• Title/Summary/Keyword: T790M

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Chronicles of EGFR Tyrosine Kinase Inhibitors: Targeting EGFR C797S Containing Triple Mutations

  • Duggirala, Krishna Babu;Lee, Yujin;Lee, Kwangho
    • Biomolecules & Therapeutics
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    • v.30 no.1
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    • pp.19-27
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    • 2022
  • Epidermal growth factor receptor (EGFR) is a receptor tyrosine kinase widely expressed in many cancers such as non-small cell lung cancer (NSCLC), pancreatic cancer, breast cancer, and head and neck cancer. Mutations such as L858R in exon 21, exon 19 truncation (Del19), exon 20 insertions, and others are responsible for aberrant activation of EGFR in NSCLC. First-generation EGFR tyrosine kinase inhibitors (TKIs) such as gefitinib and erlotinib have clinical benefits for EGFR-sensitive (L858R and Del19) NSCLC patients. However, after 10-12 months of treatment with these inhibitors, a secondary T790M mutation at the gatekeeper position in the kinase domain of EGFR was identified, which limited the clinical benefits. Second-generation EGFR irreversible inhibitors (afatinib and dacomitinib) were developed to overcome this T790M mutation. However, their lack of selectivity toward wild-type EGFR compromised their clinical benefits due to serious adverse events. Recently developed third-generation irreversible EGFR TKIs (osimertinib and lazertinib) are selective toward driving mutations and the T790M mutation, while sparing wild-type EGFR activity. The latest studies have concluded that their efficacy was also compromised by additional acquired mutations, including C797S, the key residue cysteine that forms covalent bonds with irreversible inhibitors. Because second- and third-generation EGFR TKIs are irreversible inhibitors, they are not effective against C797S containing EGFR triple mutations (Del19/T790M/C797S and L858R/T790M/C797S). Therefore, there is an urgent unmet medical need to develop next-generation EGFR TKIs that selectively inhibit EGFR triple mutations via a non-irreversible mechanism.

Afatinib Mediates Autophagic Degradation of ORAI1, STIM1, and SERCA2, Which Inhibits Proliferation of Non-Small Cell Lung Cancer Cells

  • Kim, Mi Seong;Kim, So Hui;Yang, Sei-Hoon;Kim, Min Seuk
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.2
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    • pp.147-154
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    • 2022
  • Background: The expression of calcium signaling pathway molecules is altered in various carcinomas, which are related to the proliferation and altered characteristics of cancer cells. However, changes in calcium signaling in anti-cancer drug-resistant cells (bearing a T790M mutation in epidermal growth factor receptor [EGFR]) remain unclear. Methods: Afatinib-mediated changes in the level of store-operated Ca2+ entry (SOCE)-related proteins and intracellular Ca2+ level in non-small cell lung cancer cells with T790M mutation in the EGFR gene were analyzed using western blot and ratiometric assays, respectively. Afatinib-mediated autophagic flux was evaluated by measuring the cleavage of LC3B-II. Flow cytometry and cell proliferation assays were conducted to assess cell apoptosis and proliferation. Results: The levels of SOCE-mediating proteins (ORAI calcium release-activated calcium modulator 1 [ORAI1], stromal interaction molecule 1 [STIM1], and sarco/endoplasmic reticulum Ca2+ ATPase [SERCA2]) decreased after afatinib treatment in non-small cell lung cancer cells, whereas the levels of SOCE-related proteins did not change in gefitinib-resistant non-small cell lung cancer cells (PC-9/GR; bearing a T790M mutation in EGFR). Notably, the expression level of SOCE-related proteins in PC-9/GR cells was reduced also responding to afatinib in the absence of extracellular Ca2+. Moreover, extracellular Ca2+ influx through the SOCE was significantly reduced in PC-9 cells pre-treated with afatinib than in the control group. Additionally, afatinib was found to decrease the level of SOCE-related proteins through autophagic degradation, and the proliferation of PC-9GR cells was significantly inhibited by a lack of extracellular Ca2+. Conclusion: Extracellular Ca2+ plays important role in afatinib-mediated autophagic degradation of SOCE-related proteins in cells with T790M mutation in the EGFR gene and extracellular Ca2+ is essential for determining anti-cancer drug efficacy.

