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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2022.872470</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Leveraging Bulk and Single-Cell RNA Sequencing Data of NSCLC Tumor Microenvironment and Therapeutic Potential of NLOC-15A, A Novel Multi-Target Small Molecule</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lawal</surname>
<given-names>Bashir</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/302116"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wu</surname>
<given-names>Alexander T. H.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1029520"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Huang</surname>
<given-names>Hsu-Shan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<xref ref-type="aff" rid="aff8">
<sup>8</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/543448"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Ph.D. Program for Cancer Biology and Drug Discovery, College of Medical Science and Technology, Taipei Medical University and Academia Sinica</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Graduate Institute for Cancer Biology and Drug Discovery, College of Medical Science and Technology, Taipei Medical University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>TMU Research Center of Cancer Translational Medicine, Taipei Medical University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>The PhD Program of Translational Medicine, College of Medical Science and Technology, Taipei Medical University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Clinical Research Center, Taipei Medical University Hospital, Taipei Medical University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Graduate Institute of Medical Sciences, National Defense Medical Center</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff7">
<sup>7</sup>
<institution>School of Pharmacy, National Defense Medical Center</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff8">
<sup>8</sup>
<institution>PhD Program in Biotechnology Research and Development, College of Pharmacy, Taipei Medical University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Mohammad Hojjat-Farsangi, Karolinska Institutet (KI), Sweden</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Jinzhuang Dou, University of Texas MD Anderson Cancer Center, United States; Xuanjun Wang, Yunnan Agricultural University, China; Tianqing Chu, Shanghai Jiao Tong University, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Alexander T. H. Wu, <email xlink:href="mailto:chaw1211@tmu.edu.tw">chaw1211@tmu.edu.tw</email>; Hsu-Shan Huang, <email xlink:href="mailto:huanghs99@tmu.edu.tw">huanghs99@tmu.edu.tw</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Cancer Immunity and Immunotherapy, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>05</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>872470</elocation-id>
<history>
<date date-type="received">
<day>09</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>04</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Lawal, Wu and Huang</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Lawal, Wu and Huang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Lung cancer poses a serious threat to human health and has recently been tagged the most common malignant disease with the highest incidence and mortality rate. Although epidermal growth factor (EGFR)-tyrosine kinase inhibitors (TKIs) have significantly improved the prognosis of advanced non-small cell lung cancer (NSCLC) patients with EGFR mutations, patients often develop resistance to these drugs. There is therefore a need to identify new drug candidates with multitarget potential for treating NSCLC. We hereby provide preclinical evidence of the therapeutic efficacy of NLOC-015A a multitarget small-molecule inhibitor of EGFR/mitogen-activated protein (MAP) kinase kinase 1 (MAP2K1)/mammalian target of rapamycin (mTOR)/yes-associated protein 1 (YAP1) for the treatment NSCLC. Our multi-omics analysis of clinical data from cohorts of NSCLC revealed that dysregulation of EGFR/MAP2K1/mTOR/YAP1 signaling pathways was associated with the progression, therapeutic resistance, immune-invasive phenotypes, and worse prognoses of NSCLC patients. Analysis of single-cell RNA sequencing datasets revealed that MAP2K1, mTOR, YAP1 and EGFR were predominantly located on monocytes/macrophages, Treg and exhaustive CD8 T cell, and are involved in M2 polarization within the TME of patients with primary and metastatic NSCLC which further implied gene&#x2019;s role in remodeling the tumor immune microenvironment. A molecular-docking analysis revealed that NLOC-015A bound to YAP1, EGFR, MAP kinase/extracellular signal-related kinase kinase 1 (MEK1), and mTOR with strong binding efficacies ranging &#x2013;8.4 to &#x2013;9.50 kcal/mol. Interestingly, compared to osimertinib, NLOC-015 bound with higher efficacy to the tyrosine kinase (TK) domains of both T790M and T790M/C797S mutant-bearing EGFR. Our <italic>in vitro</italic> studies and sequencing analysis revealed that NLOC-015A inhibited the proliferation and oncogenic phenotypes of NSCLC cell lines with concomitant downregulation of expression levels of mTOR, EGFR, YAP1, and MEK1 signaling network. We, therefore, suggest that NLOC-015A might represent a new candidate for treating NSCLC <italic>via</italic> acting as a multitarget inhibitor of EGFR, mTOR/NF-&#x3ba;B, YAP1, MEK1 in NSCLC.</p>
</abstract>
<kwd-group>
<kwd>NLOC-15A</kwd>
<kwd>multitarget small molecule</kwd>
<kwd>non-small-cell lung cancer (NSCLC)</kwd>
<kwd>epidermal growth factor receptor (EGFR)</kwd>
<kwd>hippo pathway</kwd>
</kwd-group>
<contract-sponsor id="cn001">Ministry of Science and Technology, Taiwan<named-content content-type="fundref-id">10.13039/501100004663</named-content>
</contract-sponsor>
<counts>
<fig-count count="14"/>
<table-count count="2"/>
<equation-count count="2"/>
<ref-count count="99"/>
<page-count count="21"/>
