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Departments of 1 Otolaryngology, 2 Pharmacology, and 3 Molecular Genetics and Biochemistry, 4 University of Pittsburgh School of Medicine and University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania; and 5 Abbott Bioresearch Center, Worcester, Massachusetts
| ABSTRACT |
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(TGF-
) by matrix metalloproteinases (MMPs). It has been reported that Src family kinases are activated by G-proteincoupled receptors (GPCRs), followed by downstream EGFR and MAPK activation. To further elucidate the mechanism of activation of EGFR by GRP in HNSCC, we investigated the role of Src family kinases. Blockade of Src family kinases using an Src-specific tyrosine kinase inhibitor A-419259 decreased GRP-induced EGFR phosphorylation and MAPK activation. GRP also failed to induce MAPK activation in dominant-negative c-Srctransfected HNSCC cells. Invasion and growth assays showed that c-Src was required for GRP-induced proliferation or invasion of HNSCC cells. In addition to TGF-
release, GRP induced amphiregulin, but not EGF, secretion into HNSCC cell culture medium, an effect that was blocked by the MMP inhibitor marimastat. TGF-
and amphiregulin secretion by GRP stimulation also was inhibited by blockade of Src family kinases. These results suggest that Src family kinases contribute to GRP-mediated EGFR growth and invasion pathways by facilitating cleavage and release of TGF-
and amphiregulin in HNSCC. | INTRODUCTION |
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Cumulative evidence shows that EGFR can be activated by G-proteincoupled receptors (GPCRs) in diverse cell types, including fibroblasts, smooth muscle cells, and tumor cells (9, 10, 11, 12, 13)
. The primary mechanism of GPCR-mediated EGFR activation involves proteolytic release of EGFR ligand(s) (10
, 12, 13, 14)
. However, the specific EGFR ligand released by GPCRs appears to be cell type and GPCR ligand specific. Heparin-binding EGF-like growth factor (HB-EGF) has been shown to be the primary EGFR ligand involved in the EGFR activation by GPCRs in COS-7, HEK-293, and breast cancer cells (10
, 14)
, whereas transforming growth factor
(TGF-
) has been implicated in colon epithelial cells and head and neck squamous cell carcinomas (HNSCCs; refs. 11
, 12
, 15
). Amphiregulin also has been shown to play a role in GPCR-EGFR transactivation by lysophosphatidic acid (LPA) or carbachol treatment of HNSCC (13)
. We previously reported that gastrin-releasing peptide (GRP) and its receptor (GRPR) participate in an autocrine growth pathway in HNSCC, in which GRPR levels in the primary tumor are correlated with survival (16)
. In contrast, the biological significance of the other GPCR ligands studied to date in EGFR activation in HNSCC remains undetermined.
In addition to the release of EGFR ligands, Src family kinases have been shown to contribute to EGFR activation by GPCRs in several systems. G proteins transduce signals from GPCRs to EGFR and mitogen-activated protein kinase (MAPK) via unknown intermediate molecules. Emerging evidence has shown that Src family kinases are associated with G proteins and are directly activated by G
subunits in fibroblasts (17)
. Activation of c-Src kinase also has been shown to be an early event in Gß
-mediated MAPK activation by GPCRs in fibroblasts (18)
. It has been reported that Src family kinases are activated by GPCR ligands, followed by downstream activation of EGFR and MAPK in the colon cancer cell line Caco-2, RGM1 gastric epithelial cells, COS-7 fibroblasts, and GT17 neuronal cells (11
, 18
, 19)
. Src family kinases directly associate with EGFR and mediate phosphorylation of tyrosine residues Y845 and Y1101 on the EGFR (20
, 21)
. The precise mechanism of GPCR-mediated EGFR activation by Src family kinases is incompletely understood. The present study was undertaken to test the hypothesis that Src kinases mediate EGFR activation by GRP via cleavage of EGFR proligands. Here we show that blockade of Src kinases using either pharmacologic inhibitors or dominant-negative mutants decreased GRP-induced EGFR phosphorylation and MAPK activation by inhibiting release of TGF-
and amphiregulin into HNSCC cell culture medium. Additional investigation showed the importance of Src family kinases in mediating GRP-induced growth and invasion in HNSCC cells. These results show a novel role for Src kinases in mediating EGFR proligand release in response to GPCR ligands.
| MATERIALS AND METHODS |
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ELISA kit was purchased from Oncogene Research Products, and the amphiregulin and EGF ELISA kits were purchased from R&D Systems.
