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abstracts<br />
were checked on the mRNA and protein level by qPCR and Western blot; possible<br />
alterations in the EGFR signaling in the established cell line were checked by EGF<br />
stimulation followed by the measurement <strong>of</strong> the EGFR and kinases phosphorylation.<br />
Proteasomal, lysosomal degradation <strong>of</strong> EGFR and half-life <strong>of</strong> the receptor were assessed<br />
by treatment <strong>of</strong> cells with corresponding inhibitors. Functional assays, examining<br />
cellular proliferation and migration complemented the above-mentioned experiments.<br />
Results: Our study is the first to describe the relations between PHD2 and EGFR in<br />
both preclinical and clinical models <strong>of</strong> breast cancer. We identify PHD2 as a novel<br />
contributor to EGFR signaling in breast cancer by showing its direct participation in<br />
the regulation <strong>of</strong> EGFR stability.<br />
Conclusions: Since the search for novel signaling interplays is a prerequisite for the<br />
development <strong>of</strong> better treatment options <strong>of</strong> breast cancer, we believe that this novel<br />
finding is <strong>of</strong> potential value for clinicians and medical researchers.<br />
Legal entity responsible for the study: University <strong>of</strong> Oulu<br />
Funding: FEBS, Finnish Center <strong>of</strong> International Mobility (CIMO), European<br />
Association for Cancer Research (EACR), Biocenter Oulu, University <strong>of</strong> Oulu, Jane and<br />
Aatos Erkko Foundation, Finnish Academy <strong>of</strong> Sciences, the Sigrid Juselius Foundation.<br />
Disclosure: All authors have declared no conflicts <strong>of</strong> interest.<br />
28P<br />
The resistance mechanism <strong>of</strong> FGFR2 amplified gastric cancer<br />
cells against AZD4547, a fibroblast growth factor receptor<br />
inhibitor<br />
S.Y. Lee, Y. Jeong, Y. Na, J.L. Kim, D.H. Lee, S.C. Oh<br />
<strong>Oncology</strong>/Hematology, Korea University Guro Hospital, Seoul, Republic <strong>of</strong> Korea<br />
Background: The fibroblast growth factor- fibroblast growth factor receptor<br />
(FGF-FGFR) signaling pathway plays a role in cell proliferation, migration, survival,<br />
and angiogenesis. Because approximately 10% <strong>of</strong> gastric cancers show amplification <strong>of</strong><br />
FGFR2, inhibition <strong>of</strong> FGFR2 activation has been regarded as one <strong>of</strong> therapeutic targets.<br />
AZD4547, a selective inhibitor <strong>of</strong> the FGFR1-3 tyrosine kinases, was developed to<br />
inhibit FGFR signaling, however, its efficacy is limited by emergency <strong>of</strong> the acquired<br />
resistance. We tried to clarify a resistance mechanism against the FGFR inhibitor.<br />
Methods: The cell line resistant against the AZD4547 was established using SNU-16<br />
(SNU16R), a FGFR2 amplified gastric cancer cell line, by culturing with increasing<br />
concentration <strong>of</strong> the AZD4547. The expression level <strong>of</strong> FGFR or phosphorylated FGFR<br />
(pFGFR) and downstream signaling molecules was determined by Western blot. Cell<br />
viability was measured with MTT assay. Relative level <strong>of</strong> tyrosine phosphorylation <strong>of</strong><br />
receptor tyrosine kinases (RTKs) was evaluated with proteome pr<strong>of</strong>iler TM array by<br />
human phosphor-RTK kit (R&D Systems).<br />
Results: Loss <strong>of</strong> expression <strong>of</strong> FGFR2 and pFGFR2 was confirmed in the SNU16R cell<br />
line by Western blotting. The viability <strong>of</strong> SNU16R cell line was shown to be increased<br />
than that <strong>of</strong> the parent cell line after incubation with AZD 4547. Change <strong>of</strong> the FGFR2<br />
downstream signaling pathways was addressed, and upregulated expression level <strong>of</strong><br />
phosphorylated mammalian target <strong>of</strong> rapamycin (mTOR) was found. Overexpression<br />
<strong>of</strong> downstream targets <strong>of</strong> mTOR, such as phosphorylated 4E-BP1 and S6K was also<br />
confirmed. The SNU15R and parent SNU16 cell lines were incubated with everolimus<br />
