Fig. 2: Sorafenib specifically abolishes the selective advantage of cancer cells containing different clinically relevant mechanisms of resistance to EGFR inhibition. | Nature Communications

Fig. 2: Sorafenib specifically abolishes the selective advantage of cancer cells containing different clinically relevant mechanisms of resistance to EGFR inhibition.

From: Prolonging lung cancer response to EGFR inhibition by targeting the selective advantage of resistant cells

Fig. 2: Sorafenib specifically abolishes the selective advantage of cancer cells containing different clinically relevant mechanisms of resistance to EGFR inhibition.

A PC9 cells containing subpopulations of EGFR-G724S, ERBB2-ex20ins, KRAS-G12D, BRAF-V600E or PIK3CA-E545K cells were treated as indicated with osimertinib (0,1 μM; Osim), sorafenib (5 μM; Soraf) or trametinib (10 nM; Tram) for 7 d to 20 d. The mean ± SEM of the mutant barcodes is shown (n = 4; representative of three independent experiments). B BRAF-V600E osimertinib-resistant YUX-1024 and YU-1150 cells were mixed with parental cells (1:100) and treated for 7 d with osimertinib (0.1 μM) alone or with sorafenib (5 μM). The BRAF-V600E mean ± SEM is shown (n = 4; representative of three independent experiments). C PC9 cells containing a EML4-ALK-barcoded subpopulation were treated for 10 d with osimertinib (0.1 µM), sorafenib (5 µM), or crizotinib (500 nM; Criz). The EML4-ALK mean ± SEM is shown (n = 5; representative of three independent experiments). D PC9 cells overexpressing ERBB2-ex20ins or MET were mixed with parental cells (1:100) and treated with osimertinib (0.1 μM) alone or with sorafenib (5 μM) for 10 d or 15 d. The mean fraction ± SEM of ERBB2-ex20ins- or MET-overexpressing cells is shown (n = 4; representative of three independent experiments). E Lentiviral-labeled, osimertinib-resistant HCC827-GR6 cells were mixed with parental HCC827 (1:100) and treated for 6 d with osimertinib (0.1 µM) alone or with sorafenib (5 µM). HCC827-GR6 mean fraction ± SEM is shown (n = 4; representative of three independent experiments). F PC9 cells transduced with empty or inducible-SNAI2 vectors were pre-treated with or without doxycycline (1 µg/ml; Dox) for 7 d, mixed with parental PC9 (1:100) and treated for 7 d with osimertinib (0.1 µM) alone or with sorafenib (5 µM). The mean fraction ± SEM of vector-labeled cells is shown (n = 4; representative of three independent experiments). LIM1215 cells containing EGFR-G465R (G) or KRAS-G12D (H) CRISPR-barcodes were treated for 6 d with cetuximab (20 µg; Cetux) or osimertinib (1 µM), alone or with sorafenib (5 μM). The barcode mean fraction ± SEM is shown (n = 3 for EGFR-G465R; n = 4 for KRAS-G12D; representative of three independent experiments). Statistics calculated by Mann–Whitney test, two-tailed. “N” refers to biological replicates. Source data are provided as a Source Data file.

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