Cell Culture.
All of the HNSCC cell lines (1483, PCI-37a) were of human origin. Cells were maintained in DMEM with 12% heat-inactivated FCS (Invitrogen, Carlsbad, CA) at 37°C with 5% CO2. Primary cell cultures were generated from murine embryonic fibroblasts derived from EGFR knockout mice (Jackson Laboratories, Bar Harbor, ME) and their corresponding wild-type littermates (CD1 background) obtained at age E16.5 days as described previously (15)
.
Expression and Purification of Glutathione S-Transferase Downstream of Kinase (GST-Dok) Substrate.
To create a substrate for in vitro Src kinase assays, we expressed a portion of the p62 Ras GTPase-activating protein (GAP)-associated protein Dok as a GST fusion protein (22)
. The coding region of murine Dok residues Ser 309 to Leu 429 was amplified by PCR and cloned downstream and in-frame of GST in the baculovirus transfer vector pVL-GST (23)
. This region of Dok contains multiple consensus sequences for tyrosine phosphorylation. The resulting pVL-GST-Dok vector was used to create a recombinant baculovirus using Baculogold DNA and the manufacturers protocol (BD PharMingen, San Diego, CA). The GST-Dok fusion protein was expressed in Sf-9 insect cells and purified in one step using glutathione-agarose beads. The protein was eluted from the beads with free glutathione and dialyzed against 50 mmol/L HEPES buffer (pH 7.4) containing 10% glycerol. The final protein ran as a single band of the expected molecular mass following analysis by SDS-PAGE and Coomassie staining.
In vitro Kinase Assays.
After treatment with GRP or EGF, cells were washed three times with cold PBS, lysed with lysis buffer [10 mmol/L Tris HCl (pH 7.6), 50 mmol/L Na4P2O7, 50 mmol/L NaF, 1 mmol/L NaV3O4, 1% Triton X-100, and 1x protease inhibitor mixture tablet that included a broad spectrum potent inhibitor of protein tyrosine phosphatases; Roche, Basel, Switzerland], scraped off the plate, and passed through a 26.5-gauge needle three or four times. The lysate then was centrifuged at 4°C, 14,000 rpm for 10 minutes. Supernatant was collected for protein quantitation. Protein quantitation was performed using the Protein Assay Solution (Bio-Rad Laboratories, Hercules, CA) and BSA of known concentration as the standard. Antic-Src and c-Yes antisera (Santa Cruz Biotechnology, Santa Cruz, CA) were used to immunoprecipitate Src family proteins. Forty microliters of protein agarose G beads (Invitrogen) were added to the lysate and incubated overnight at 4°C with gentle agitation. The beads were collected by centrifugation at 4°C, 14,000 rpm for 1 minute. The beads were resuspended and washed with lysis buffer three times. Immunoprecipitates were washed twice with kinase buffer [50 mmol/L HEPES (pH 7.4) and 10 mmol/L MgCl2]. Kinase buffer containing 1 µg of the tyrosine kinase substrates GST-Dok and 5 µCi of [
-32P] ATP (3,000 Ci/mmol; PerkinElmer, Boston, MA) was added, and the reactions were incubated for 15 minutes at 30°C. Reactions were stopped by adding SDS-PAGE sample buffer and heating to 95°C for 5 minutes. Radiolabeled substrates were visualized by autoradiography.
Transfection of HNSCC Cells with Dominant-Negative c-Src.
HNSCC 1483 cells were transfected with a pUSEamp vector (Upstate Biotechnology) containing mutant Src (K296R/528F) cDNA using LipofectAMINE (Life Technologies, Rockville, MD) according to the manufacturers recommendations. Stably transfected clones were selected for resistance to the neomycin analog G418 (800 µg/mL; Life Technologies) as described previously (22)
. Dominant-negative c-Src was generated by mutation of K296 to R, which rendered the kinase domain incapable of binding ATP.
Cell Treatments.