<word-count count="9530"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Lung cancer poses a serious threat to human health and was recently tagged the second most common malignant disease with the highest incidence and mortality rate in Asia and the world at large (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). With an estimated 1.8 million deaths, lung cancer is the leading cause of cancer-associated deaths globally (<xref ref-type="bibr" rid="B1">1</xref>). Non-small-cell lung cancer (NSCLC) and small-cell lung cancer (SCLC) are the most common classifications for diagnosing lung cancer. However, NSCLC comprises about 80%~85% of all lung cancers (<xref ref-type="bibr" rid="B3">3</xref>) including adenocarcinomas and squamous cell carcinomas (<xref ref-type="bibr" rid="B4">4</xref>) with a 5-year survival rate of &lt;15% (<xref ref-type="bibr" rid="B5">5</xref>), and thus it has become the focus of studying lung cancer resistance and drug target mechanisms.</p>
<p>Epidermal growth factor (EGF) receptor (EGFR) signaling plays vital roles in angiogenesis, cell proliferation, apoptosis inhibition, metastasis, and drug sensitivity and resistance (<xref ref-type="bibr" rid="B6">6</xref>). Receptor tyrosine kinases (RTKs) are high-affinity cell surface receptors that play important roles in modulating growth factor signaling. EGFR is a four-members family of receptors: EGFR (or erbB1), HER2/neu (erbB2), HER3 (erbB3), and HER4 (erbB4) (<xref ref-type="bibr" rid="B7">7</xref>,&#xa0;<xref ref-type="bibr" rid="B8">8</xref>). EGFRs bind ligands on their extracellular ligand-binding domains, and consequently activate their intracellular tyrosine kinase (TK) domains (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>) under normal physiological conditions. This process activates signaling pathways, such as the Ras/mitogen-activated protein kinase (MAPK), Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3), and phosphatidylinositol 3-kinase (PI3K)/AKT, and stimulates downstream mechanisms involved in cell-cycle progression, motility, and cell proliferation and survival (<xref ref-type="bibr" rid="B10">10</xref>).</p>
<p>
<italic>EGFR</italic> gene mutations frequently occur in exons 18~21 around the adenosine triphosphate (ATP)-binding pocket of the EGFR TK domain, while exon 19 deletions (35%~69%) and exon 21 L858R point mutations (21%~48%) occur following treatment with EGFR-tyrosine kinase inhibitors (TKIs) (<xref ref-type="bibr" rid="B11">11</xref>&#x2013;<xref ref-type="bibr" rid="B13">13</xref>). These mutations render the receptor constitutively activated, independent of an extracellular ligand-binding event (<xref ref-type="bibr" rid="B14">14</xref>). Consequently, sustained hyperactivated downstream signaling pathways drive tumorigenesis and result in the emergence of NSCLC (<xref ref-type="bibr" rid="B15">15</xref>). About 50%~60% of Asian patients with NSCLC harbor <italic>EGFR</italic> mutations (<xref ref-type="bibr" rid="B16">16</xref>), and they are more common in females and non-smokers (<xref ref-type="bibr" rid="B11">11</xref>). NSCLC patients with these mutations often show improved prognoses and excellent responses to approved first- and second-generation EGFR-TKIs (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>). However, the development of EGFR T790M mutation-induced acquired drug resistance limits progression-free survival to a maximum of a year (<xref ref-type="bibr" rid="B19">19</xref>). Higher YAP expression was implicated in resistance to a number of cancer drugs (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>) including the first- and second-generation EGFR-TKIs (<xref ref-type="bibr" rid="B22">22</xref>), and treatment of lung cancer with growth factor (vascular endothelial growth factor (VEGF) and YAP) inhibitors provided promising results in previous studies (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B23">23</xref>). However, to the best of our knowledge, no previous studies identified a molecule that can connectively modulate the Hippo, EGFR, RAS-MAPK, and PI3K-TOR pathways in NSCLC.</p>
<p>Tumor immune microenvironment (TIME) comprises extracellular components including cytokines, extracellular matrix, growth factors, hormones, etc.; several types of cells including stromal cells, immune cells, endothelial cells; fibroblasts, etc.) and cancerous cells (<xref ref-type="bibr" rid="B24">24</xref>). The complex interplay of the TIME components promotes immune escape, allowing for tumor progression and metastasis (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>). Accumulating evidence has suggested that several oncogenic molecules promote tumor immune evasion by regulating the infiltration of immune and immunosuppressive cells within the TME promoting and hence serving as important therapeutic targets (<xref ref-type="bibr" rid="B26">26</xref>&#x2013;<xref ref-type="bibr" rid="B28">28</xref>). The extent of the heterogeneity of the TIME in primary and metastatic NSCLC and the role of mTOR/EGFR/YAP1/MAP2K1 in modulating the interplay of the TIME remains poorly characterized.</p>
<p>In this study, we employ multi-omics approaches based on bulk and single-cell transcriptomic datasets to investigate the role of MAP2K1, mTOR, YAP1 and EGFR in the tumor immune context of tumor microenvironment. Our omics analysis of clinical data from cohorts of NSCLC revealed that dysregulation of EGFR/MAP2K1/MTOR/YAP1 signaling pathways are associated with disease progression, anticancer drug resistance, tumor immune infiltration, immune-invasive phenotypes and worse prognosis of the cohorts. Further analysis using the single-cell RNA sequencing data demonstrated that MAP2K1, mTOR, YAP1 and EGFR were predominantly located on monocytes/macrophages, Treg and exhaustive CD8 T cell, and are involved in M2 polarization within the TME of patients with primary and metastatic NSCLC which further implied gene&#x2019;s role in remodeling the tumor immune microenvironment. Interestingly, we demonstrated that NLOC-015A, a novel multitarget small molecule suppresses the proliferation and oncogenic phenotypes of NSCLC <italic>via</italic> inhibiting the EGFR, mTOR, MEK, and YAP1 signaling network. We, therefore, suggest that NLOC-015A might represent a new candidate for treating NSCLC. Our study has expanded our understanding of the complex regulatory mechanism of interaction and the role of EGFR/MAP2K1/MTOR/YAP1 within the TME of NSCLC and suggests the translational immunotherapeutic potential of NLOC-015A.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Differential Expression and Lung Cancer Context-Specific Network Interactions Analysis</title>
