Method for detecting and controlling cancer
Methods are provided for treating cancer metastasis by administering a therapeutic composition targeting a kinase substrate cascade.
1. A method for treating a patient with colorectal cancer that has metastasized to the patient's liver and/or lung comprising the step of administering to the patient a therapeutically effective amount of one or more drugs that target at least two of the following proteins, if two or more of the proteins are found to be elevated in a sample of the metastatic cancer from the patient: pAKT, pSTAT3, pVEGFR, pFKHR-FICHRL1, pcKit, pShc, pSMAD2, pSrc, pSTAT5, pAbl, pJak1, pPyk2, pPDGFRb, pPRAS40, and pEGFR, wherein the drugs are selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, Lapatinib, an akt inhibitor, and a PI3 kinase inhibitor.
2. The method of claim 1 , wherein the patient's cancer has metastasized to the patient's liver, and the proteins determined to be elevated are at least two of pAbl, pcKit, pPDGFRb, pVEGFR, and pEGFR.
3. The method of claim 2 , wherein the selected drug is Imatinib mesylate if pAbl, pcKit, and/or pPDGFRb are elevated, Bevacizumab if pVEGFR is elevated, and Erlotinib hydrochloride, Panitumumab, and/or Lapatinib if pEGFR is elevated.
4. The method of claim 2 , wherein the selected drug is Imatinib mesylate if pAbl, pcKit, and/or pPDGFRb are elevated.
5. The method of claim 1 , wherein the patient's cancer has metastasized to the patient's lung, and the drug is at least one selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, and Lapatinib.
6. The method of claim 1 , wherein the proteins are pAKT S473, pSTAT3 S727, pVEGFR Y951 and Y996, pFKHR-FKHRL1 T24-T32, pcKit Y703, pShc Y317, pSMAD2 S465-467, pSrc Y527, pSTAT5 Y694, pAbl Y245, pJak1 Y1022-1023, pPyk2 Y402, pPDGFRb Y751, pPRAS40, and pEGFR Y992 and Y1173.
7. A method for treating a patient with colorectal cancer that has metastasized to the patient's liver and/or lung comprising the step of administering to the patient a therapeutically effective amount of one or more drugs that target at least two of the following proteins, if two or more of the proteins are found to be elevated in a sample of the metastatic cancer from the patient: pAKT S473, pSTAT3 S727, pVEGFR Y951 and Y996, pFKHR-FKHRL1 T24-T32, pcKit Y703, pShc Y317, pSMAD2 S465-467, pSrc Y527, pSTAT5 Y694, pAbl Y245, pJak1 Y1022-1023, pPyk2 Y402, pPDGFRb Y751, pPRAS40, and pEGFR Y992 and Y1173, wherein the drugs are selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, Lapatinib, an akt inhibitor, and a PI3 kinase inhibitor.
8. The method of claim 7 , wherein the patient's cancer has metastasized to the patient's liver, and the proteins determined to be elevated are at least two of pAbl Y245, pcKit Y703, pPDGFRb Y751, pVEGFR Y951 and Y996, and pEGFR Y992 and Y1173.
9. The method of claim 8 , wherein the selected drug is Imatinib mesylate if pAbl Y245, pcKit Y703, and/or pPDGFRb Y751 are elevated, Bevacizumab if pVEGFR Y951 and/or Y996 are elevated, and Erlotinib hydrochloride and/or Lapatinib if pEGFR Y992 and/or Y1173 is elevated.
10. The method of claim 8 , wherein the selected drug is Imatinib mesylate if pAbl Y245, pcKit Y703, and/or pPDGFRb Y751 are elevated.
11. The method of claim 7 , wherein the patient's cancer has metastasized to the patient's lung, and the drug is at least one selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, and Lapatinib.
12. A method of treating a patient with colorectal cancer that has metastasized to the patient's liver comprising the steps of:
(a) determining the combined relative phosphorylation level of Abl, cKit, and PDGFRb in a sample of the patient's metastatic cancer compared to a reference standard; and
(b) administering a therapeutically effective amount of Imatinib mesylate to the patient if the level is above the standard.
13. A method of treating a patient with colorectal cancer that has metastasized to the patient's lung, comprising administering to the patient a therapeutically effective amount of at least one therapeutic selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, and Lapatinib.