HNSCC cells were plated at a density of 2 x 105 cells/mL in 10-cm2 plates. Twenty-four hours after plating, cells were serum starved for 72 hours in serum-free DMEM. During serum starvation the media were changed every 24 hours. For the experiments with inhibitors, cells were pretreated with 6 µg/mL of C225, 20 µmol/L marimastat, 100 nmol/L A-419259, or 15 µg/mL amphiregulin-neutralizing antibody. Control wells were treated with vehicle (water) or DMSO for 2 hours before the addition of growth factors. After pretreatment when required, 400 nmol/L GRP or 10 ng/mL EGF were added to the cells. At selected time points after growth factor stimulation, cells were washed three times with cold PBS, lysed with lysis buffer [10 mmol/L Tris HCl (pH 7.6), 50 mmol/L Na4P2O7, 50 mmol/L NaF, 1 mmol/L NaV3O4, 1% Triton X-100, and 1x protease inhibitor mixture tablet that included a broad spectrum potent inhibitor of protein tyrosine phosphatases; Roche], scraped off the plate, and passed through a 26.5-gauge needle three or four times. The lysate then was centrifuged at 4°C, 14,000 rpm for 10 minutes. Supernatant was collected for protein quantitation.
Western Blot Analysis and Immunoprecipitation.
For immunoprecipitation, 100 µg of total protein were incubated for 2 hours at 4°C with 3 µg of anti-EGFR antibody (Upstate Biotechnology) or with 7.5 µL of antic-Src and c-Yes antisera (Santa Cruz Biotechnology) with gentle agitation. Forty microliters of protein agarose G beads (Invitrogen) were added to the lysate and incubated overnight at 4°C with gentle agitation. The beads were collected by centrifugation at 4°C, 14,000 rpm for 1 minute. The beads were resuspended and washed with lysis buffer three times. The beads were resuspended in 20 µL of 2x loading dye and boiled for 5 minutes at 95°C, followed by Western blot analysis. The immunoprecipitated proteins then were resolved on an 8% SDS-PAGE gel. After being transferred onto a Protran membrane, the membrane was blocked in 5% milk and blotted with the antiphosphotyrosine antibody PY99 (Santa Cruz Biotechnology) at 1:1,000 in Blotto solution [0.6% dry milk powder, 0.9% NaCl, 0.5% Tween 20, and 50 mmol/L Tris (pH 7.4)]. After washing three times with Blotto solution, the membrane then was incubated with the secondary antibody (goat antirabbit/mouse IgG-horseradish peroxidase conjugate; Bio-Rad Laboratories) for 1 hour and washed three times for 10 minutes. The membrane was developed with Luminol Reagent (Santa Cruz Biotechnology) by autoradiography. Blots were stripped in Restore Western Blot Stripping buffer (Pierce, Rockford, IL) for 15 minutes at room temperature, blocked for 1 hour, and reprobed with EGFR antibody (Transduction Laboratories) at 1:1,000 or with antic-Src and c-Yes antisera (Santa Cruz Biotechnology) for 2 hours.
Invasion of HNSCC Cells Defective in c-Src.
The ability of HNSCC cells to invade on GRP stimulation in the presence and absence of c-Src was measured using Matrigel-coated modified Boyden inserts with a pore size of 8 µm (Becton Dickinson/Biocoat, Bedford, MA). Cells were plated at a density of 2 x 104 cells/well in DMEM with or without GRP (400 nmol/L)/5% serum in the insert. The lower well contained 10% fetal bovine serum with or without 400 nmol/L GRP. After 48 hours of treatment at 37°C in a 5% CO2 incubator, the cells in the insert were removed by wiping gently with a cotton swab. Cells on the reverse side of the insert were fixed and stained with Hema 3 (Fisher Scientifics, Hampton, NH) according to the manufacturers instructions. Invading cells in four representative fields were counted using light microscopy at 400x magnification. Mean ± SE was calculated from two independent experiments.
ELISA Assay.
HNSCC cells were plated at a density of 2 x 105 cells/mL in 10-cm2 plates. Twenty-four hours after plating, cells were serum starved for 72 hours in serum-free DMEM. During serum starvation the media were changed every 24 hours. Cells were pretreated with 20 µmol/L marimastat or 100 nmol/L A-419259 for 2 hours at 37°C with 5% CO2. Cells were treated with 400 nmol/L GRP for 10 minutes. Cell culture media were collected, and cells were subjected to centrifugation at 1300 rpm for 10 minutes. Pellets were discarded, and the supernatant was tested for levels of TGF-
, amphiregulin, or EGF as per the manufacturers instructions.