<p>We used TNMplot (<xref ref-type="bibr" rid="B29">29</xref>), a web tool for the differentially expressed gene (DEG) analysis in tumor, normal, and metastatic tissues to compare gene expression levels of EGFR, MAP2K1, mTOR, TEA domain family member 1 (TEAD1), and YAP1 between primary and metastatic lung cancer tissues. We analyzed lung cancer context-specific network interactions of hub genes using the Protein Interaction Network Analysis (PINA) platform (<uri xlink:href="https://omics.bjcancer.org/pina/home">https://omics.bjcancer.org/pina/home</uri>). An interaction network was constructed based on the cutoff point of a tumor-type specific score of 2 and Spearman correlation of &gt;0.28. All p-values were adjusted by false detection rate (FDR).</p>
</sec>
<sec id="s2_2">
<title>Differential Phosphorylation Analysis</title>
<p>We explored protein phosphorylation data from the Clinical Proteomic Tumor Analysis Consortium (CPTAC) Confirmatory/Discovery dataset for EGFR, MAP2K1, mTOR, TEAD1, and YAP1 at different tumor stages of lung cancer patients. The protein phosphorylation levels were presented as Z-values which represent standard deviations (SDs) from the median across samples for a given cancer type. Log2[spectral count ratio values]s from CPTAC were first normalized within each sample profile and then normalized across samples (<xref ref-type="bibr" rid="B30">30</xref>).</p>
</sec>
<sec id="s2_3">
<title>Prognostic Analysis</title>
<p>SurveExpress is a biomarker validation program for cancer gene expression (<uri xlink:href="http://bioinformatica">http://bioinformatica</uri>) (<xref ref-type="bibr" rid="B31">31</xref>). To conduct a survival analysis, we downloaded EGFR, MAP2K1, mTOR, TEAD1, and YAP1 expression profiles, survival days, and clinical data of six cohorts consisting of 1053 lung cancer patients from the Lung Meta-base. The cohorts were divided into two groups, (high- and low-expressions groups) based on the median expression levels of each gene. Patients were also sorted by prognostic index and divided into &#x201c;High Risk&#x201d; and &#x201c;Low Risk&#x201d; groups, according to the Maximized Risk Groups. Survival levels of the cohorts were merged with expression levels of the genes and the hazard ratio (HR) of each gene was estimated by fitting CoxPH using the risk group as a covariate.</p>
</sec>
<sec id="s2_4">
<title>Tumor Immune Infiltration Analysis</title>
<p>We evaluated the DEGs expression-induced regulation of the abundance of immune cell infiltration of NSCLC tumor. The infiltration levels of the cytotoxic lymphocytes (B cells, CD4 na&#xef;ve, CD4 T, CD8 na&#xef;ve, CD8 T, cytotoxic, effector_memory T cell, MAIT cells, NK cells, and &#x3b3;&#x3b4; T cells), T helper cells (Th1, Th17, Th2, and Tfh), immunosuppressive cells (regulatory T cell (Treg), Tr1 and cancer-associated fibroblast (CAF)) and myeloid cells (Dendritic cells, monocyte, macrophage, M1 macrophage and M2_macrophages (tumor-associated macrophages)) in HNSCCs were downloaded <italic>via</italic> the tumor IMmune Estimation Resource (TIMER2.0) (<uri xlink:href="http://timer.cistrome.org/">http://timer.cistrome.org/</uri>) server (<xref ref-type="bibr" rid="B32">32</xref>) and the GSCALite (<uri xlink:href="http://bioinfo.life.hust.edu.cn/web/GSCALite/">http://bioinfo.life.hust.edu.cn/web/GSCALite/</uri>) server (<xref ref-type="bibr" rid="B33">33</xref>). The mRNA expression levels of EGFR, MTOR, YAP1, MAP2K1 were corellated with the levels of the infiltrating immune cells. All correlation analysis was conducted using the purity-adjusted partial Spearman&#x2019;s rho value and statistical significance (p &lt;0.05).</p>
</sec>
<sec id="s2_5">
<title>Leveraging Single-Cell RNA Sequencing (scRNA-Seq) Datasets for Tumor Immune Microenvironment of Primary and Metastatic Sites of NSCLC</title>
<p>To characterize the role of EGFR/MAP2K1/mTOR/YAP1 within the tumor microenvironment of NSCLC at single-cell resolution, we explore the single-cell sequencing datasets (E-MTAB-6149 and GSE143423) of NSCLC <italic>via</italic> the Tumor Immune Single-cell Hub (<xref ref-type="bibr" rid="B34">34</xref>). The E-MTAB-6149 database consists of scRNA-seq from 5 patients with primary NSCLC (<xref ref-type="bibr" rid="B35">35</xref>), while GSE143423 datasets consist of scRNA-seq from 3 patients with metastatic NSCLC. For each of the datasets, we employ a uniform analysis pipeline &#x2013; MAESTRO v1.1.0 to perform quality control, clustering and cell-type annotation. Model-based analyses of transcriptome and regulome (MAESTRO), is a comprehensive open-source computational workflow for the integrative analyses of single-cell RNA-seq (scRNA-seq) data from multiple platforms (<xref ref-type="bibr" rid="B36">36</xref>).Two levels of cell-type annotation including the malignancy and major-lineage were curated. We also performed an analysis of scRNA-seq expression of the genes for each cell type. The gene expression in each single cell was quantified as log2(TPM/10+1). We calculated differentially expressed genes (DEGs) between the cells from samples with NSCLC and the cells from controls. Furthermore, the enrichment of EGFR/MAP2K1/mTOR/YAP1 gene set signature was evaluated by using the GSEA module of the TISH.</p>
</sec>
<sec id="s2_6">
<title>Analysis of Gene Association With Drug Resistance</title>
<p>We explore the GSCALite (<uri xlink:href="http://bioinfo.life.hust.edu.cn/web/GSCALite/">http://bioinfo.life.hust.edu.cn/web/GSCALite/</uri>) server identify the association between the expression levels of the gene signature and the efficacy of several anticancer drug (<xref ref-type="bibr" rid="B33">33</xref>). Spearman correlation was used to correlate the messenger (m)RNA expression levels of the gene signature and the 50% inhibitory concentration (IC50) of the small molecules against various cells in the Therapeutics Response Portal (CTRP) and Genomics of Drug Sensitivity (GDSC) databases.</p>
</sec>
<sec id="s2_7">
<title>Cell Lines and Culture</title>
<p>NSCLC cell lines (H441 and H1975) obtained from American Type Culture Collection (ATCC. Manassas, VA., USA) were cultured/subcultured at 90%~95% confluence in Roswell Park Memorial Institute (RPMI) 1640 medium supplemented with 10% fetal bovine serum (FBS) (Gibco) and 1% penicillin/streptomycin (Invitrogen, Life Technologies, Carlsbad, CA, USA) under standard incubator condition (37&#xb0;C in 5% humidified CO<sub>2</sub>).</p>
</sec>
<sec id="s2_8">
<title>Chemical Synthesis of NSC828786 and NSC828788</title>
