EKB-569 (
Pelitinib), an irreversible EGFR
tyrosine kinase inhibitor has shown potential therapeutic efficiency in solid
tumors. However, cell-killing potential in combination with
radiotherapy and its underlying molecular orchestration remain to be explored. The objective of this study was to determine the effect of
EKB-569 on ionizing radiation (IR)-associated NFκB-dependent cell death. SCC-4 and SCC-9 cells exposed to IR (2Gy) with and without
EKB-569 treatment were analyzed for transactivation of 88 NFκB pathway molecules, NFκB
DNA-binding activity, translation of the NFκB downstream mediators, Birc1, 2 and 5, cell viability, metabolic activity and apoptosis. Selective targeting of IR-induced NFκB by
EKB-569 and its influence on cell-fate were assessed by overexpressing (p50/p65) and silencing (ΔIκBα) NFκB. QPCR profiling after IR exposure revealed a significant induction of 74 NFκB signal transduction molecules. Of those, 72 were suppressed with
EKB-569. EMSA revealed a dose dependent inhibition of NFκB by
EKB-569. More importantly,
EKB-569 inhibited IR-induced NFκB in a dose-dependent manner, and this inhibition was sustained up to at least 72 h. Immunoblotting revealed a significant suppression of IR-induced Birc1, 2 and 5 by
EKB-569. We observed a dose-dependent inhibition of cell viability, metabolic activity and apoptosis with
EKB-569.
EKB-569 significantly enhanced IR-induced cell death and apoptosis. Blocking NFκB improved IR-induced cell death. Conversely, NFκB overexpression negates
EKB-569 -induced cell-killing. Together, these pre-clinical data suggest that
EKB-569 is a radiosensitizer of
squamous cell carcinoma and may mechanistically involve selective targeting of IR-induced NFκB-dependent survival signaling. Further pre-clinical in-vivo studies are warranted.