Abstract Head and neck cancer (HNC) is the 6th most common cancer worldwide and the 9th most common cancer in the United States. Singular, targeted cancer therapies rarely produce a robust, complete and durable response and often do not substantially prolong patient survival. Adaptive survival responses often blunt the cytotoxic effects of drugs resulting in resistance. Therefore, targeting compensatory signaling pathways may provide improved therapeutic responses. Even with the current best treatment, 5-year survival for all patients with head and neck squamous cell carcinomas (HNSCC) is only approximately 65%, further highlighting the need for improved combinatorial treatments. Previous work in our laboratory has shown that inhibitors of Insulin Like Growth Factor 1 Receptor (IGF1R) and Src family kinases, when used in combination, synergistically inhibit HNSCC growth in vitro. Therefore, to explore the mechanisms which may contribute to this synergistic cytotoxicity, we utilized reverse phase protein arrays to assess the proteome of HNSCC lines treated with BMS754807 and Dasatinib to inhibit IGF1R and Src, respectively. We identified focal adhesion signaling as a potentially vital node in the cell signaling network of synergistic cytotoxicity upon treatment of HNSCC with BMS754807 and Dasatinib. Focal Adhesion Kinase (FAK) and Paxillin phosphorylation was decreased synergistically with the combination of BMS754807 and Dasatinib. Using western blot analysis, we confirmed a decrease in phosphorylation of FAK Y576/577 and Paxillin Y118 upon combined treatment with BMS754807 and Dasatinib. Interestingly, FAK is upregulated in radioresistant HNSCC patients and, metastases have increased phosphorylation of FAK compared to normal tissues. FAK is amplified in up to 26% of HNSCC and overexpression of Paxillin is associated with unfavorable prognosis, highlighting the importance of focal adhesion signaling in head and neck cancers. Our data suggests that interactions between integrins, receptor tyrosine kinase, and non-receptor kinase signaling regulate cell survival in HNSCC. Disruption of IGFR and Src activity leads to convergent inhibition of focal adhesion signaling and synergistic cytotoxicity in a variety of HNSCC cell lines. Citation Format: Christine E. Lehman, Rolando MEndez, Mark Axelrod, Julia Wulfkuhle, Emanuel Petricoin, Daniel Gioeli, Mark Jameson. Treatment of head and neck squamous cell carcinoma cells with BMS754807 and Dasatinib induce synergistic cytotoxicity through altered focal adhesion signaling [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2018; 2018 Apr 14-18; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2018;78(13 Suppl):Abstract nr 1854.
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