Drug (ID: DG01214) and It's Reported Resistant Information
Name
Dacomitinib
Synonyms
Dacomitinib; 1110813-31-4; PF299804; Dacomitinib (PF299804, PF299); PF-00299804; UNII-2XJX250C20; (2E)-N-[4-[(3-Chloro-4-fluorophenyl)amino]-7-methoxy-6-quinazolinyl]-4-(1-piperidinyl)-2-butenamide; (E)-N-(4-((3-chloro-4-fluorophenyl)aMino)-7-Methoxyquinazolin-6-yl)-4-(piperidin-1-yl)but-2-enaMide; 2XJX250C20; PF 00299804-03; Vizimpro; PF-299804; PF-00299804-03; (E)-N-[4-(3-chloro-4-fluoroanilino)-7-methoxyquinazolin-6-yl]-4-piperidin-1-ylbut-2-enamide; C24H25ClFN5O2; (2e)-N-{4-[(3-Chloro-4-Fluorophenyl)amino]-7-Methoxyquinazolin-6-Yl}-4-(Piperidin-1-Yl)but-2-Enamide; Dacomitinib [USAN:INN]; dacomitinibum; PF299; (E)-N-[4-[(3-Chloro-4-fluorophenyl)amino]-7-methoxyquinazolin-6-yl]-4-(piperidin-1-yl)but-2-enamide; Dacomitinib (INN); Dacomitinib anhydrous; Dacomitinib (PF299804); MLS006011275; GTPL7422; CHEMBL2110732; PF-00299804 dacomitinib; CHEBI:91466; DTXSID50149493; EX-A030; QCR-174; CHEBI:132268; BDBM112499; Dacomitinib (PF-00299804); AMY21292; AOB87383; AOB87735; BCP02530; MFCD19443734; NSC765888; NSC800084; PF-299; s2727; ZINC72266312; AKOS025401818; CCG-264987; CS-0500; DB11963; NSC-765888; NSC-800084; US8623883, No. 2; NCGC00263185-09; NCGC00263185-10; AC-25915; AS-57686; HY-13272; SMR004703025; PF299804; ; ; PF299; D5450; SW219155-1; Y0338; D09883; Dacomitinib (PF299804, PF-00299804); PF-299804 (Dacomitinib PF-00299804); J-500784; Q17130597; (2E)-N-[4-(3-chloro-4-fluoroanilino)-7-methoxyquinazolin-6-yl]-4-(piperidin-1-yl)but-2-enamide; (E)-N-(4-(3-Chloro-4-fluorophenylamino)-7-methoxyquinazolin-6-yl)-4-(piperidin-1-yl)but-2-enamide; (E)-N-[4-[(3-chloro-4-fluorophenyl)amino]-7-methoxyquinazolin-6-yl]-4-piperidin-1-ylbut-2-enamide; 2-Butenamide, N-(4-((3-chloro-4-fluorophenyl)amino)-7-methoxy-6-quinazolinyl)-4-(1-piperidinyl)-, (2E)-
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Indication
In total 3 Indication(s)
Non-small-cell lung cancer [ICD-11: 2C25]
Approved
[1]
Non-small-cell lung cancer [ICD-11: 2C25]
Approved
[1]
Non-small-cell lung cancer [ICD-11: 2C25]
Approved
[1]
Structure
Drug Resistance Disease(s)
Disease(s) with Resistance Information Discovered by Cell Line Test for This Drug (2 diseases)
Lung cancer [ICD-11: 2C25]
[2]
Solid tumour/cancer [ICD-11: 2A00-2F9Z]
[4]
Disease(s) with Clinically Reported Resistance for This Drug (1 diseases)
Solid tumour/cancer [ICD-11: 2A00-2F9Z]
[3]
Target Epidermal growth factor receptor (EGFR) EGFR_HUMAN [1]
Erbb2 tyrosine kinase receptor (HER2) ERBB2_HUMAN [1]
Erbb4 tyrosine kinase receptor (Erbb-4) ERBB4_HUMAN [1]
Click to Show/Hide the Molecular Information and External Link(s) of This Drug
Formula
C24H25ClFN5O2
IsoSMILES
COC1=C(C=C2C(=C1)N=CN=C2NC3=CC(=C(C=C3)F)Cl)NC(=O)/C=C/CN4CCCCC4
InChI
1S/C24H25ClFN5O2/c1-33-22-14-20-17(24(28-15-27-20)29-16-7-8-19(26)18(25)12-16)13-21(22)30-23(32)6-5-11-31-9-3-2-4-10-31/h5-8,12-15H,2-4,9-11H2,1H3,(H,30,32)(H,27,28,29)/b6-5+
InChIKey
LVXJQMNHJWSHET-AATRIKPKSA-N
PubChem CID
11511120
ChEBI ID
CHEBI:91466
TTD Drug ID
D06XXH
VARIDT ID
DR00109
INTEDE ID
DR0407
DrugBank ID
DB11963
Type(s) of Resistant Mechanism of This Drug
  ADTT: Aberration of the Drug's Therapeutic Target
  UAPP: Unusual Activation of Pro-survival Pathway
Drug Resistance Data Categorized by Their Corresponding Diseases
ICD-02: Benign/in-situ/malignant neoplasm
Click to Show/Hide the Resistance Disease of This Class
Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Click to Show/Hide
Drug Resistance Data Categorized by Their Corresponding Mechanisms
  Aberration of the Drug's Therapeutic Target (ADTT) Click to Show/Hide
Key Molecule: Epidermal growth factor receptor (EGFR) [3]
Resistant Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration IF-insertion
p.Y764_V765insHH (c.2292_2293insCATCAT)
Experimental Note Identified from the Human Clinical Data
In Vitro Model NSCLC cells Lung Homo sapiens (Human) N.A.
Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
In Vivo Model BALB/c nude mouse PDX model Mus musculus
Experiment for
Molecule Alteration
Western blot analysis; SDS-PAGE assay
Experiment for
Drug Resistance
MTS assay; Crystal violet staining assay
Mechanism Description Mutation in the covalent binding site of either EGFR or HER2 is sufficient to lead to drug resistance.
Key Molecule: Epidermal growth factor receptor (EGFR) [3]
Resistant Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Duplication
p.A767_V769 (c.2299_2307)
Experimental Note Identified from the Human Clinical Data
In Vitro Model NSCLC cells Lung Homo sapiens (Human) N.A.
Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
In Vivo Model BALB/c nude mouse PDX model Mus musculus
Experiment for
Molecule Alteration
Western blot analysis; SDS-PAGE assay
Experiment for
Drug Resistance
MTS assay; Crystal violet staining assay
Mechanism Description Mutation in the covalent binding site of either EGFR or HER2 is sufficient to lead to drug resistance.
Key Molecule: Epidermal growth factor receptor (EGFR) [3]
Resistant Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Duplication
p.S768_D770 (c.2302_2310)
Experimental Note Identified from the Human Clinical Data
In Vitro Model NSCLC cells Lung Homo sapiens (Human) N.A.
Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
In Vivo Model BALB/c nude mouse PDX model Mus musculus
Experiment for
Molecule Alteration
Western blot analysis; SDS-PAGE assay
Experiment for
Drug Resistance
MTS assay; Crystal violet staining assay
Mechanism Description Mutation in the covalent binding site of either EGFR or HER2 is sufficient to lead to drug resistance.
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [4]
Resistant Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Duplication
p.Y772_A775 (c.2314_2325)
Experimental Note Revealed Based on the Cell Line Data
In Vitro Model Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
Experiment for
Molecule Alteration
Sanger cDNA sequencing assay
Experiment for
Drug Resistance
CCK-8 assay
Drug Sensitivity Data Categorized by Their Corresponding Mechanisms
  Aberration of the Drug's Therapeutic Target (ADTT) Click to Show/Hide
Key Molecule: Epidermal growth factor receptor (EGFR) [3]
Sensitive Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Complex-indel
p.D770_770delinsGY (c.2308_2310delinsGGTTAT)
Experimental Note Identified from the Human Clinical Data
In Vitro Model NSCLC cells Lung Homo sapiens (Human) N.A.
Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
In Vivo Model BALB/c nude mouse PDX model Mus musculus
Experiment for
Molecule Alteration
Western blot analysis; SDS-PAGE assay
Experiment for
Drug Resistance
MTS assay; Crystal violet staining assay
Mechanism Description Mutation in the covalent binding site of either EGFR or HER2 is sufficient to lead to drug resistance.