<p>The starting material of diflunisal (2&#x2019;,4&#x2019;-difluoro-4-hydroxy-[1,1&#x2019;-biphenyl]-3-carboxylic acid) was synthesized <italic>via</italic> a previously described stepwise protocol (<xref ref-type="bibr" rid="B37">37</xref>). Four millimolar (0.98) of diflunisal was prepared in anhydrous tetrahydrofuran (30 mL), mixed with 1 mL of thionyl chloride (14 mmol), and refluxed under a nitrogen atmosphere for 8 h. The resulting mixture was cooled to 27&#xb0;C, steamed, and reacted with an anhydrous tetrahydrofuran solution of 3,4-difluoroaniline (0.4 mL, 4 mmol) for 14 h. Subsequently the reaction mixture was washed with ethyl acetate/n-hexane and extracted with ethyl acetate followed by stepwise washing with 10% NaHCO<sub>3</sub> (15 mL), double-distilled (dd)H<sub>2</sub>O, and brine (10 mL), and dried over anhydrous MgSO<sub>4</sub> to obtain the white compound, NSC828786 (N-(3,4-difluorophenyl)-2&#x2019;,4&#x2019;-difluoro-4-hydroxy-[1,1&#x2019;-biphenyl]-3-carboxamide) (<xref ref-type="bibr" rid="B37">37</xref>). This was further cyclized to NSC828788 (6-(2,4-difluorophenyl)-3-(3,4-difluorophenyl)-2H-benzo[e] (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B3">3</xref>) oxazine-2,4(3H)-dione) in the presence of methyl chloroformate and pyridine (<xref ref-type="bibr" rid="B38">38</xref>). The nuclear magnetic resonance (NMR) characterization of the compounds was deposited (<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B38">38</xref>).</p>
</sec>
<sec id="s2_9">
<title>
<italic>In Silico</italic> Evaluation of the Drug Likeness, Pharmacokinetics (PKs), and Physicochemical Properties of NSC828786 and NSC828788</title>
<p>The physicochemical properties, drug likeness, PKs, and medicinal chemistry of NSC828786 and NSC828788 were analyzed using SwissADME software (<uri xlink:href="http://www.swissadme.ch">http://www.swissadme.ch</uri>) (<xref ref-type="bibr" rid="B39">39</xref>), and computer-aided Prediction of Biological Activity Spectra (PASS) web resources (<uri xlink:href="http://way2drug.com/dr">http://way2drug.com/dr</uri>) (<xref ref-type="bibr" rid="B40">40</xref>). We used the blood-brain barrier (BBB) Prediction Server (<uri xlink:href="https://www.cbligand.org/BBB/">https://www.cbligand.org/BBB/</uri>) which operates based on support vector machine (SVM) and LiCABEDS algorithms on four types of fingerprints of 1593 reported compounds (<xref ref-type="bibr" rid="B41">41</xref>) to analyze their BBB-permeation abilities. In addition, we also used the brain or intestinal estimated permeation method (BOILED-Egg) model (<xref ref-type="bibr" rid="B42">42</xref>) to further analyze the brain- and intestinal-permeation abilities of the compounds based on their lipophilicity and polarity. SMILES structures of the compounds were also uploaded to the SwissADME server and analyzed for the presence of pan-assay interference compound (PAIN) substructures (<xref ref-type="bibr" rid="B43">43</xref>).</p>
</sec>
<sec id="s2_10">
<title>Molecular Docking</title>
<p>The NL0C-015A drug molecule was drawn in sybyl mol2 format using the Avogadro molecular builder and visualization tool vers. 1.XX (<uri xlink:href="http://avogadro.cc/">http://avogadro.cc/</uri>) (<xref ref-type="bibr" rid="B44">44</xref>). The mol2 format was further converted to protein data bank (PDB) format using PyMOL Molecular Graphics System, vers. 1.2r3pre from Schr&#xf6;dinger (<uri xlink:href="https://pymol.org/edu/?q=educational/">https://pymol.org/edu/?q=educational/</uri>). The three-dimensional structure of the MEK1 FHA domain (PDB code: 5YYX), human mTOR complex 1~5.9 &#xc5; (PDB code: 5FLC), EGFR kinase domain T790M mutation (PDB code: 2JIT), and the human YAP and TEAD complex (PDB code: 3KYS) were retrieved from the Protein Data Bank (<uri xlink:href="https://www.rcsb.org/">https://www.rcsb.org/</uri>). NL0C-015A and target molecules were converted into Auto Dock Pdbqt format using AutoDock Vina (<xref ref-type="bibr" rid="B45">45</xref>). All water molecules were removed, and hydrogen atoms and Kolmman charges were added to the proteins. The docking results were visualized using PyMOL software, and the binding pocket of the proteins and Pymol interactions of NL0C-015A in the binding pocket of target active sites were identified using the Discovery Studio Visualizer (<xref ref-type="bibr" rid="B46">46</xref>) and (CASTp) program (<uri xlink:href="http://cast.engr.uic.edu">http://cast.engr.uic.edu</uri>) (<xref ref-type="bibr" rid="B47">47</xref>). Hydrophobic contacts in the ligand-receptor complexes were visualized with the aid of the protein-ligand interaction profiler server (<uri xlink:href="https://plip-tool.biotec.tu-dresden.de/plip-web/plip/index">https://plip-tool.biotec.tu-dresden.de/plip-web/plip/index</uri>) (<xref ref-type="bibr" rid="B48">48</xref>).</p>
</sec>
<sec id="s2_11">
<title>Cell-Viability (Sulforhodamine B) Assay</title>
<p>A cell-viability assay was conducted using the sulforhodamine B (SRB; Sigma-Aldrich, Taipei, Taiwan) reagent as described previously (<xref ref-type="bibr" rid="B49">49</xref>). Cells were harvested at 80% confluence and seeded in 96-well plates (10<sup>4</sup> cells/well) for 24 h followed by drug treatment. After 48 h of drug treatment, cells were fixed with trichloroacetic acid (TCA; 10%) for 1 h and then stained with 0.4% (w/v) SRB. Unbound SRB was washed out with 1% (v/v) acetic acid and allowed to dry overnight. The contents of the plate were further solubilized in 20 mM Tris buffer, and the absorbance was recorded at 562 nm with the aid of a microplate reader (Molecular Devices, Sunnyvale, CA, USA).</p>
</sec>
<sec id="s2_12">
<title>
<italic>In Vitro</italic> Anti-Cancer Analysis of NLOC-015A</title>
<p>The NL0C-015A was evaluated for <italic>in vitro</italic> activities against the nine cell lines subset of human lung cancers including A549/ATCC, EKVX, HOP-62, HOP-92, NCI-H226, NCI-H23, NCI-H322M, NCI-H460 and NCI-H522 using the SRB protocol (<xref ref-type="bibr" rid="B49">49</xref>). The compound was screened for it anti-cancer activities at five different concentrations of 0, 0.1, 1.0, 10, and 100 &#x3bc;M. The activity of the drug on each cell line was calculated and expressed as the drug concentration causing a 50% reduction in the net protein increase in control cells during the drug incubation (GI<sub>50</sub>), and drug concentration causing total growth inhibition (TGI) (<xref ref-type="bibr" rid="B28">28</xref>):</p>
<disp-formula>
<mml:math display="block" id="M1">