Optimal Control of a Dam with a Compound Poisson Input

  • Lee, Ji-Yeon;Lee, Eui-Yong
    • Journal of the Korean Statistical Society
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    • v.26 no.1
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    • pp.147-154
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    • 1997
  • An infinite dam with a compound Poisson input having exponential jumps is considered. As an output policy, we adopt the $P_{\lambda}$$^{M}$ Policy. After assigning costs to the dam we obtain the long-rum average cost per unit time of operating the dam and find the optimal values of .lambda. and M which minimize the long-run average cost.t.

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Pretreatment Neutrophil-to-Lymphocyte Ratio and Smoking History as Prognostic Factors in Advanced Non-Small Cell Lung Cancer Patients Treated with Osimertinib

  • Park, Ji Young;Jang, Seung Hun;Lee, Chang Youl;Kim, Taehee;Chung, Soo Jie;Lee, Ye Jin;Kim, Hwan Il;Kim, Joo-Hee;Park, Sunghoon;Hwang, Yong Il;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.2
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    • pp.155-164
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    • 2022
  • Background: The remarkable efficacy of osimertinib in non-small cell lung cancer (NSCLC) with acquired T790M mutation has been widely documented in clinical trials and real-world practice. However, some patients show primary resistance to this drug. Even patients who initially show a favorable response have inconsistent clinical outcomes later. Therefore, the aim of this study was to identify additional clinical predictive factors for osimertinib efficacy. Methods: A prospective cohort of patients with acquired T790M positive stage IV lung adenocarcinoma treated with osimertinib salvage therapy in Hallym University Medical Center were analyzed. Results: Sixty-one eligible patients were analyzed, including 38 (62%) women and 39 (64%) who never smoked. Their mean age was 63.3 years. The median follow-up after treatment with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) was 36.0 months (interquartile range, 24.7-50.2 months). The majority (n=45, 74%) of patients were deceased. Based on univariate analysis, low baseline neutrophil-to-lymphocyte ratios (NLR), age ≥50 years, never-smoking history, stage IVA at osimertinib initiation, and prolonged response to previous TKIs (≥10 months) were associated with a significantly longer progression-free survival (PFS). Multivariate analysis showed that never-smoking status (hazard ratio [HR], 0.54; 95% confidence interval [CI], 0.30-0.98; p=0.041) and a baseline NLR less than or equal to 3.5 (HR, 0.23; 95% CI, 0.12-0.45; p<0.001) were independently associated with a prolonged PFS with osimertinib. Conclusion: Smoking history and high NLR were independent negative predictors of osimertinib PFS in patients with advanced NSCLC developing EGFR T790M resistance after the initial EGFR-TKI treatment.

Flame Propagation in Dust Cloud and its Flammability Limits (더스트 클라우드 내에서의 화염 진행과 연소 한계)

  • Moon, I.;Yoon, Y.;Kim, M.;Cho, T.
    • 한국연소학회:학술대회논문집
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    • 2003.12a
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    • pp.201-208
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    • 2003
  • Wheat dust cloud를 $5{\times}5{\times}214.1cm^3$ square tube내부에 발생시켜 화염의 전달과 연소 한계에 관한 연구를 수행하였다. 사용된 미립자는 $160{\mu}m-300{\mu}m$의 크기로 분류되어 주로 사용되었고 $300{\mu}m-325{\mu}m$크기의 미립자가 더불어 사용되었다. 연소 튜브는 연료로 사용되는 미립자를 튜브의 상단에서부터 컨베이어 벨트를 사용해서 공급받아 튜브의 하단에서 전기코일을 사용하여 점화시키는 구조로 고안되었다. 화염의 최대 진행속도는 작은 크기와 보다 큰 크기의 미립자를 사용했을 때가 각각 523cm/sec와 373cm/sec로 측정되었다. 연소 속도는 입자의 크기와 집접도(concentration)에 따라 변화를 보였는데 최소 3cm/sec에서 최대 7.5cm/sec로 관측되었다. 그러나 화염의 두께는 놀랍게도 입자의 집접도와 큰 연관이 없어 보였는데, 이는 앞으로도 보다 많은 연구를 통한 검증이 필요하리라 생각된다. 끝으로 fuel rich flammability는 $790g/m^3$으로 stoichiometric mixture $230g/m^3$에 비교해 월등히 높은 값으로 관측되었다.

