PLK1WNK1WNK2

    MAP3K4MAP4K4STK10STK24STK39TAOK3

    ARAFKSR1

    PTK2PKM2TYK2

    Atyp

    ical

    CAM

    K

    Othe

    r

    STE

    TKL

    TK

    AGC

    CDK1CDK11ACDK5MAPK14MAPK6

    CMGC

    Alk

    Alk

    EML4

    Alk

    Alk

    EML4

    Alk

    Alk

    EML4

    Possible Secondary Driver

    H2228 (EML4-ALK)non-sensitive

    Met

    AXL

    EphA2IGF1R

    MERTK

    EGFR

    CIT

    PRKAA1CDK1MAPK1MAPK10MAPK3MAPK9

    PBK

    PEAK1SGK223A

    GC

    CAM

    K

    CMGC

    Othe

    r

    BCR

    Atyp

    ical

    TK

    Crizotinib

    H2228 (EML4-ALK)non-sensitive

    MAPK3SIK3

    CDK1 MAP4K4STK39CA

    MK

    CMGC ST

    E

    Geldanamycin

    H3122 (EML4-ALK)sensitive

    EphA2 Met

    CIT

    PRKAA1BCR PBK

    GSG2

    SGK223

    CAM

    K

    CDK1MAPK1MAPK10MAPK3

    CMGC

    Atyp

    ical

    Othe

    r

    TK

    Crizotinib

    AGC

    H3122 (EML4-ALK)sensitive

    Met

    MetEGFR

    EphA2

    IGF1R

    Geldanamycin

    CITPKN1PKN2PRKCDPRKCEPRKCGPRKCIPRKCZSTK38L

    ATRMTOR

    CAMK1DCAMK2GMAPKAPK3MARK1MARK2MARK3PRKD2PRKD3SIK3

    NEK9PLK1WNK1WNK2

    MAP3K4MAP4K4STK10STK24STK39TAOK3

    ARAFKSR1

    PTK2PKM2TYK2

    Atyp

    ical

    CAM

    K

    Othe

    r

    STE

    TKL

    TK

    AGC

    CDK1CDK11ACDK5MAPK14MAPK6

    CMGC

    Alk

    Alk

    EML4

    Alk

    Alk

    EML4

    Alk

    Alk

    EML4

    Possible Secondary Driver

    Figure 5. MTT assay showing sensitivity of H2228 to crizotinib vs. crizotinib combined with iressa.

    Figure 7. Sum of fold change above 3.8 in RTK driven cell lines upon treatment with TKIs by protein type (transcriptional regulation, translation, protein kinsases, cytoskeletal/adhesion).

    100

    90

    80

    70

    % o

    f Con

    trol

    60

    50

    40

    30

    0 0.01 0.05 0.1

    Drug Conc. (µM)

    Alk Inhibitor, Crizotinib

    Alk+EGFR Inhibitor (Iressa)

    0.5 1 5 10

    Inhibition of Kinase Signaling

    H22280

    200

    400

    600

    800

    1000

    1200

    H3122 H3255 MKN45

    Protein Kinase, Ser/Thr

    Protein Kinase, Tyr

    Sum

    of F

    old

    Chan

    ge

    Sum

    of F

    old

    Chan

    ge

    Sum

    of F

    old

    Chan

    ge

    Inhibition of Transcription/Translation Signaling

    H22280

    2000

    1000

    3000

    4000

    H3122 H3255 MKN45

    Translation

    Transcription

    Inhibition of Adhesion/Cytoskeletal Signaling

    H22280

    6000

    4000

    2000

    8000

    10000

    H3122 H3255 MKN45

    Inhibition of Kinase Signaling

    H22280

    200

    400

    600

    800

    1000

    1200

    H3122 H3255 MKN45

    Protein Kinase, Ser/Thr

    Protein Kinase, Tyr

    Sum

    of F

    old

    Chan

    ge

    Sum

    of F

    old

    Chan

    ge

    Sum

    of F

    old

    Chan

    ge

    Inhibition of Transcription/Translation Signaling

    H22280

    2000

    1000

    3000

    4000

    H3122 H3255 MKN45

    Translation

    Transcription

    Inhibition of Adhesion/Cytoskeletal Signaling

    H22280

    6000

    4000

    2000

    8000

    10000

    H3122 H3255 MKN45

    Figure 6. Kinases inhibited by greater than 3.8 fold change upon treatment with ALK inhibitor crizotinib after 1hr treatment.