Proliferation Assays.
Cells were plated at low density (2 x 104 cells) and allowed to seed overnight in a 24-well plate. Cells then were treated with GRP (400 nmol/L) or the control vehicle (water) in serum-free DMEM. After 3 days, cell number was determined by counting. Serum-containing DMEM also was used to treat cells for 3 days as a positive control or cell growth.
Statistics.
All of the group differences were tested with the exact Wilcoxon test. The P values from multiple comparisons within the same experiment were adjusted with the Bonferroni procedure.
| RESULTS |
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-32P] ATP and an Mr 40,000 GST-Dok (22)
fusion protein as substrate. As shown in Fig. 1A
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Additional investigation using dominant-negative c-Srctransfected HNSCC cells previously shown to exhibit reduced c-Src activation (24)
showed that GRP was able to stimulate MAPK activation in vector-transfected control cells (Neo 1483) but not in dominant-negative c-Srctransfected cells (DN c-Src 1483; Fig. 3C
). MAPK activation by EGF was intact in dominant-negative c-Srctransfected cells, indicating that MAPK activation by GRP, but not EGF, requires c-Src activity. These results suggest that Src family kinases mediate EGFR and MAPK activation by GRP in HNSCC cells.
Amphiregulin, but not EGF, Is Cleaved by GRP Stimulation in HNSCC Cells.
Previous reports have shown that activation of EGFR by GPCRs can involve intracellular and extracellular pathways (10
, 11)
. It was found that extracellular release of EGFR ligands from the plasma membrane was mediated by MMP activity, which is required for EGFR activation by GPCRs (10)
. We previously reported that TGF-
, but not HB-EGF, was implicated in the activation of EGFR by GRP in HNSCC (15)
. To determine whether other EGFR ligands were involved in the activation of EGFR by GRP, ELISAs were performed to examine amphiregulin and EGF release. As shown in Fig. 4A
, GRP induced amphiregulin secretion into HNSCC cell culture medium. Pretreatment of HNSCC cells with the MMP inhibitor marimastat abrogated amphiregulin release. In contrast, GRP treatment did not induce EGF release into HNSCC cell culture medium (Fig. 4B
; P = 0.343). These results indicate that in addition to TGF-
, amphiregulin is cleaved by GRP stimulation in HNSCC cells. To confirm that amphiregulin binding to EGFR mediated GRP-induced EGFR activation, HNSCC cells were treated with an amphiregulin-neutralizing antibody or an EGFR-blocking antibody (C225), followed by GRP treatment. As shown in Fig. 4C
, GRP-mediated EGFR phosphorylation was abrogated by blockade of amphiregulin or EGFR ligand binding.
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are two specific EGFR proligands cleaved by GRP treatment in HNSCC cells. Src family kinases also mediate EGFR and MAPK activation by GRP. Therefore, we hypothesized that Src family kinases contribute to EGFR and MAPK activation by GRP through EGFR proligand cleavage. To test this hypothesis, we treated HNSCC cells with the Src inhibitor A-419259, followed by GRP treatment and TGF-
or amphiregulin determinations in cell culture medium. As shown in Fig. 5A and B
following GRP treatment was abrogated by blockade of Src family kinases (Fig. 5A
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| DISCUSSION |
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, and amphiregulin in this process in HNSCC cells and show a novel role for Src family kinases. Src family kinases previously have been implicated in the cross-talk between EGFR and GPCRs (14 , 19 , 35) . Activation of Src family kinases, including Fyn, c-Yes, and c-Src, have been reported to be an early event following thrombin treatment in lung fibroblast CCL39 cells (36) . A variety of GPCR ligands, including bombesin, bradykinin, and vasopressin, can rapidly activate Src family kinases in Swiss mouse fibroblast cells (37) . In addition to fibroblasts, it has been shown that c-Src is activated by prostaglandin E2 treatment in colon cancer cells in conjunction with EGFR activation (11) . Because GRP is the "mammalian counterpart" of bombesin (15) , our findings of increased phosphorylation of c-Src by GRP in HNSCC cells are consistent with these earlier studies. In all of the cell lines examined, activation of c-Src by GRP was more pronounced than the other Src family kinases and was higher following treatment with this GPCR ligand compared with EGF. Interestingly, our preliminary experiments also suggest that GRP can modestly up-regulate Lyn and Fyn activation. Furthermore, experiments in murine EGFR knockout cells showed that EGFR was required for maximum induction of Src kinase activation by GRP. These results suggest that activation of Src family kinases by GRP is upstream of EGFR. Activation of Src family kinases has been implicated either upstream or downstream of EGFR phosphorylation, depending on the cellular context (9 , 24 , 35) . In contrast, EGFR phosphorylation is required for EGFR ligand-induced activation of Src family kinases (24) .
