Journal: bioRxiv
Article Title: Preclinical Prediction of Resistance and Optimization of Sequential Therapy for ALK-positive Lung Cancer Using Next-generation ALK Inhibitors
doi: 10.1101/2025.05.26.656085
Figure Lengend Snippet: Neladalkib-resistant mutations emerging from G1202R- or I1171N-positive ALK and their cross-sensitivity to other ALK-TKIs. a Predicted neladalkib-resistant mutations with G1202R (n = 7). Mutant libraries of Ba/F3 cells were exposed to neladalkib (50 nM) for 2 weeks. b Sensitivity evaluation of the G1202R + L1196M compound variant against neladalkib. Ba/F3 cells expressing EML4–ALK variant 1 and different mutants were exposed to neladalkib for 72 h. Cell viability was evaluated by the CCK-8, with absorbance measured at 450 nm. c Predicted neladalkib-resistant mutations with I1171N (n = 64). Mutant libraries of Ba/F3 cells were exposed to neladalkib (500 nM) for 2 weeks. Other mutations included the triple mutation I1171N + C1156Y + D1203N, as well as I1171N + L1196M and I1171N + V1130L, both of which remained sensitive to neladalkib. d Sensitivity of predicted mutations to neladalkib. Ba/F3 cells expressing EML4–ALK variant 1 and different mutants were exposed to neladalkib for 72 h. Cell viability was evaluated by the CCK-8 assay, with absorbance measured at 450 nm. e Immunoblotting evaluation of the suppression of phosphorylated ALK expression in each resistant mutant by neladalkib. Ba/F3 cells expressing EML4–ALK variant 1 and different resistance mutations were treated with neladalkib for 3 h. Next, immunoblotting was used to detect the indicated protein in cell lysates. f–i Sensitivity of each resistance mutant to alectinib ( f ), crizotinib ( g ), lorlatinib ( h ), and brigatinib ( i ). Ba/F3 cells expressing EML4–ALK variant 1 and different resistance mutations were exposed to neladalkib for 72 h. Cell viability was evaluated by the CCK-8 assay, with absorbance measured at 450 nm. CCK-8 Cell Counting Kit-8, EML4 echinoderm microtubule-associated protein-like 4, ALK anaplastic lymphoma kinase, TKIs tyrosine kinase inhibitors
Article Snippet: Subsequently, the membranes were incubated overnight at 4℃ with gentle agitation in primary antibody dilution buffer (phosphorylated ALK [Y1604; Cell Signaling Technologies, Danvers, MA, USA; #3341, 1:1000], ALK [Cell Signaling Technologies; #3791, 1:2000], and α-tubulin [FUJIFILM Wako; #013-25033, 1:4000]).
Techniques: Mutagenesis, Variant Assay, Expressing, CCK-8 Assay, Western Blot, Cell Counting