Key Molecule: Epidermal growth factor receptor (EGFR) [5]
Sensitive Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Missense mutation
p.E709K (c.2125G>A)
Experimental Note Revealed Based on the Cell Line Data
In Vitro Model Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
myelomonocyti cells Bone marrow Homo sapiens (Human) N.A.
macrophage-like cells N.A. N.A. N.A.
IL3-dependent murine pro-B cells Blood Homo sapiens (Human) N.A.
Balb/C mouse leukemia cells Blood Mus musculus (Mouse) CVCL_9099
Experiment for
Molecule Alteration
Western blot analysis
Experiment for
Drug Resistance
CCK-8 assay
Key Molecule: Epidermal growth factor receptor (EGFR) [5]
Sensitive Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Complex-indel
p.E709_T710delinsD (c.2127_2129delAAC)
Experimental Note Revealed Based on the Cell Line Data
In Vitro Model Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
myelomonocyti cells Bone marrow Homo sapiens (Human) N.A.
macrophage-like cells N.A. N.A. N.A.
IL3-dependent murine pro-B cells Blood Homo sapiens (Human) N.A.
Balb/C mouse leukemia cells Blood Mus musculus (Mouse) CVCL_9099
Experiment for
Molecule Alteration
Western blot analysis
Experiment for
Drug Resistance
CCK-8 assay
Key Molecule: Epidermal growth factor receptor (EGFR) [5]
Sensitive Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Missense mutation
p.G719A (c.2156G>C)
Experimental Note Revealed Based on the Cell Line Data
In Vitro Model Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
myelomonocyti cells Bone marrow Homo sapiens (Human) N.A.
macrophage-like cells N.A. N.A. N.A.
IL3-dependent murine pro-B cells Blood Homo sapiens (Human) N.A.
Balb/C mouse leukemia cells Blood Mus musculus (Mouse) CVCL_9099
Experiment for
Molecule Alteration
Western blot analysis
Experiment for
Drug Resistance
CCK-8 assay
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [3]
Sensitive Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Complex-indel
p.M774_774delinsWLV (c.2320_2322delinsTGGCTTGTA)
Experimental Note Identified from the Human Clinical Data
In Vitro Model NSCLC cells Lung Homo sapiens (Human) N.A.
Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
In Vivo Model BALB/c nude mouse PDX model Mus musculus
Experiment for
Molecule Alteration
Western blot analysis; SDS-PAGE assay
Experiment for
Drug Resistance
MTS assay; Crystal violet staining assay
Mechanism Description Mutation in the covalent binding site of either EGFR or HER2 is sufficient to lead to drug resistance.
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [3]
Sensitive Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Duplication
p.G778_P780 (c.2332_2340)
Experimental Note Identified from the Human Clinical Data
In Vitro Model NSCLC cells Lung Homo sapiens (Human) N.A.
Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
In Vivo Model BALB/c nude mouse PDX model Mus musculus
Experiment for
Molecule Alteration
Western blot analysis; SDS-PAGE assay
Experiment for
Drug Resistance
MTS assay; Crystal violet staining assay
Mechanism Description Mutation in the covalent binding site of either EGFR or HER2 is sufficient to lead to drug resistance.
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [3]
Sensitive Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration IF-insertion
p.G778_S779insCPG (c.2335_2336insGTCCTGGTT)
Experimental Note Identified from the Human Clinical Data
In Vitro Model NSCLC cells Lung Homo sapiens (Human) N.A.
Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
In Vivo Model BALB/c nude mouse PDX model Mus musculus
Experiment for
Molecule Alteration
Western blot analysis; SDS-PAGE assay
Experiment for
Drug Resistance
MTS assay; Crystal violet staining assay
Mechanism Description Mutation in the covalent binding site of either EGFR or HER2 is sufficient to lead to drug resistance.
