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Cell Death and Survival

Crizotinib-Resistant NPM-ALK Mutants Confer Differential Sensitivity to Unrelated Alk Inhibitors

Monica Ceccon, Luca Mologni, William Bisson, Leonardo Scapozza and Carlo Gambacorti-Passerini
Monica Ceccon
1Department of Health Sciences, University of Milano-Bicocca; 2Section of Haematology, San Gerardo Hospital, Monza, Italy; and 3Pharmaceutical Biochemistry, Section des sciences pharmaceutiques, Université de Genève, Geneva, Switzerland
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Luca Mologni
1Department of Health Sciences, University of Milano-Bicocca; 2Section of Haematology, San Gerardo Hospital, Monza, Italy; and 3Pharmaceutical Biochemistry, Section des sciences pharmaceutiques, Université de Genève, Geneva, Switzerland
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William Bisson
1Department of Health Sciences, University of Milano-Bicocca; 2Section of Haematology, San Gerardo Hospital, Monza, Italy; and 3Pharmaceutical Biochemistry, Section des sciences pharmaceutiques, Université de Genève, Geneva, Switzerland
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Leonardo Scapozza
1Department of Health Sciences, University of Milano-Bicocca; 2Section of Haematology, San Gerardo Hospital, Monza, Italy; and 3Pharmaceutical Biochemistry, Section des sciences pharmaceutiques, Université de Genève, Geneva, Switzerland
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Carlo Gambacorti-Passerini
1Department of Health Sciences, University of Milano-Bicocca; 2Section of Haematology, San Gerardo Hospital, Monza, Italy; and 3Pharmaceutical Biochemistry, Section des sciences pharmaceutiques, Université de Genève, Geneva, Switzerland
1Department of Health Sciences, University of Milano-Bicocca; 2Section of Haematology, San Gerardo Hospital, Monza, Italy; and 3Pharmaceutical Biochemistry, Section des sciences pharmaceutiques, Université de Genève, Geneva, Switzerland
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DOI: 10.1158/1541-7786.MCR-12-0569 Published February 2013
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  • Figure 1.
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    Figure 1.

    Human cell lines surviving at different crizotinib concentrations were characterized. A, ALK expression at protein level was assessed by Western blot analysis and quantified by densitometry, after normalization on actin expression level. B, cell lines were cultured for 72 hours in the presence of different crizotinib concentrations. Then, proliferation rate was measured as 3H-thymidine incorporation level. Each curve derives from 2 independent experiments. Corresponding IC50 values are summarized in Table 2.

  • Figure 2.
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    Figure 2.

    Human cell lines carrying dominant NPM-ALK mutations were characterized. A, dose–response curves obtained by 3H-thymidine incorporation assay after 72-hour treatment with crizotinib, AP26113, and NVP-TAE684. IC50 values related are summarized in Table 4. B, ALK and STAT3 phosphorylation status was assessed by Western blot analysis after 4-hour incubation with different concentrations of crizotinib, AP26113, or NVP-TAE684. C, apoptosis was quantified after 72-hour treatment with crizotinib, AP26113, and NVP-TAE684 using Annexin V–PI staining and analyzed by flow cytometry. D, after 72 hours of incubation with crizotinib, AP26113, and NVP-TAE684, cell viability was analyzed by MTS assay. K299CR06 viability was significantly reduced after AP26113 (P < 0.0001) and NVP-TAE684 (P = 0.0008) exposure but not in response to crizotinib, whereas SUPM2CR03 were not affected by any kind of treatment. Values obtained derive from at least 2 independent experiments.

  • Figure 3.
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    Figure 3.

    Characterization of Ba/F3 cell lines stably transfected with WT or mutated human NPM-ALK. A, cell lines were cultured for 72 hours in the presence of crizotinib, AP26113, and NVP-TAE684 at different concentrations; 3H-thymidine incorporation was then measured. Curves derive from at least 2 independent experiments. Corresponding IC50 values are summarized in Table 5. B, ALK phosphorylation status in the presence of increasing doses of crizotinib, AP26113, and NVP-TAE684. Activation of the main ALK downstream effector STAT3 is also shown. ACTIN was used as a loading control.

  • Figure 4.
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    Figure 4.

    Molecular modeling studies show the interaction between ALK domain bearing L1196Q and I1171N substitutions in combination with crizotinib and NVP-TAE684. A, the position of residues L1196 and I1171 is displayed in the catalytic domain of the human WT-ALK kinase bound to NVP-TAE684 (PDB 2XB7). The ligand is displayed as capped sticks and colored by atom type (carbon atoms in green). The protein is displayed as secondary structure. The residues are colored by atom type (carbon atoms in orange) and displayed as capped sticks. B, docking pose of crizotinib in the human WT-ALK kinase (PDB 2XP2). The ligand is displayed as capped sticks and colored by atom type (carbon atoms in green). The human L1196Q-ALK mutant model is displayed as secondary structure. The residue Q1196-R1 is colored by atom type (carbon atoms in orange) and displayed as space fill. C, docking pose of NVP-TAE684 in the human L1196Q-ALK mutant model. The ligand is displayed as capped sticks and colored by atom type. The protein is displayed as secondary structure. The residue Q1196-R2 is colored by atom type (carbon atoms in orange) and displayed as capped sticks. H-bonds are represented by black dashed lines, respectively, between the donor and the acceptor. D, the R-spine of the catalytic domain of the human WT-ALK kinase bound to NVP-TAE684 (PDB 2XB7) is shown. The protein is displayed as secondary structure. The R-spine residues are colored by atom type and displayed as space fill.