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mtext>GI</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mn>50</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mtext>&#x3bc;M</mml:mtext>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>:</mml:mo>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mrow>
<mml:mo>[</mml:mo> <mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mtext>Ti</mml:mtext>
<mml:mo>&#x2212;</mml:mo>
<mml:mtext>Tz</mml:mtext>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo stretchy="false">/</mml:mo>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mtext>C</mml:mtext>
<mml:mo>&#x2212;</mml:mo>
<mml:mtext>Tz</mml:mtext>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow> <mml:mo>]</mml:mo>
</mml:mrow>
<mml:mo>&#xd7;</mml:mo>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>100</mml:mn>
<mml:mo>=</mml:mo>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>50</mml:mn>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<mml:math display="block" id="M2">
<mml:mrow>
<mml:mtext>TGI&#x2009;</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mtext>&#x3bc;M</mml:mtext>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>:</mml:mo>
<mml:mtext>&#x2009;Ti&#x2009;=&#x2009;Tz.</mml:mtext>
</mml:mrow>
</mml:math>
</disp-formula>
<p>where Tz is the absorbance at time 0, C is the absorbance of the control after 48 h without treatment and Ti is the absorbance of drug-treated cells after 48 h. When the maximum dose tested (100 &#x3bc;M) did not meet the required effect on the cell line, the GI<sub>50</sub> and TGI were expressed as greater than the maximum drug concentration tested (<xref ref-type="bibr" rid="B50">50</xref>).</p>
</sec>
<sec id="s2_13">
<title>Colony-Formation Assay</title>
<p>A method modified from Franken et&#xa0;al. (<xref ref-type="bibr" rid="B51">51</xref>) was used to assess the effect of NL0C-015A treatments on colony formation by H441 and H1975 cells. Briefly, 500 cells were seeded in six-well plates and treated with NL0C-015A. Cells were allowed to grow for 5 days, and the colony-formation inhibitory effect of the drug was assessed relative to untreated cells using an SRB fixation protocol.</p>
</sec>
<sec id="s2_14">
<title>Cell-Migration Assay</title>
<p>A 10<sup>4</sup> cells/well of NSCLC cells (H441 and H1975) were seeded in the serum-free medium into the upper chamber of the 24-transwell chambers (pore size of 8 &#x3bc;m; ThermoFisher, Taipei, Taiwan), while 20% FBS containing media was added to the lower chamber and incubated for 24 h at 37&#xb0;C (<xref ref-type="bibr" rid="B52">52</xref>). After incubation, the upper chamber was carefully cleared of the non-invaded cells while the invaded cells in the lower chamber side were subjected to SRB staining, and photographed under a microscope.</p>
</sec>
<sec id="s2_15">
<title>Tumor Sphere Formation Assay</title>
<p>The sphere formation assay was conducted according to the method described by Ma et&#xa0;al. (<xref ref-type="bibr" rid="B53">53</xref>). Briefly, the NSCLC cells (H441 and H1975) were seeded into the ultra-low-attachment six-well plates (10<sup>5</sup> cells per well) containing stem cell medium; serum-free RPMI 1640 medium supplemented with B27 and 20&#x2009;ng/mL human basic fibroblast growth factor (bFGF) (Invitrogen, Grand Island, NY, USA), and epidermal growth factor (20 ng/mL, Millipore, Bedford, MA). The plates were incubated in the presence or absence of drug for 48 h. The aggregated spheres (diameter&#x2009;&gt;50&#x2009;&#xb5;m) were counted and photographed with an inverted phase-contrast microscope.</p>
</sec>
<sec id="s2_16">
<title>Western Blot Analysis</title>
<p>Total protein lysates from NL0C-015A-treated and untreated cells were harvested using a protein lysis buffer (containing proteinase inhibitors and phosphatase inhibitors, RIPA). Protein lysates (25 &#xb5;g) were denatured and separated using a 10% sodium dodecylsulfate polyacrylamide gel electrophoresis (SDS-PAGE) gel (<xref ref-type="bibr" rid="B54">54</xref>). Proteins were transferred onto nitrocellulose membranes and blocked in 5% skim milk followed by washing with TBST (0.2% Tween-20, 50 mM Tris-HCl at pH 7.5, and 150 mM NaCl). Following overnight incubation (at -4&#xb0;C) with respective primary antibodies. The membrane was incubated with appropriate horseradish peroxidase-conjugated secondary antibodies for 60 min. Protein-antibody interactions were detected with an enhanced chemiluminescence (ECL) kit (ECL-Plus, Amersham Pharmacia Biotech, Piscataway, NJ, USA), and the band image was captured using Imaging System (Upland, CA, USA). &#x3b2;-actin was used as an internal control to confirm equal gel loading.</p>
</sec>
<sec id="s2_17">
<title>RNA Sequencing Analysis</title>
<p>After 48 hr of drug treatment, the total RNA was extracted from the treated as well as the control cells using TRIzol reagent (Thermo Fisher Scientific), according to the manufacturer&#x2019;s instructions, and were subjected to RNA sequencing analysis</p>
</sec>
<sec id="s2_18">
<title>Statistical Analysis</title>
<p>Replicates of the experimental data were analyzed using GraphPad Prism vers. 6.04 for Windows (GraphPad Software, La Jolla, CA, USA). Results were computed as the mean &#xb1; SD of the replicates. Data from treatment groups were compared with the control using Student&#x2019;s <italic>t</italic>-test. Data were considered statistically significance at <italic>p</italic>&lt;0.05 (*), <italic>p</italic>&lt;0.001 (**), and <italic>p</italic>&lt;0.0001 (***).</p>
</sec>
</sec>
<sec id="s3">
<title>Results</title>
<sec id="s3_1">
<title>Dysregulation of the <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> Signaling Axis Is Associated With Progression and Worse Prognoses of NSCLC</title>