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The Effects of Financial Literacy, Self-Efficacy and Self-Coping on Financial Behavior of Emerging Adults

  • CHONG, Kok Fei;SABRI, Mohamad Fazli;MAGLI, Amirah Shazana;ABD RAHIM, Husniyah;MOKHTAR, Nuradibah;OTHMAN, Mohd Amim
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.3
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    • pp.905-915
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    • 2021
  • This study examines the relationship between financial behavior, financial literacy, self-efficacy, and self-coping among emerging adults. The study population is 790 respondents from 11 Credit Counselling and Debt Management (CCDM). Statistical Package for Social Science (SPSS) was used to analyze Pearson Correlation and Multiple regression. It was used to determine the relationships and recognize determinants of emerging adults' financial behavior respectively. In this study, financial literacy, self-efficacy, self-coping, and financial behavior variables were entered into the regression. A total of 790 respondents aged 40 and below were selected. An independent sample t-test was administered to compare the financial behavior scores for females and males. The results reveal that there was significant difference in the mean of financial behavior scores for females (M = 87.20, SD = 18.00) and males (M = 89.70, SD = 16.80; t (765) = 2.010, p = 0.045, two-tailed). The multiple regression results indicate that the model explained 13.4% of the variance in financial behavior, which is predicted significantly by the model (F = 38.361, p = 0.000). This study will be beneficial to policymakers to improve living conditions and to promote good financial behavior, financial literacy, self-efficacy as well as self-coping especially for emerging adults in Malaysia.

Root Extract of Scutellaria Baicalensis Increases Gefitinib Sensitivity in H1975 Human Non-small Cell Lung Cancer Cells (H1975 세포에서 황금추출물에 의한 gefitinib 저항성 억제 효과)

  • Park, Shin-Hyung;Park, Hyun-Ji
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.35 no.4
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    • pp.117-123
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    • 2021
  • Gefitinib, a first generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI), provides obvious clinical benefit in patients with EGFR-mutant non-small cell lung cancer (NSCLC). However, patients ultimately develop gefitinib resistance which mainly caused by EGFR T790M secondary mutation. In the current study, we investigated whether the root extract of Scutellaria baicalensis (SB) overcomes gefitinib resistance. Gefitinib-resistant H1975 human NSCLC cells (EGFR L858R/T790M double mutant) were treated with gefitinib and/or ethanol extract of SB (ESB) to evaluate the effect of ESB on the gefitinib sensitivity. The cell viability was measured by MTT assay and trypan blue exclusion assay. The colony-forming ability was evaluated by anchorage-dependent colony formation assay. Combined treatment with gefitinib and ESB markedly decreased the cell viability and colony formation than single treatment with gefitinib or ESB in H1975 cells. In addition, cells treated with both gefitinib and ESB exhibited a significant increase of sub-G1 DNA content which indicates apoptotic cells compared with those treated with gefitinib or ESB alone. As a molecular mechanism, combined treatment with gefitinib and ESB strongly downregulated the phosphorylation of ERK and JNK than single treatment with gefitinib or ESB. Taken together, our results demonstrate that ESB sensitizes H1975 cells to gefitinib treatment. We cautiously propose that ESB can be used in combination with gefitinib for the advanced NSCLC patients with acquired resistance to EGFR TKIs.

Analysis of Smart Home Technology for IoT (사물 인터넷 기반 스마트 홈 기술 분석)

  • Yang, Seung-Jae;Moon, Do-Hyun;Lee, Changhoon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.10a
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    • pp.787-790
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    • 2015
  • 스마트폰의 등장을 시작으로 사물과 인터넷의 결합이 급속히 진행되면서 다양하고 새로운 시장이 형성 되고 있다. 특히 모바일 네트워크가 확산되면서 소비자의 스마트 홈 시장에 대한 관심이 높아졌으며 다양한 기업들이 스마트 홈 시장에 진입하고 있다. 본 논문에서는 다양한 스마트 홈 기술을 소개한다. OneM2M, AllJoyn의 플랫폼 구조와 보안 표준을 살펴보고 IoTivity, Homekit, Thread의 특징을 분석하여 스마트 홈 기술의 동향을 분석한다.