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [4]
Sensitive Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Complex-indel
p.G776_776delinsVC (c.2326_2328delinsGTATGT)
Experimental Note Revealed Based on the Cell Line Data
In Vitro Model Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
Experiment for
Molecule Alteration
Sanger cDNA sequencing assay
Experiment for
Drug Resistance
CCK-8 assay
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [4]
Sensitive Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z]
Molecule Alteration Duplication
p.G778_P780 (c.2332_2340)/p.780_Y781insGSP
Experimental Note Revealed Based on the Cell Line Data
In Vitro Model Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
Experiment for
Molecule Alteration
Sanger cDNA sequencing assay
Experiment for
Drug Resistance
CCK-8 assay
Lung cancer [ICD-11: 2C25]
Click to Show/Hide
Drug Resistance Data Categorized by Their Corresponding Mechanisms
  Unusual Activation of Pro-survival Pathway (UAPP) Click to Show/Hide
Key Molecule: Serine/threonine-protein phosphatase 2B catalytic subunit beta isoform (PPP3CB) [2]
Resistant Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Expression
Up-regulation
Experimental Note Revealed Based on the Cell Line Data
Cell Pathway Regulation Ca2+/calcineurin/MEK/ERK1/2 signaling pathway Regulation N.A.
In Vitro Model PC9/DR cells N.A. Homo sapiens (Human) N.A.
PC9/GR cells N.A. Homo sapiens (Human) N.A.
PC9/OR cells N.A. Homo sapiens (Human) N.A.
Experiment for
Molecule Alteration
Western blot assay
Experiment for
Drug Resistance
MTS assay; Flow cytometric assay; Colony formation assay
Mechanism Description Here, we show that a?PPP3CB?transcript that encodes full-length catalytic subunit 2B of calcineurin accumulates in EGFR-mutant NSCLC cells with acquired resistance against different EGFR TKIs and in post-progression biopsies of NSCLC patients treated with EGFR TKIs. Neutralization of?PPP3CB?by siRNA or inactivation of calcineurin by cyclosporin A induces apoptosis in resistant cells treated with EGFR TKIs. Mechanistically, EGFR TKIs increase the cytosolic level of calcium and trigger activation of a calcineurin/MEK/ERK pathway that prevents apoptosis. Combining EGFR, calcineurin, and MEK inhibitors overcomes resistance to EGFR TKI in both in vitro and in vivo models. Our results identify PPP3CB overexpression as a new mechanism of acquired resistance to EGFR TKIs, and provide a promising therapeutic approach for NSCLC patients that progress under TKI treatment.
Drug Sensitivity Data Categorized by Their Corresponding Mechanisms
  Aberration of the Drug's Therapeutic Target (ADTT) Click to Show/Hide
Key Molecule: Epidermal growth factor receptor (EGFR) [6]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Missense mutation
p.L858R (c.2573T>G)
Wild Type Structure Method: X-ray diffraction Resolution: 2.64  Ã…
PDB: 4LI5
Mutant Type Structure Method: X-ray diffraction Resolution: 2.47  Ã…
PDB: 2ITV
   Download The Information of Sequence       Download The Structure File   
RMSD: 1.34
TM score: 0.90001
Amino acid change:
L858R
 : Wild Type Structure
 : Mutant Type Structure
  Mutation site(s) have been marked in red
-
G
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S
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M
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G
G
E
E
A
A
P
P
700
|
N
N
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Q
A
A
L
L
L
L
R
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I
I
L
L
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K
E
E
710
|
T
T
E
E
F
F
K
K
K
K
I
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K
V
V
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L
G
G
720
|
S
S
G
G
A
A
F
F
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V
Y
Y
K
K
G
G
730
|
L
L
W
W
I
I
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P
E
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G
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740
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I
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A
A
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I
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E
E
L
L
R
R
E
E
750
|
A
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T
T
S
S
P
P
K
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A
A
N
N
K
K
E
E
I
I
760
|
L
L
D
D
E
E
A
A
Y
Y
V
V
M
M
A
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S
V
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770
|
D
D
N
N
P
P
H
H
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C
C
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R
L
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G
780
|
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T
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790
|
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800
|
D
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D
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N
N
I
I
810
|
G
G
S
S
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Y
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L
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L
L
N
N
W
W
C
C
V
V
820
|
Q
Q
I
I
A
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K
K
G
G
M
M
N
N
Y
Y
L
L
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E
830
|
D
D
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L
L
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V
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D
D
L
L
A
A
840
|
A
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R
N
N
V
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L
L
V
V
K
K
T
T
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P
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850
|
H
H
V
