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Tumor Biology Program, Mayo Clinic, Scottsdale, Arizona 85259 [S. R. R., S. J. G.]; Department of Cancer Research, Pfizer Global Research and Development, Ann Arbor, Michigan 48105 [D. W. F., J. M. N., A. J. B., L. A.]; and Department of Pathology [L. J. B.] and Gastrointestinal Research Unit [W. E. K.], Mayo Clinic, Rochester, Minnesota 55905
A highly selective, p.o. bioavailable irreversible inhibitor of epidermal growth factor receptor (EGFR) tyrosine kinase, N-[4-(3-chloro-4-fluoro-phenylamino)-quinazolin-6-yl]-acrylamide (CFPQA), was evaluated for its ability to prevent intestinal adenoma formation in ApcMin mice. Ten-week continuous dietary exposure to CFPQA at doses sufficient to abolish intestinal EGFR tyrosine phosphorylation failed to affect intestinal tumor multiplicity or distribution but induced flat mucosal lesions in the duodenum characteristic of chronic injury. Intestinal trefoil factor, an intestinal peptide that mediates antiapoptotic effects through an EGFR-dependent mechanism, was notably absent in adenomas but was highly expressed in flat duodenal lesions. We conclude that chronic inhibition of EGFR tyrosine kinase by CFPQA does not prevent adenomas in ApcMin mice but may induce duodenal injury.
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