14. A method for treating a patient with colorectal cancer that has metastasized to the patient's liver and/or lung comprising the steps of:
(a) analyzing a sample of the metastatic cancer from the patient to determine if two or more of the following proteins are elevated: pAKT, pSTAT3, pVEGFR, pFKHR-FKHRL1, pcKit, pShc, pSMAD2, pSrc, pSTAT5, pAbl, pJak1, pPyk2, pPDGFRb, pPRAS40, and pEGFR;
(b) selecting one or more drugs for treating the patient that target at least two of any of the proteins found to be elevated, wherein the drugs are selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, Lapatinib, an akt inhibitor, and a PI3 kinase inhibitor; and
(c) administering a therapeutically effective amount of the one or more drugs to the patient.
15. The method of claim 14 , wherein the step of analyzing the sample comprises:
isolating epithelial cells from the sample;
lysing the epithelial cells; and
analyzing the lysate.
16. The method of claim 15 , wherein the cells are isolated by laser capture microdissection and the lysate is distributed onto a reverse phase microarray and then analyzed by an immunoassay.
17. The method of claim 14 , wherein the proteins determined to be elevated are at least two of pAKT, pAbl, pcKit, pPDGFRb, pVEGFR, and pEGFR.
18. The method of claim 17 , wherein the selected drug is Imatinib mesylate if pAbl, pcKit, and/or pPDGFRb are elevated, Bevacizumab if pVEGFR is elevated, and Erlotinib hydrochloride, and/or Lapatinib if pEGFR is elevated.
19. The method of claim 14 , wherein the protein or proteins determined to be elevated are at least two of pAbl, pcKit, and pPDGFRb.
20. The method of claim 19 , wherein the selected drug is Imatinib mesylate.
21. The method of claim 14 , wherein the proteins are pAKT S473, pSTAT3 S727, pVEGFR Y951 and Y996, pFKHR-FKHRL1 T24-T32, pcKit Y703, pShc Y317, pSMAD2 S465-467, pSrc Y527, pSTAT5 Y694, pAbl Y245, pJak1 Y1022-1023, pPyk2 Y402, pPDGFRb Y751, pPRAS40, and pEGFR Y992 and Y1173.
22. A method for treating a patient with colorectal cancer that has metastasized to the patient's liver and/or lung comprising the steps of:
(a) analyzing a sample of the metastatic cancer from the patient to determine if two or more of the following proteins are elevated: pAKT S473, pSTAT3 S727, pVEGFR Y951 and Y996, pFKHR-FKHRL1 T24-T32, pcKit Y703, pShc Y317, pSMAD2 S465-467, pSrc Y527, pSTAT5 Y694, pAbl Y 245 , pJak1 Y1022-1023, pPyk2 Y402, pPDGFRb Y751, pPRAS40, and pEGFR Y992 and Y1173;
(b) selecting one or more drugs for treating the patient that target at least two of any of the proteins found to be elevated, wherein the drug is selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, Lapatinib, an akt inhibitor, and a PI3 kinase inhibitor; and
(c) administering a therapeutically effective amount of the one or more drugs to the patient.
23. The method of claim 22 , wherein the proteins determined to be elevated are at least two of pAKT S473, pAbl Y245, pcKit Y703, pPDGFRb Y751, pVEGFR Y951 and Y996, and pEGFR Y992 and Y1173.
24. The method of claim 23 , wherein the selected drug is Imatinib mesylate if pAbl Y245, pcKit Y703, and/or pPDGFRb Y751 are elevated, Bevacizumab if pVEGFR Y951 and/or Y996 is elevated, and Erlotinib hydrochloride and/or Lapatinib if pEGFR Y992 and/or Y1173 is elevated.
25. The method of claim 22 , wherein the protein or proteins determined to be elevated are at least two of pAbl Y245, pcKit Y703, and pPDGFRb Y751 and the selected drug is Imatinib mesylate.
26. The method of claim 1 , wherein the patient's cancer has metastasized to the patient's liver, and the drug is at least one selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, and Lapatinib.
27. The method of claim 7 , wherein the patient's cancer has metastasized to the patient's liver, and the drug is at least one selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, and Lapatinib.
28. The method of claim 14 , wherein the patient's cancer has metastasized to the patient's lung, and the drug is at least one selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, and Lapatinib.
29. The method of claim 22 , wherein the patient's cancer has metastasized to the patient's lung, and the drug is at least one selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, and Lapatinib.
30. The method of claim 14 , wherein the patient's cancer has metastasized to the patient's liver, and the drug is at least one selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, and Lapatinib.
31. The method of claim 22 , wherein the patient's cancer has metastasized to the patient's liver, and the drug is at least one selected from the group consisting of Imatinib mesylate, Bevacizumab, Erlotinib hydrochloride, Panitumumab, and Lapatinib.