Forest Vegetation of Mt. Kasan : A Habitat Type Classification (가산일대(架山一帶)의 삼림식생(森林植生) : 삼림환경형(森林環境型) 분류(分類))

  • Bae, Kwan Ho;Cho, Hyun Je;Hong, Sung Cheon
    • Journal of Korean Society of Forest Science
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    • v.79 no.2
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    • pp.162-172
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    • 1990
  • Habit type classification based on the polyclimax and discontinuum concept applied to Mt. Kasan forest. The results obtained were summirized as follows. 1. PIDE/RHSC H.T. : Pizzas densiflora is a topographic climax which is distributed in a ridge and a upper slope. Rhododeudron schlippenbachii is well represented in the undergrowth (average coverage 21%). 2. CALA/CAAR H.T. : Carpinus laxiflora is distributed in a low slope and adjoined to Pinzrs densiflora of a upper slope and a ridge. Calamaglotis aruredinacea is well represented in the undergrowth (average coverage 10%). 3. QUMO/CAHU H.T. : Quercus mongolica is a topographic climax which is distributed in a upper slope and a midslope of the Kasan fort outside and ranged from 600m to 700m, Carex humilis is well represented in the undergrowth (average coverage 21%). 4. QUMO/CAAR H.T. : Qreercus moragolica is distributed in the basin of Mt. Kasan fort inside and ranged from 700m to 870m, Cdlamagrotis arundinacea is abundant in the undergrowth(average coverage 43%). 5. FRRH/IMTE H.T. : Fraxinus rhynchophilla is distributed in a valley. Impatiens textori is well represented in the undergrowth(average coveraged 10%). 6. COCO/VISA H.T. : Cornus controversa is distributed in a valley and aranged from 780m to 830m Viburunum sargentii is well represented in the undergrowth(average coverage 12%).

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Site and Growth Characteristics of Maackia amurensis Rupr. et Max. Stand at Mt. Joongwang, Gangwon Province, Korea (강원도 중왕산 지역 다릅나무 임분의 입지 환경과 생장 특성)

  • Lee, Don Koo;Kwon, Ki-Cheol;Kim, Young-Soo;Um, Tae Won
    • Journal of Korean Society of Forest Science
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    • v.95 no.4
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    • pp.443-452
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    • 2006
  • This study was conducted to investigate the site and growth characteristics of Mackia amurensis stand in natural forest of Mt. Joongwang, Pyongchang-Gun, Gangwon-Do, Korea. The 28 sample plots ($30m{\times}30m$) were established to examine the vegetation and site characteristics for M. amurensis stand. Stem analysis was performed on two sample trees for each of the 5 plots situated at intervals of 100 m by altitude. M. amurensis trees were mainly distributed at the ridge and the slope facing north, with altitudes ranging from 790 to 1,170 m. The M. amurensis grew at relatively deep A-layer of soil with high moisture but infertile. Dominant species with M. amurensis were Quercus mongolica, Fraxinus rhynchophylla, Acer pseudo-sieboldianum, A. pictum subsp. mono, Ulmus davidiana var., japonica, Tilia amurensis, and Populus davidiana. TWINSPAN classified four communities in Mt. Joongwang area; M. amurensis-P. davidiana community (xeric type), M. amurensis-U. davidiana var. japonica community (xeric type), M. amurensis-T. amurensis community (moist type), and M. amurensis-Styrax obassia community (moist type). According to the community type, trees per ha were more abundant in the area of the moist types than the xeric types. Height growth of M. amurensis increased with increasing ages until 10 years, and then decreased thereafter, especially at altitude of 1,020m. M. amurensis showed rapid early growth of height and volume, indicating possible high biomass production under enough light. Growth of M. amurensis increased greatly at about 40 years if released from severe competitions. The rotation age of natural M. amurensis stand was expected for above 50 years.