or AZD 4547, and inhibition <strong>of</strong> activated mTOR was observed with everolimus but not<br />
with AZD 4547 by Western blotting and MTT assay. Because PI3K and Akt were not<br />
activated, an alternative signaling pathway was sought and the phosphorylated level <strong>of</strong><br />
EphB3 was found to be elevated.<br />
Conclusions: Activation <strong>of</strong> mTOR is one <strong>of</strong> mechanisms <strong>of</strong> acquiring resistance<br />
against AZD 4547 in FGFR2 amplified gastric cancer cells. Targeting mTOR could<br />
overcome the resistance by inhibition <strong>of</strong> activation <strong>of</strong> mTOR.<br />
Legal entity responsible for the study: Korea University Guro Hospital<br />
Funding: AstraZeneca<br />
Disclosure: S.Y. Lee, Y. Jeong, Y. Na, J.L. Kim, D.H. Lee, S.C. Oh: This research was<br />
funded by AstraZeneca. All experiments were performed independently from AstraZeneca.<br />
29P<br />
Anticancer activity <strong>of</strong> the mTOR inhibitor (everolimus) and dual<br />
mTORC1/mTORC2 Inhibitor (AZD2014) on mouse lymphocytic<br />
leukemia both in vitro and in vivo<br />
Y-C. Su 1 , H-F. Liao 2 , C-C. Yu 3 , Y-C. Lin 2<br />
1 Division <strong>of</strong> Hematology-<strong>Oncology</strong>, Department <strong>of</strong> Internal Medicine, E-DA<br />
Hospital, Kaohsiung, Taiwan, 2 Department <strong>of</strong> Biochemical Science and<br />
Technology, National Chiayi University, Chiayi, Taiwan, 3 Department <strong>of</strong> Medical<br />
Research, Dalin Buddhist Tzu Chi General Hospital, Chiayi, Taiwan<br />
Background: The mammalian target <strong>of</strong> rapamycin (mTOR) controls cell growth and<br />
enlargement and has been found to be aberrant in a wide variety <strong>of</strong> malignancies.<br />
Allosteric mTOR inhibitors, which inhibit mTORC1 but not mTORC2, result in<br />
feedback activation <strong>of</strong> AKT signaling, which can attenuate their antitumor activity.<br />
AZD2014 is a second generation mTOR inhibitor that blocks activation <strong>of</strong> both<br />
mTORC1 and mTORC2, and activates apoptosis in cancer cells without activation <strong>of</strong><br />
AKT signaling. Here, we investigated the therapeutic efficacy <strong>of</strong> everolimus and<br />
AZD2014 in lymphocytic leukemia cell line (L1210) and mouse xenograft model.<br />
Methods: Cytotoxicity effect <strong>of</strong> AZD2014 and everolimus in L1210 cells was assessed<br />
after 24 and 48 h by using cell viability assays, clonogenic survival assays, and cell cycle<br />
analyses. Cell cycle, mTOR signal transduction pathway and the relative regulatory<br />
molecules were examined in mTOR inhibitor-treated L1210 cells by western blotting to<br />
detect protein expression. Then, the in vivo anti-leukemic effect <strong>of</strong> AZD2014 was<br />
assessed in L1210 cell-transplanted DBA/2 mice.<br />
Results: AZD2014 significantly inhibited L1210 cell proliferation with an IC50 <strong>of</strong><br />
100nM. In contrast, everolimus was a poor growth inhibitor <strong>of</strong> L1210 cells<br />
(IC50 > 200nM). Treatment with AZD2014 was more effective than RAD001 to<br />
down-regulate the levels <strong>of</strong> mTORC1 downstream effectors, including S6K1, 4EBP1,<br />
eIF4E and a significant decrease in protein levels <strong>of</strong> rictor, a component <strong>of</strong> mTORC2<br />
protein.We also observed inhibition <strong>of</strong> mTORincreased G1 arrest by reducing cyclin<br />
D1 and CDK4 levels, which augmented growth-inhibitory effect <strong>of</strong> L1210 cells. In vivo,<br />
AZD2014 oral administration significantly inhibited the growth <strong>of</strong> L1210 cell xenograft<br />
in DBA/2 mice, and the mice survival was dramatically improved.<br />
Conclusions: These data indicate that AZD2014 may be a better therapeutic agent<br />
than mTORC1 inhibitors to enhance the antitumor activity <strong>of</strong> lymphocytic leukemia<br />
both in vitro and under xenograft model in vivo conditions. Antitumor activity <strong>of</strong><br />
AZD2014 was inhibited <strong>of</strong> both mTORC1 and mTORC2 activity and cell cycle arrest,<br />
leading to lymphocytic leukemia growth inhibition.<br />
Legal entity responsible for the study: N/A<br />