<p>We analyzed differential expression patterns of <italic>EGFR, MAP2K1, mTOR, TEAD1</italic>, and <italic>YAP1</italic> between lung cancer tumor tissues and adjacent normal tissues and found that <italic>EGFR</italic> (<italic>p</italic>=2.3&#xd7;10<sup>&#x2013;03</sup>), <italic>MAP2K1</italic> (<italic>p</italic>=4.8&#xd7;10<sup>&#x2013;04</sup>), <italic>mTOR</italic> (<italic>p</italic>=2.3&#xd7;10<sup>&#x2013;06</sup>), <italic>TEAD1</italic> (<italic>p</italic>=1.7&#xd7;10<sup>&#x2013;04</sup>), and <italic>YAP1</italic> (<italic>p</italic>=0.025) were significantly overexpressed in lung cancer tumor tissues compared to adjacent normal tissues (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). Interestingly, we found that cohorts with high expression levels of these DEGs exhibited higher risks (HR=1.35) and shorter survival durations (<italic>p</italic>=0.00145) than cohorts with low expression levels (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). In addition, each of the genes demonstrated independent associations with the high risk and poor survival of the cohorts: <italic>EGFR</italic> (<italic>p</italic>=6.22&#xd7;10<sup>&#x2212;02</sup>), <italic>LATS1</italic> (<italic>p</italic>=5.26&#xd7;10<sup>&#x2212;59</sup>), <italic>MAP2K1</italic> (<italic>p</italic>=7.06&#xd7;10<sup>&#x2212;63</sup>), <italic>mTOR</italic> (4.76&#xd7;10<sup>&#x2212;4</sup>), <italic>TEAD1</italic> (9.03&#xd7;10<sup>&#x2212;7</sup>), and <italic>YAP1</italic> (8.80&#xd7;10<sup>&#x2212;20</sup>) (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1C, D</bold>
</xref>). We conducted a gene expression correlation analysis and found that the gene signature exhibited significant (<italic>p</italic>&lt;0.05) gene expression correlations in lung cancer cohorts (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>). Furthermore, we found that expression levels of these genes were associated with tumor metastasis; <italic>MAP2K1, mTOR</italic>, and <italic>TEAD1</italic> were significantly overexpressed, while <italic>YAP</italic> and <italic>EGFR</italic> were under-expressed in metastasized lung cancer compared to primary tumors (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1F</bold>
</xref>). In addition, we queried the phosphorylation status of the proteins and found that mTOR and MAP2K1 showed consistent increases (<italic>p</italic>&lt;0.05) in dephosphorylation, while EGFR was consistently hyper-phosphorylated (<italic>p</italic>&lt;0.05) in higher tumor grades (normal, grades I~III). However, the p-YAP1 and p-TEAD showed a similar patterns of increased expressions from grade I-II and consistent decreases from grade II to III (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1G</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Dysregulation of the <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> signaling axis is associated with the progression and worse prognoses of non-small-cell lung cancer (NSCLC). <bold>(A)</bold> Boxplot of differential expressions of <italic>EGFR, MAP2K1, mTOR, TEAD1</italic>, and <italic>YAP1</italic> between lung cancer tumor tissues and adjacent normal tissues. <bold>(B)</bold> Kaplan-Meir plot of differential survival between differentially expressed genes. <bold>(C)</bold> Box plots of the differential gene expression values across gene groups together with the p-value of the corresponding difference. Box plots compare the difference of gene expression between risk groups using a t-test. High risk: red; low risk: green <bold>(D)</bold> Heat map representation of the survival risks of NSCLC cohorts. Patients were sorted by prognostic index and divided into &#x201c;Low Risk&#x201d; and &#x201c;High Risk&#x201d; groups, according to the &#x201c;Maximized Risk Groups. Heat map shows the expression of each gene (rows) along samples (columns) in risk groups. Low expression is represented in green grades and high expression in red grades. <bold>(E)</bold> Gene expression correlation plot in lung cancer cohorts. The colors represent the class of the censored patients. Red = death and black = alive. <bold>(F)</bold> Violin plots of differential expression levels of the genes between primary and metastatic NSCLC. <bold>(G)</bold> Box-plot of differential phosphorylation statuses of the <italic>EGFR, MAP2K1, mTOR, TEAD1,</italic> and <italic>YAP1</italic> proteins in various NSCLC tumor grades **<italic>p</italic> &lt; 0.01, ****<italic>p</italic> &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>Genetic Alterations of <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> Mediate Other Oncogenic Interactions and Worse Prognoses of NSCLC Cohorts</title>
<p>Genetic alterations of <italic>EGFR, MAP2K1, mTOR, TEAD1</italic>, and <italic>YAP1</italic> in The Cancer Genome Atlas (TCGA) cohorts of lung cancer occurred at respective frequencies of 15.0%, 1.80%, 6.00%, 1.80%, and 2.50% (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Mutations were the most prevalent genetic alterations occurring in all (100%) of the cohorts with genetic alterations (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). Specifically, missense mutations and in-frame deletions were the most commonly occurring mutations (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2B, C</bold>
</xref>). By stratifying the mutation profile of individual cohorts, we found that the frequencies of protein changes in EGFR occurred at L858R (23; 27.0%), E746_A750del (16; 18.8%), E709_T710delinsD (3; 3.5%), L861Q (3; 3.5%), L747_E749del (3; 3.5%), S768I (2; 2.3%), T790M (2; 2.3%), L747_A750delinsP (2; 2.3%), L62R (2; 2.3%), and G719A (2; 2.3%), with other less-frequent mutations (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). Protein changes in MAP2K1 included F53L, K57N, K57T, E102_I103del, C121S, G128V, R189*, M256T, and L313F (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). Interestingly, we found that lung cancer cohorts with genetic alterations of <italic>EGFR, MAP2K1, mTOR, TEAD1</italic>, and <italic>YAP1</italic> exhibited worse prognoses of overall, disease-specific, and progression-free survival compared to patients with wild-type (WT) genes (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>). Genetic alterations of <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> co-occurred with genetic alterations of <italic>ELDR, SEC61G-DT, VOPP1, FKBP9P1, SEC61G, CHCHD2</italic>, and <italic>LANCL2</italic> (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>), and significantly (<italic>p</italic>&lt;0.05) induced the overexpression of some onco-functional proteins including KIF1A, CLDN6, HMGA2, HOXC10, HOXB9, HOXB13, HOXC13, HOXB8, HOXA10, and PADI3 compared to their expression patterns in cohorts with WT <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>). Furthermore, mutation of TTN, MUC16, CSMD3, RYR2, and LRP1B were found to be most frequently associated with EGFR/MAP2K1/mTOR/TEAD1/YAP1 alterations in NSCLC (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2G</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Genetic alterations <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> mediate other oncogenic interactions and produce worse prognoses of non-small-cell lung cancer (NSCLC) cohorts. <bold>(A)</bold> Genetic alteration plots, <bold>(B)</bold> waterfall plots of mutational frequencies, and <bold>(C)</bold> mutational landscape plots of <italic>MST1/LATS1</italic>/<italic>EGFR/MAP2K1/mTOR/TEAD1</italic>, and <italic>YAP1</italic> in TCGA cohorts of lung cancer. <bold>(D)</bold> Kaplan-Meir survival plots of differential survival of cohorts with genetic alterations of <italic>EGFR, MAP2K1, mTOR, TEAD1</italic>, and <italic>YAP1</italic>. <bold>(E)</bold> Gene alteration co-occurrence <bold>(F)</bold> and gene alteration-induced protein expression plots of <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> in lung cancer cohorts. <bold>(G)</bold> Bar plots of the most frequently mutated genes associated with <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g002.tif"/>