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D
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F
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G
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A
A
860
|
K
K
L
L
L
L
G
G
A
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E
E
E
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E
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Y
Y
870
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H
A
A
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G
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G
K
K
V
V
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P
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880
|
W
W
M
M
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R
890
|
I
I
Y
Y
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T
H
H
Q
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S
S
D
D
V
V
W
W
S
S
900
|
Y
Y
G
G
V
V
T
T
V
V
W
W
E
E
L
L
M
M
T
T
910
|
F
F
G
G
S
S
K
K
P
P
Y
Y
D
D
G
G
I
I
P
P
920
|
A
A
S
S
E
E
I
I
S
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S
S
I
I
L
L
E
E
K
K
930
|
G
G
E
E
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R
L
L
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P
P
P
P
I
I
C
C
940
|
T
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D
V
V
Y
Y
M
M
I
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M
M
V
V
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950
|
C
C
W
W
M
M
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I
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D
A
A
D
D
S
S
R
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P
960
|
K
K
F
F
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E
E
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L
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F
F
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S
970
|
K
K
M
M
A
A
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R
D
D
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P
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R
Y
Y
L
L
980
|
V
V
I
I
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G
G
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M
H
H
L
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990
|
P
P
S
S
P
P
T
T
D
D
S
S
N
N
F
F
Y
Y
R
R
1000
|
A
A
L
L
M
M
D
D
E
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E
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D
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D
D
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1010
|
V
V
V
V
D
D
A
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1020
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G
Experimental Note Identified from the Human Clinical Data
Key Molecule: Epidermal growth factor receptor (EGFR) [3]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Duplication
p.N771_H773 (c.2311_2319)
Experimental Note Identified from the Human Clinical Data
In Vitro Model NSCLC cells Lung Homo sapiens (Human) N.A.
Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
In Vivo Model BALB/c nude mouse PDX model Mus musculus
Experiment for
Molecule Alteration
Western blot analysis; SDS-PAGE assay
Experiment for
Drug Resistance
MTS assay; Crystal violet staining assay
Mechanism Description Mutation in the covalent binding site of either EGFR or HER2 is sufficient to lead to drug resistance.
Key Molecule: Epidermal growth factor receptor (EGFR) [7]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Missense mutation
p.G719S (c.2155G>A)
Experimental Note Identified from the Human Clinical Data
Key Molecule: Epidermal growth factor receptor (EGFR) [7]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Missense mutation
p.G719C (c.2155G>T)
Experimental Note Identified from the Human Clinical Data
Key Molecule: Epidermal growth factor receptor (EGFR) [7]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Missense mutation
p.G719A (c.2156G>C)
Experimental Note Identified from the Human Clinical Data
Key Molecule: Epidermal growth factor receptor (EGFR) [3]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration IF-insertion
p.P772_H773insPNP (c.2317_2318insCTAACCCTC)
Experimental Note Identified from the Human Clinical Data
In Vitro Model NSCLC cells Lung Homo sapiens (Human) N.A.
Ba/F3 cells Colon Homo sapiens (Human) CVCL_0161
In Vivo Model BALB/c nude mouse PDX model Mus musculus
Experiment for
Molecule Alteration
Western blot analysis; SDS-PAGE assay
Experiment for
Drug Resistance
MTS assay; Crystal violet staining assay
Mechanism Description Mutation in the covalent binding site of either EGFR or HER2 is sufficient to lead to drug resistance.
Key Molecule: Epidermal growth factor receptor (EGFR) [8]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration IF-deletion
p.G729_D761 (c.2185_2283)
Experimental Note Identified from the Human Clinical Data
In Vitro Model Lung N.A.
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [9]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Complex-indel
p.M774_774delinsWLV (c.2320_2322delinsTGGCTTGTA)
Experimental Note Identified from the Human Clinical Data
In Vitro Model Lung N.A.
Experiment for
Molecule Alteration
DNA sequencing assay
Experiment for
Drug Resistance
Clinical measurement assay
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [9]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Duplication
p.G778_P780 (c.2332_2340)
Experimental Note Identified from the Human Clinical Data
In Vitro Model Lung N.A.
Experiment for
Molecule Alteration
DNA sequencing assay
Experiment for
Drug Resistance
Clinical measurement assay
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [9]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration IF-insertion
p.P780_Y781 (c.2340_2341)
Experimental Note Identified from the Human Clinical Data
In Vitro Model Lung N.A.
