Erlotinib inhibits the proliferation of DiFi human colon tumor cells at submicromolar concentrations in cell culture and blocks cell cycle progression at the G1 phase. Erlotinib produces a marked accumulation of retinoblastoma protein in its underphosphorylated form and accumulation of p27KIP1 in DiFi cells, which may contribute to the cell cycle block. Inhibition of the EGFR also triggers apoptosis in these cells as determined by formation of DNA fragments and other criteria.
[1] Erlotinib and OSI-420 are equipotent, and the combined concentrations of Erlotinib plus OSI-420 achieved in the CSF exceeded the IC50 (20 nM) for the EGFR tyrosine kinase inhibition in intact tumor cells.
[2] Formation of O-desmethyl-Erlotinib (OSI-420), the major metabolite of Erlotinib in human plasma, is mediated primarily by CYP3A4, CYP3A5, and CYP1A1, to a lesser extent by CYP1A2 and CYP2D6, and to a negligible extent by CYP1B1. The estimated intrinsic clearance for OSI-420 formation is 0.09, 0.05, 0.04, 0.02, and 0.03 mL/min/nmol CYP by CYP3A4, CYP3A5, CYP2D6, CYP1A1, and CYP1A2, respectively.
[3] In apoptosis-sensitive AML cells, Erlotinib causes a rapid (within less than 1 hour) nucleocytoplasmic translocation of nucleophosmin-1 (NPM-1) and p14
ARF.
[4]