</fig>
</sec>
<sec id="s3_3">
<title>
<italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> Mediate Lung Cancer-Specific Activation of Onco-Functional Molecules and Therapeutic Responses</title>
<p>Our direct protein-protein interaction (PPI) network revealed that mutations of these genes significantly affected the function of a number of genes; <italic>EGFR</italic> affected <italic>EGF</italic>, <italic>ANKS1A, APBB2, SLA, PLCG1, ABL2, PIK3R1, SH2B1</italic>, <italic>ZAP70, PIK3C2B</italic>, and <italic>ERRFI1</italic>; YAP1 affected <italic>TEAD2, SMAD7, CTNNB1, SLC9A3R2</italic>, and <italic>SLC9A3R1</italic>, while MAP2K1 affected <italic>BRAF</italic> (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Our analysis of lung cancer context-specific interaction networks of hub genes revealed that deregulated expressions of <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> in lung cancer mediated abnormal expressions of 151 genes in total in 154 cancer-mediated interactions (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3B, C</bold>
</xref>). Furthermore, among these interactions, we identified <italic>RPS16KA1, GNB1, LRP1, CAVIN1, ACTN1, CDH3, PTPN21</italic>, and <italic>LATS2</italic> as important mediators of worse survival (<italic>p</italic>&lt;0.05, HR&gt;1) of the cohorts (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). Enrichment analysis implicated several oncological pathways including wnt signaling, astrocyte differentiation, epithelial cell proliferation, cell morphogenesis, epidermis development, wound healing, cell proliferation, keratinocyte proliferation, hippo signaling, lung epithelium development, cellular senescence and EGFR TKI resistance in the pathological role of these gene in lung cancer (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>). Interestingly, we found that the high expression levels of <italic>EGFR, TEAD</italic>, and <italic>YAP1</italic> were associated with resistance of cancer cell lines to several clinical anticancer drugs (navitoclax, alisertib, belinistat, tivantinib, niclosamide, necrostatin-1, alvocidib, etc.) and NSC drugs (NSC19630, NSC632839, NSC23766, NSC48300, and NSC95397). However, high expression of mTOR is favorable to the sensitivity of cancer cell lines to chemotherapy (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>
<italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> mediate lung cancer-specific activation of onco-functional molecules and therapeutic responses. <bold>(A)</bold> Direct protein-protein interaction (PPI) network, <bold>(B)</bold> lung cancer-specific context-induced PP1 network, and <bold>(C)</bold> associated survival genes of <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> in lung cancer. <bold>(D)</bold> Heatmap of <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic>-induced therapeutic resistance.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g003.tif"/>
</fig>
</sec>
<sec id="s3_4">
<title>
<italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> Could Mediate Invasive Tumor Phenotypes and Worse Prognoses of NSCLC Cohorts <italic>via</italic> a Mechanism Involving Both T-Cell Exclusion and Dysfunctional Phenotypes</title>
<p>Our analysis of EGFR/MAP2K1/MTOR/TEAD1/YAP1 within the TME revealed that the gene signature is significantly hypomethylated and exhibited high copy number alterations with a consequent negative impact on the levels of active CTL within the TME of NSCLC (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>). We found that messenger (m)RNA expression levels of the gene signature showed negative associations (&#x2264;-0, <italic>p</italic>&lt;0.05) or no significant (<italic>p</italic>&gt;0.05) associations with infiltration levels of cytotoxic lymphocytes (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A, B</bold>
</xref>), cluster of differentiation 4 (CD4) na&#xef;ve, CD4 T, CD8 na&#xef;ve, CD8 T, cytotoxic, effector memory T, mucosal-associated invariant T (MAIT), natural killer (NK), and &#x3b3;&#x3b4; T cells), T helper (Th) cells (Th1, Th17, Th2, and Tfh; <xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>), and common lymphoid progenitors (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>). Conversely, mRNA expression levels of the gene signature showed positive (<italic>p</italic>&lt;0.05) correlations with infiltration levels of monocytes, granulocyte-monocyte progenitors (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>), and immunosuppressive cells (cancer-associated fibroblasts (CAFs), MDSCs, tumor-associated macrophages (TAMs), iTreg cells, and Tr1 cells) that are known mediators of T-cell exclusion (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>). Interestingly, we found that high expression levels of EGFR/MAP2K1/mTOR/TEAD1/YAP1 in lung cancer significantly decreased overall levels of active cytotoxic lymphocytes (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>), mediated dysfunctional T-cell phenotypes, and produced worse overall survival rates of lung cancer cohorts (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>). Collectively our results suggested that EGFR, MAP2K1, mTOR, TEAD1, and YAP1 could mediate invasive tumor phenotypes and produce worse prognoses <italic>via</italic> mechanisms involving both the T-cell exclusion and dysfunctional phenotypes.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>
<italic>EGFR/MAP2K1/MTOR/TEAD1/YAP1</italic> is hypomethylated and exhibited high copy number alterations with a consequent negative impact on the levels of active CTL within the TME of NSCLC.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g004.tif"/>