Experiment for
Molecule Alteration
DNA sequencing assay
Experiment for
Drug Resistance
Clinical measurement assay
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [9]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Complex-indel
p.M774delinsWLV (c.2320delinsTGGCTGG)
Experimental Note Identified from the Human Clinical Data
In Vitro Model Lung N.A.
Experiment for
Molecule Alteration
DNA sequencing assay
Experiment for
Drug Resistance
Clinical measurement assay
Key Molecule: Receptor tyrosine-protein kinase erbB-2 (ERBB2) [9]
Sensitive Disease Lung adenocarcinoma [ICD-11: 2C25.0]
Molecule Alteration Duplication
p.P780_Y781 (c.2340_2341)
Experimental Note Identified from the Human Clinical Data
In Vitro Model Lung N.A.
Experiment for
Molecule Alteration
DNA sequencing assay
Experiment for
Drug Resistance
Clinical measurement assay
Ovarian cancer [ICD-11: 2C73]
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Drug Sensitivity Data Categorized by Their Corresponding Mechanisms
  Unusual Activation of Pro-survival Pathway (UAPP) Click to Show/Hide
Key Molecule: Signal transducer activator transcription 3 (STAT3) [10]
Sensitive Disease Ovarian cancer [ICD-11: 2C73.0]
Molecule Alteration Phosphorylation
Up-regulation
Experimental Note Revealed Based on the Cell Line Data
Cell Pathway Regulation EGFR signaling pathway Inhibition hsa01521
Experiment for
Molecule Alteration
Western blot assay
Experiment for
Drug Resistance
LDH assay; Flow cytometry assay
Mechanism Description Our study aimed to analyze the cellular mechanism of dacomitinib, a pan-epidermal growth factor receptor (EGFR) inhibitor, which resensitized paclitaxel and induced cell cytotoxicity in paclitaxel-resistant ovarian cancer SKOV3-TR cells. We investigated the significant reduction in cell viability cotreated with dacomitinib and paclitaxel by WST-1 assay and flow cytometry analysis. Dacomitinib inhibited EGFR family proteins, including EGFR and HER2, as well as its downstream signaling proteins, including AKT, STAT3, ERK, and p38. In addition, dacomitinib inhibited the phosphorylation of Bad, and combination treatment with paclitaxel effectively suppressed the expression of Mcl-1. A 2'-7'-dichlorodihydrofluorescein diacetate (DCFH-DA) assay revealed a substantial elevation in cellular reactive oxygen species (ROS) levels in SKOV3-TR cells cotreated with dacomitinib and paclitaxel, which subsequently mediated cell cytotoxicity.
Key Molecule: Mitogen-activated protein kinase (MAPK) [10]
Sensitive Disease Ovarian cancer [ICD-11: 2C73.0]
Molecule Alteration Phosphorylation
Up-regulation
Experimental Note Revealed Based on the Cell Line Data
Cell Pathway Regulation EGFR signaling pathway Inhibition hsa01521
Experiment for
Molecule Alteration
Western blot assay
Experiment for
Drug Resistance
LDH assay; Flow cytometry assay
Mechanism Description Our study aimed to analyze the cellular mechanism of dacomitinib, a pan-epidermal growth factor receptor (EGFR) inhibitor, which resensitized paclitaxel and induced cell cytotoxicity in paclitaxel-resistant ovarian cancer SKOV3-TR cells. We investigated the significant reduction in cell viability cotreated with dacomitinib and paclitaxel by WST-1 assay and flow cytometry analysis. Dacomitinib inhibited EGFR family proteins, including EGFR and HER2, as well as its downstream signaling proteins, including AKT, STAT3, ERK, and p38. In addition, dacomitinib inhibited the phosphorylation of Bad, and combination treatment with paclitaxel effectively suppressed the expression of Mcl-1. A 2'-7'-dichlorodihydrofluorescein diacetate (DCFH-DA) assay revealed a substantial elevation in cellular reactive oxygen species (ROS) levels in SKOV3-TR cells cotreated with dacomitinib and paclitaxel, which subsequently mediated cell cytotoxicity.