Tables

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  • Table 1.

    ALK mRNA expression was measured by qRT-PCR and normalized on parental cell line expression level

    Normalized ALK expression
    K2991
    K299CR011.7
    K299CR032.68
    K299CR064.19
    K299CR14.58
    SUP-M21
    SUPM2CR023.76
    SUPM2CR031.52
  • Table 2.

    IC50 values obtained by 3H-thymidine incorporation test for each crizotinib-resistant human cell line are summarized

    Cell lineIC50 (μmol/L)Normalized
    K2990.0231.0
    K299CR010.2711.7
    K299CR030.4519.6
    K299CR060.94841.2
    K299CR10.72631.6
    SUP-M20.0561.0
    SUPM2CR010.264.6
    SUPM2CR020.254.5
    SUPM2CR030.3886.9

    NOTE: Each value derives from 2 independent experiments.

    • Table 3.

      All mutations identified, corresponding substitutions and relative frequencies are presented

      Cell lineDose (μmol/L)MutationSubstitutionFrequency (%)
      K2990.1 μmol/L4539T→AL1196Q12.5
      4485A→GN1178S3
      4596C→TP1215L3
      4936G→AM1328I3
      0.3 μmol/L4539T→AL1196Q83.8
      4521T→CL1190P2.7
      0.6 μmol/L4539T→AL1196Q85.7
      1 μmol/L4539T→AL1196Q58
      SUP-M20.2 μmol/L4464–65TC→ATI1171N50
      0.3 μmol/L4464–65TC→ATI1171N100
    • Table 4.

      IC50 values, expressed in μmol/L, obtained for K299CR06 and SUPM2CR03 cell lines and the same values normalized on parental cell line, are summarized

      CrizotinibAP26113NVP-TAE684
      IC50NormIC50NormIC50Norm
      K2990.0141.000.0041.000.0011.00
      K299CR060.65146.500.0164.000.01912.88
      SUP-M20.0571.000.0141.000.0051.00
      SUPM2CR030.3886.810.1128.000.05210.40

      NOTE: All values shown derive from at least 2 independent experiments.

      • Table 5.

        IC50 values, expressed in μmol/L, obtained for each Ba/F3 cell line and relative therapeutic index (TI) calculated as IC50 parental line/IC50 mutant, are summarized

        CRIZOTINIBAP26113NVP-TAE684
        IC50NormT.I.IC50NormT.I.IC50NormT.I.
        Ba/F31.26136.0901.0000.82078.0211.0000.760127.3891.000
        Ba/F3 NA WT0.0351.00036.0900.0111.00078.0210.0061.000127.389
        Ba/F3 L1196Q0.2126.0765.9400.0090.85691.1110.0091.50984.444
        Ba/F3 I1171N0.2156.1565.8620.32931.2562.4960.759127.2541.001
        Ba/F3 L1196M0.45913.1252.7500.0423.98319.5890.0183.02242.152

        NOTE: IC50 values obtained derive from at least 2 independent experiments.

        • Table 6.

          Docking scores of crizotinib and NVP-TAE684 on human WT and L1196Q ALK

          WT-ALK (PDB 2XP2)WT-ALK (PDB 2XB7)L1196Q-ALK (Q-R1)L1196Q-ALK (Q-R2)
          Crizotinib7.16-ND6.73
          NVP-TAE684-5.674.475.63

          Abbreviation: ND, not defined.

          Additional Files

          • Figures
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          • Supplementary Data

            Files in this Data Supplement:

            • Supplementary Figure Legend - PDF file - 39K
            • Supplementary Figure 1 - PDF file - 2845K, Cell viability and absolute cell number during cell selection.
            • Supplementary Figure 2 - PDF file - 2629K, ALK phosphorylation status of Crizotinib resistant human cell lines.
            • Supplementary Figure 3 - PDF file - 590K, Chromatograms representative of the two major mutations found on KARPAS299 and SUP-M2 cell lines.
            • Supplementary Figure 4 - PDF file - 177K, ALK phosphorylation status for K299 and K299CR06 at low Crizotinib doses.
            • Supplementary Figure 5 - PDF file - 2602K, SUPM2CR03 cell line is resistant even at higher doses of AP26113 and NVP-TAE684 (100nM).
            • Supplementary Figure 6 - PDF file - 9018K, Chromatograms show the presence of the correct point mutations in our site-directed mutagenized Ba/F3 NPM-ALK cell lines.
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          Molecular Cancer Research: 11 (2)
          February 2013
          Volume 11, Issue 2
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          Crizotinib-Resistant NPM-ALK Mutants Confer Differential Sensitivity to Unrelated Alk Inhibitors
          Monica Ceccon, Luca Mologni, William Bisson, Leonardo Scapozza and Carlo Gambacorti-Passerini
          Mol Cancer Res February 1 2013 (11) (2) 122-132; DOI: 10.1158/1541-7786.MCR-12-0569

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          Crizotinib-Resistant NPM-ALK Mutants Confer Differential Sensitivity to Unrelated Alk Inhibitors
          Monica Ceccon, Luca Mologni, William Bisson, Leonardo Scapozza and Carlo Gambacorti-Passerini
          Mol Cancer Res February 1 2013 (11) (2) 122-132; DOI: 10.1158/1541-7786.MCR-12-0569
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