Silencing AXL by covalent siRNA-gelatin-antibody nanoconjugate inactivates mTOR/EMT pathway and stimulates p53 for TKI sensitization in NSCLC

Nanomedicine. 2019 Aug:20:102007. doi: 10.1016/j.nano.2019.04.010. Epub 2019 May 12.

Abstract

Non-small cell lung cancer (NSCLC) is the leading cause of cancer mortality with the 5-year survival rate at a dismal 16% for the past 40 years. Drug resistance is a major obstacle to achieving long-term patient survival. Identifying and validating molecular biomarkers responsible for resistance and thereby adopting multi-directional therapy is necessary to improve the survival rate. Previous studies indicated ~20% of tyrosine kinase inhibitor (TKI) resistant NSCLC patients overexpress AXL with increase in EMT and decrease in p53 expression. To overcome the resistance, we designed gelatin nanoparticles covalently conjugated with EGFR targeting antibody and siRNA (GAbsiAXL). GAbsiAXL efficiently silences AXL, decreases mTOR and EMT signaling with concomitant increase in p53 expression. Because of the molecular changes, the AXL silencing sensitizes the cells to TKI. Our results show AXL overexpression has an important role in driving TKI resistance through close association with energy-dependent mitochondrial pathways.

Keywords: AXL; Gelatin NP; NSCLC; TKI; siRNA.

MeSH terms

  • Antibodies / chemistry
  • Axl Receptor Tyrosine Kinase
  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • Cell Line, Tumor
  • Down-Regulation / drug effects
  • Drug Resistance, Neoplasm / drug effects
  • Epithelial-Mesenchymal Transition* / drug effects
  • Gelatin / chemistry
  • Gene Regulatory Networks
  • Gene Silencing
  • Humans
  • Lung Neoplasms
  • Matrix Metalloproteinases / metabolism
  • Nanoconjugates / chemistry*
  • Phosphatidylinositol 3-Kinases / metabolism
  • Protein Kinase Inhibitors / pharmacology
  • Protein Kinase Inhibitors / therapeutic use*
  • Proto-Oncogene Proteins / metabolism*
  • Proto-Oncogene Proteins c-akt / metabolism
  • RNA, Small Interfering / metabolism*
  • Receptor Protein-Tyrosine Kinases / metabolism*
  • TOR Serine-Threonine Kinases / metabolism*
  • Tumor Suppressor Protein p53 / metabolism*

Substances

  • Antibodies
  • Nanoconjugates
  • Protein Kinase Inhibitors
  • Proto-Oncogene Proteins
  • RNA, Small Interfering
  • Tumor Suppressor Protein p53
  • Gelatin
  • Receptor Protein-Tyrosine Kinases
  • Proto-Oncogene Proteins c-akt
  • TOR Serine-Threonine Kinases
  • Matrix Metalloproteinases
  • Axl Receptor Tyrosine Kinase
  • AXL protein, human