Key Molecule: AKT serine/threonine kinase (AKT) [10]
Sensitive Disease Ovarian cancer [ICD-11: 2C73.0]
Molecule Alteration Phosphorylation
Up-regulation
Experimental Note Revealed Based on the Cell Line Data
Cell Pathway Regulation EGFR signaling pathway Inhibition hsa01521
Experiment for
Molecule Alteration
Western blot assay
Experiment for
Drug Resistance
LDH assay; Flow cytometry assay
Mechanism Description Our study aimed to analyze the cellular mechanism of dacomitinib, a pan-epidermal growth factor receptor (EGFR) inhibitor, which resensitized paclitaxel and induced cell cytotoxicity in paclitaxel-resistant ovarian cancer SKOV3-TR cells. We investigated the significant reduction in cell viability cotreated with dacomitinib and paclitaxel by WST-1 assay and flow cytometry analysis. Dacomitinib inhibited EGFR family proteins, including EGFR and HER2, as well as its downstream signaling proteins, including AKT, STAT3, ERK, and p38. In addition, dacomitinib inhibited the phosphorylation of Bad, and combination treatment with paclitaxel effectively suppressed the expression of Mcl-1. A 2'-7'-dichlorodihydrofluorescein diacetate (DCFH-DA) assay revealed a substantial elevation in cellular reactive oxygen species (ROS) levels in SKOV3-TR cells cotreated with dacomitinib and paclitaxel, which subsequently mediated cell cytotoxicity.
Key Molecule: Epidermal growth factor receptor (EGFR) [10]
Sensitive Disease Ovarian cancer [ICD-11: 2C73.0]
Molecule Alteration Phosphorylation
Up-regulation
Experimental Note Revealed Based on the Cell Line Data
Cell Pathway Regulation EGFR signaling pathway Inhibition hsa01521
Experiment for
Molecule Alteration
Western blot assay
Experiment for
Drug Resistance
LDH assay; Flow cytometry assay
Mechanism Description Our study aimed to analyze the cellular mechanism of dacomitinib, a pan-epidermal growth factor receptor (EGFR) inhibitor, which resensitized paclitaxel and induced cell cytotoxicity in paclitaxel-resistant ovarian cancer SKOV3-TR cells. We investigated the significant reduction in cell viability cotreated with dacomitinib and paclitaxel by WST-1 assay and flow cytometry analysis. Dacomitinib inhibited EGFR family proteins, including EGFR and HER2, as well as its downstream signaling proteins, including AKT, STAT3, ERK, and p38. In addition, dacomitinib inhibited the phosphorylation of Bad, and combination treatment with paclitaxel effectively suppressed the expression of Mcl-1. A 2'-7'-dichlorodihydrofluorescein diacetate (DCFH-DA) assay revealed a substantial elevation in cellular reactive oxygen species (ROS) levels in SKOV3-TR cells cotreated with dacomitinib and paclitaxel, which subsequently mediated cell cytotoxicity.
Key Molecule: Human epidermal growth factor receptor 2 (HER2) [10]
Sensitive Disease Ovarian cancer [ICD-11: 2C73.0]
Molecule Alteration Phosphorylation
Up-regulation
Experimental Note Revealed Based on the Cell Line Data
Cell Pathway Regulation EGFR signaling pathway Inhibition hsa01521
Experiment for
Molecule Alteration
Western blot assay
Experiment for
Drug Resistance
LDH assay; Flow cytometry assay
Mechanism Description Our study aimed to analyze the cellular mechanism of dacomitinib, a pan-epidermal growth factor receptor (EGFR) inhibitor, which resensitized paclitaxel and induced cell cytotoxicity in paclitaxel-resistant ovarian cancer SKOV3-TR cells. We investigated the significant reduction in cell viability cotreated with dacomitinib and paclitaxel by WST-1 assay and flow cytometry analysis. Dacomitinib inhibited EGFR family proteins, including EGFR and HER2, as well as its downstream signaling proteins, including AKT, STAT3, ERK, and p38. In addition, dacomitinib inhibited the phosphorylation of Bad, and combination treatment with paclitaxel effectively suppressed the expression of Mcl-1. A 2'-7'-dichlorodihydrofluorescein diacetate (DCFH-DA) assay revealed a substantial elevation in cellular reactive oxygen species (ROS) levels in SKOV3-TR cells cotreated with dacomitinib and paclitaxel, which subsequently mediated cell cytotoxicity.