Funding: Without funding from a pharma, biotech, or other commercial company.<br />
Disclosure: All authors have declared no conflicts <strong>of</strong> interest.<br />
30P<br />
Transforming growth factor beta receptor (TGFβR) pathway is<br />
involved in ligand independent transactivation <strong>of</strong> AXL receptor<br />
in colorectal cancer (CRC) cell lines<br />
E. Franzese, G. Martini, C. Cardone, T. Troiani, V. Sforza, M.L. Ferrara, V. Belli, P.<br />
P. Vitiello, S. Napolitano, N. Zanaletti, P. Vitale, F. De Vita, M. Orditura, F. Morgillo,<br />
F. Ciardiello, E. Martinelli<br />
Dipartimento Medico-Chirurgico di Internistica Clinica e Sperimentale, AOU<br />
Seconda Università degli Studi di Napoli (AOU-SUN), Naples, Italy<br />
Background: It has been described that AXL,a tyrosine kinase receptor, can be<br />
activated through different mechanisms: GAS6-ligand dependent dimerization and<br />
ligand-independent activation. As we previously demonstrated the absence <strong>of</strong> GAS6 in<br />
a panel <strong>of</strong> CRC cell lines, we tried to investigate the possible mechanisms <strong>of</strong> AXL<br />
activation in our in vitro CRC model.<br />
Methods: We used a panel <strong>of</strong> CRC cell lines (HCT116, SW480, SW620 and LOVO).<br />
Expression and activation <strong>of</strong> AXL and its ligand GAS6 were analyzed by Western Blot<br />
(WB) and real time-PCR (RTPCR). We generated, in our laboratory, stable<br />
(shRNA)-sh-AXL LOVO cells clones (shAXL clone 1, shAXL clone3 and shAXL clone<br />
5) to evaluate the effect <strong>of</strong> AXL specific knockdown. GAS6, TGF-β1 levels were<br />
measured by ELISA assay.<br />
Results: TGF-β1 was detected at variable levels in AXL expressing CRC cell lines<br />
(HCT116, SW480, SW620 and LOVO). We stimulated CRC cells with TGF-β1finding<br />
increased levels <strong>of</strong> pAXL, pAKT and pMAPK by WB. To reveal how TGF-β1 actives AXL<br />
we measured the mRNA levels <strong>of</strong> AXL or GAS6 by RT-PCR after TGF-β1 24h stimuli. No<br />
fold mRNA increased was observed, suggesting a different interaction between AXL and<br />
TGFβ pathway. To further correlate TGFβR pathway with AXL transactivation, we<br />
stimulated LOVO cell line, shAXL clone1, 3 and 5 with TGF-β1 for 24 hrs. An increased<br />
activation <strong>of</strong> p38MAPK in LOVO cells was demonstrated, accompanied by no change in<br />
shAXL clones, suggesting that, at least in our model, the downstream protein p38 MAPK is<br />
strictly correlated with AXL transactivation stimulated by TGF-β1. Further experiments<br />
with p38MAPK inhibitor are currently ongoing.<br />
Conclusions: Our findings suggested a relationship between TGF-b1, p38 MAPK and<br />
AXL as a possible mechanism <strong>of</strong> AXL independent ligand activation. Further<br />
investigations are ongoing.<br />
Legal entity responsible for the study: Second University <strong>of</strong> Naples<br />
Funding: Second University <strong>of</strong> Naples<br />
Disclosure: All authors have declared no conflicts <strong>of</strong> interest.<br />
31P<br />
<strong>Annals</strong> <strong>of</strong> <strong>Oncology</strong><br />
Taselisib enhances effects <strong>of</strong> anti-microtubule chemotherapic<br />
agents in phosphatidylinositol 3-kinase (PI3Kα) mutant breast<br />
cancer cell lines<br />
A. Diana, F. Morgillo, C.M. Della Corte, C. Di Mauro, V. Ciaramella, F. De Vita,<br />
F. Ciardiello, M. Orditura<br />
Medicina Clinica Sperimentale Magrassi Lanzara, AOU Seconda Università degli<br />
Studi di Napoli (AOU-SUN), Naples, Italy<br />
Background: 30-50% <strong>of</strong> breast cancer are characterized by activating mutations <strong>of</strong><br />
PI3Kα, and higher activity <strong>of</strong> this pathway is <strong>of</strong>ten associated with resistance to<br />
conventional therapies. Thus, selective PI3K inhibitors could represent a novel option<br />
to prevent treatment resistance, including chemotherapy. Several trials are evaluating<br />
the efficacy <strong>of</strong> Taselisib, a novel selective inhibitor <strong>of</strong> mutant PI3Kα, in combination<br />
with hormonal therapy (NCT02340221, NCT02273973, NCT01296555) or taxanes<br />
vi8 | abstracts Volume 27 | Supplement 6 | October 2016