Previous studies have shown that Src family kinases can be activated by GPCRs (35 , 36) . However, the specific Src family kinase(s) involved in EGFR and MAPK activation by GPCRs in human cancer cells remains incompletely understood. To elucidate the role of specific Src family kinases in EGFR phosphorylation and MAPK activation by GRP, we used several approaches, including three different pharmacologic inhibitors and generation of HNSCC cells expressing mutant c-Src. Compared with vector-transfected control cells, dominant-negative c-Srctransfected cells were found to specifically express lower levels of c-Src but not Fyn, Lyn, or c-Yes (24) . Dominant-negative c-Srctransfected cells also were growth inhibited compared with vector-transfected controls (24) . In the present study, GRP stimulated MAPK activation in vector-transfected control HNSCC cells but not in dominant-negative c-Srctransfected HNSCC cells, indicating that c-Src may play a critical role in MAPK activation by GRP. In contrast, we found that MAPK activation by EGF was not affected by decreased c-Src activity in HNSCC cells, suggesting that c-Src modulates activation of MAPK by GRP but not EGF. In addition to MAPK activation, c-Src also was found to play a critical role in GRP-mediated HNSCC proliferation and invasion, indicating the importance of c-Src in GPCR-mediated EGFR activation and HNSCC progression.
EGFR ligand cleavage by the MMP and a disintegrin and metalloprotease (ADAM) families of metalloproteinases from the plasma membrane has been shown to be involved in EGFR activation by GPCRs (14
, 38 , 39)
. However, the precise EGFR ligand(s) and cleavage enzymes that participate in this process appear to depend on the specific different biological system being investigated (39)
. Evidence to date has indicated the involvement of several EGFR ligands, including amphiregulin, HB-EGF, and TGF-
(10, 11, 12, 13, 14, 15)
. However, there are no reports showing that more than one EGFR ligand may participate in EGFR activation by a single GPCR ligand in a specific tumor system. We previously reported that TGF-
but not HB-EGF is involved in EGFR activation by GRP in HNSCC (15)
. In the present study, we further show that amphiregulin release into HNSCC cell line supernatants also is induced by GRP. The concentration of amphiregulin in the cell culture media following GRP treatment is 8- to 10-fold higher compared with TGF-
levels. Whereas TGF-
has been extensively studied as an autocrine growth factor in HNSCC, there are few reports on the role of amphiregulin in this tumor system. Our findings suggest that EGFR activation by GPCRs may involve cleavage of more than one EGFR proligand and its subsequent release from the plasma membrane.
Several studies have attempted to identify the specific cleavage enzyme involved in GPCR-mediated release of EGFR ligand (10
, 14 , 39)
. MMP-2 and MMP-9 have been shown to be involved in the release of HB-EGF and subsequent EGFR activation induced by estradiol (E2) in breast cancer cells (14)
. Phorbol-12-myristate-13-acetateinduced activation of ADAM-9 was reported in HB-EGF shedding in Vero cells (40)
. A recent report showed that TNF-
converting enzyme (TACE)/ADAM-17 is involved in cleavage of proamphiregulin and downstream EGFR and MAPK activation in HNSCC cells (13)
. Zymography results showed that MMP-2 and MMP-9 are not involved in the release of EGFR ligands induced by GRP in HNSCC cells (data not shown). Further studies are required to identify the precise cleavage enzyme involved in the GRP-induced EGFR ligand release.