Key Molecule: Mitogen-activated protein kinase 12 (MAPK12) [10]
Sensitive Disease Ovarian cancer [ICD-11: 2C73.0]
Molecule Alteration Phosphorylation
Up-regulation
Experimental Note Revealed Based on the Cell Line Data
Cell Pathway Regulation EGFR signaling pathway Inhibition hsa01521
Experiment for
Molecule Alteration
Western blot assay
Experiment for
Drug Resistance
LDH assay; Flow cytometry assay
Mechanism Description Our study aimed to analyze the cellular mechanism of dacomitinib, a pan-epidermal growth factor receptor (EGFR) inhibitor, which resensitized paclitaxel and induced cell cytotoxicity in paclitaxel-resistant ovarian cancer SKOV3-TR cells. We investigated the significant reduction in cell viability cotreated with dacomitinib and paclitaxel by WST-1 assay and flow cytometry analysis. Dacomitinib inhibited EGFR family proteins, including EGFR and HER2, as well as its downstream signaling proteins, including AKT, STAT3, ERK, and p38. In addition, dacomitinib inhibited the phosphorylation of Bad, and combination treatment with paclitaxel effectively suppressed the expression of Mcl-1. A 2'-7'-dichlorodihydrofluorescein diacetate (DCFH-DA) assay revealed a substantial elevation in cellular reactive oxygen species (ROS) levels in SKOV3-TR cells cotreated with dacomitinib and paclitaxel, which subsequently mediated cell cytotoxicity.
References
Ref 1 Successful dacomitinib treatment after osimertinib resistance in a patient with lung adenocarcinoma .Clin Respir J. 2021 Jul;15(7):851-852. doi: 10.1111/crj.13360. Epub 2021 Mar 25. 10.1111/crj.13360
Ref 2 PPP3CB overexpression mediates EGFR TKI resistance in lung tumors via calcineurin/MEK/ERK signaling. Life Sci Alliance. 2024 Oct 1;7(12):e202402873.
Ref 3 Response Heterogeneity of EGFR and HER2 Exon 20 Insertions to Covalent EGFR and HER2 InhibitorsCancer Res. 2017 May 15;77(10):2712-2721. doi: 10.1158/0008-5472.CAN-16-3404. Epub 2017 Mar 31.
Ref 4 Activity of a novel HER2 inhibitor, poziotinib, for HER2 exon 20 mutations in lung cancer and mechanism of acquired resistance: An in vitro studyLung Cancer. 2018 Dec;126:72-79. doi: 10.1016/j.lungcan.2018.10.019. Epub 2018 Oct 17.
Ref 5 EGFR Exon 18 Mutations in Lung Cancer: Molecular Predictors of Augmented Sensitivity to Afatinib or Neratinib as Compared with First- or Third-Generation TKIsClin Cancer Res. 2015 Dec 1;21(23):5305-13. doi: 10.1158/1078-0432.CCR-15-1046. Epub 2015 Jul 23.
Ref 6 Phase III study of afatinib or cisplatin plus pemetrexed in patients with metastatic lung adenocarcinoma with EGFR mutationsJ Clin Oncol. 2013 Sep 20;31(27):3327-34. doi: 10.1200/JCO.2012.44.2806. Epub 2013 Jul 1.
Ref 7 Management and future directions in non-small cell lung cancer with known activating mutationsAm Soc Clin Oncol Educ Book. 2014:e353-65. doi: 10.14694/EdBook_AM.2014.34.e353.
Ref 8 Dacomitinib versus erlotinib in patients with EGFR-mutated advanced nonsmall-cell lung cancer (NSCLC): pooled subset analyses from two randomized trialsAnn Oncol. 2016 Mar;27(3):423-9. doi: 10.1093/annonc/mdv593. Epub 2016 Jan 13.
Ref 9 Targeting HER2 aberrations as actionable drivers in lung cancers: phase II trial of the pan-HER tyrosine kinase inhibitor dacomitinib in patients with HER2-mutant or amplified tumorsAnn Oncol. 2015 Jul;26(7):1421-7. doi: 10.1093/annonc/mdv186. Epub 2015 Apr 21.
Ref 10 Pan-EGFR Inhibitor Dacomitinib Resensitizes Paclitaxel and Induces Apoptosis via Elevating Intracellular ROS Levels in Ovarian Cancer SKOV3-TR Cells. Molecules. 2024 Jan 4;29(1):274.

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