The role of Src family kinases in mediating metalloproteinase activity and shedding of EGFR ligands has not been reported previously. We show here that several Src family kinases can be activated by GRP, with subsequent phosphorylation of EGFR and downstream MAPK activation. Emerging evidence suggests that Src family kinases may mediate metalloproteinase activity (14) . E2 has been shown to induce MMP-2 and MMP-9 activity in MCF-7 cells, in which the effect was attenuated by the Src family kinase inhibitor PP2 or a dominant-negative c-Src construct (14) . Although MMP-2 and MMP-9 do not appear to be involved in GRP-mediated EGFR ligand cleavage in HNSCC cells, TACE/ADAM-17 has been shown to mediate cleavage of amphiregulin by several GPCR ligands. A physical association between ADAM and Src family proteins has been reported previously (41 , 42) . It also has been shown that Src family kinases induced ADAM-mediated release of L1 adhesion molecule from human tumor cells (43) . These cumulative findings show a novel role for Src family kinases in mediating the release of EGFR ligands induced by GRP and contributing to HNSCC progression.
| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Requests for reprints: Jennifer Rubin Grandis, The Eye and Ear Institute, Room 105, 200 Lothrop Street, Pittsburgh, PA 15213. Phone: 412-647-5280; Fax: 412-647-0108; E-mail: jgrandis{at}pitt.edu
Received 2/13/04. Revised 5/ 5/04. Accepted 6/29/04.
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Y. Xu, Y. Shao, J. J. Voorhees, and G. J. Fisher Oxidative Inhibition of Receptor-type Protein-tyrosine Phosphatase {kappa} by Ultraviolet Irradiation Activates Epidermal Growth Factor Receptor in Human Keratinocytes J. Biol. Chem., September 15, 2006; 281(37): 27389 - 27397. [Abstract] [Full Text] [PDF] |
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Y. V. Mukhin, M. Gooz, J. R. Raymond, and M. N. Garnovskaya Collagenase-2 and -3 Mediate Epidermal Growth Factor Receptor Transactivation by Bradykinin B2 Receptor in Kidney Cells J. Pharmacol. Exp. Ther., September 1, 2006; 318(3): 1033 - 1043. [Abstract] [Full Text] [PDF] |
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B. L. Rothschild, A. H. Shim, A. G. Ammer, L. C. Kelley, K. B. Irby, J. A. Head, L. Chen, M. Varella-Garcia, P. G. Sacks, B. Frederick, et al. Cortactin Overexpression Regulates Actin-Related Protein 2/3 Complex Activity, Motility, and Invasion in Carcinomas with Chromosome 11q13 Amplification Cancer Res., August 15, 2006; 66(16): 8017 - 8025. [Abstract] [Full Text] [PDF] |
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Y. Zhao, D. He, B. Saatian, T. Watkins, E. Wm. Spannhake, N. J. Pyne, and V. Natarajan Regulation of Lysophosphatidic Acid-induced Epidermal Growth Factor Receptor Transactivation and Interleukin-8 Secretion in Human Bronchial Epithelial Cells by Protein Kinase C{delta}, Lyn Kinase, and Matrix Metalloproteinases J. Biol. Chem., July 14, 2006; 281(28): 19501 - 19511. [Abstract] [Full Text] [PDF] |
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S. Kalyankrishna and J. R. Grandis Epidermal Growth Factor Receptor Biology in Head and Neck Cancer J. Clin. Oncol., June 10, 2006; 24(17): 2666 - 2672. [Abstract] [Full Text] [PDF] |
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Q. Zhang, S. M. Thomas, V. W. Y. Lui, S. Xi, J. M. Siegfried, H. Fan, T. E. Smithgall, G. B. Mills, and J. R. Grandis Phosphorylation of TNF-{alpha} converting enzyme by gastrin-releasing peptide induces amphiregulin release and EGF receptor activation PNAS, May 2, 2006; 103(18): 6901 - 6906. [Abstract] [Full Text] [PDF] |
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J. M. Knowlden, I. R. Hutcheson, D. Barrow, J. M. W. Gee, and R. I. Nicholson Insulin-Like Growth Factor-I Receptor Signaling in Tamoxifen-Resistant Breast Cancer: A Supporting Role to the Epidermal Growth Factor Receptor Endocrinology, November 1, 2005; 146(11): 4609 - 4618. [Abstract] [Full Text] [PDF] |
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A. A. Adjei and M. Hidalgo Intracellular Signal Transduction Pathway Proteins As Targets for Cancer Therapy J. Clin. Oncol., August 10, 2005; 23(23): 5386 - 5403. [Abstract] [Full Text] [PDF] |
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