</fig>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>
<italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> could mediate invasive tumor phenotypes and worse prognoses of non-small-cell lung cancer (NSCLC) cohorts <italic>via</italic> mechanisms involving both T-cell exclusion and dysfunctional phenotypes. Heatmap plots of associations between mRNA expression levels of <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> and tumor infiltrations of <bold>(A)</bold> cytotoxic lymphocytes, <bold>(B)</bold> T helper cells, <bold>(C)</bold> myeloid cells, and <bold>(D)</bold> immunosuppressive cells in TCGA cohorts of NSCLC. <bold>(E)</bold> Scatterplot of correlations between mRNA expression levels of <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> and tumor levels of cytotoxic lymphocytes, and <bold>(F)</bold> Kaplan-Meier plot of dysfunctional T-cell phenotypes between cohorts with differential expression levels of <italic>EGFR/MAP2K1/mTOR/TEAD1/YAP1</italic> in NSCLC ns, non significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g005.tif"/>
</fig>
</sec>
<sec id="s3_5">
<title>Single-Cell RNA Sequencing (scRNA-Seq) Datasets Revealed the Abundance and Immunosuppressive Role of <italic>EGFR/MAP2K1/MTOR/TEAD1/YAP1</italic> Within Tumor Microenvironment of Primary and Metastatic NSCLC</title>
<p>We explore the single-cell RNA sequencing (scRNA-seq) datasets of NSCLC including the EMTAB6146 which consists of scRNA-seq from 5 patients with primary NSCLC, and the GSE143423 dataset which consists of scRNA-seq from 3 patients with metastatic NSCLC. The cell-type annotation of the patients with primary NSCLC at the levels of malignancy, and major-lineage, revealed the higher abundancy of the immune cells within the TME when compared with the malignant cells and stromal cells. Specifically, we found that the TME is mostly populated by monocytes and macrophages, regulatory T cells and Exhausted CD8 T Cells while a very low level of active CD8 T cells was found within the TME of patients with primary NSCLC (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>, <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). The differential expression analysis of scRNA-seq data revealed that the EGFR, mTOR, YAP1, and MAP2K1 are highly overexpressed in the malignant tissue. Meta-analysis of the differentially expressed genes within each cell of the TME, revealed higher expression levels of the genes particularly the MAP2K1 and mTOR occurs in the monocytes/macrophages, Treg and exhaustive CD8 T cell within the TME of patients with primary NSCLC (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6B</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>S2</bold>
</xref>). Analysis of scRNA-seq data of metastatic NSCLC in TME revealed a higher population of malignant cells when compared to other cells including the monocyte and macrophages (2020 single cells), endothelial (221 single cells), pericytes (366 single cells), oligodendrocytes (133 single cells), plasma (117 single cells) and a few CD8 T (99 single cells) were found (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7A&#x2013;C</bold>
</xref>). When compared with the other genes, EGFR is the most highly differentially overexpressed gene in the malignant cells, monocytes and macrophages within the TME of metastatic NSCLC. MAP2K1 and YAP1 are also over-expressly populated in malignant cells, monocytes and macrophages within the TME of metastatic NSCLC (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7D</bold>
</xref>). Furthermore, we investigated the expression of EGFR/MTOR/YAP1/MAP2K1 in different states of macrophages, and the results demonstrated that genes&#x2019; expression were significantly higher in M2 macrophages compared to M0 and M1 macrophages (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8A</bold>
</xref>), suggesting that EGFR/MTOR/YAP1/MAP2K1 are involved in M2 polarization, an essential step for the remodeling of tumor immune microenvironment (TIME) (<xref ref-type="bibr" rid="B55">55</xref>). Furthermore, the high expression of these gene signature in macrophage achieved enrichment in several onco-immunological pathways including the complement and coagulation cascade, intestinal immune network, Toll like receptor signaling pathways and several infectious diseases (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8B</bold>
</xref>). Collectively, our analysis of single cell sequencing data suggested that the EGFR/MAP2K1/MTOR/TEAD1/YAP1 are highly expressed in the immune and malignant cells of TME with consequent influence on TAM-mediated immunosuppressive TME of primary and metastatic NSCLC.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Single cell sequencing profiling of <italic>EGFR/MAP2K1/MTOR/TEAD1/YAP1</italic> in tumor microenvironment of primary NSCLC. <bold>(A)</bold> <italic>t</italic>-Distributed stochastic neighbor embedding plot of single-cell RNA-seq data from EMTAB6146. Identified clusters are represented by different colors (left). <bold>(B)</bold> The expression distribution of <italic>EGFR/MAP2K1/MTOR/TEAD1/YAP1</italic> in different cell types using single-cell resolution of EMTAB6146 dataset in TISCH database.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g006.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Differential expression of <italic>EGFR/MAP2K1/mTOR/YAP1</italic> in different cell cluster of NSCLC based on single-cell RNA sequencing data.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Cluster</th>
<th valign="top" align="center">Cell type</th>
<th valign="top" align="center">Major-lineage</th>
<th valign="top" align="center">Minor-lineage</th>
<th valign="top" align="center">Gene</th>
<th valign="top" align="center">Log2 FC</th>
<th valign="top" align="center">Percentage (%)</th>
<th valign="top" align="center">Adjusted p-value</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">3</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mono/Macro</td>
<td valign="top" align="left" style="background-color:#ffffff">M1</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.34</td>
<td valign="top" align="center" style="background-color:#ffffff">60.3</td>
<td valign="top" align="center" style="background-color:#ffffff">1.52e-107</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">4</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mono/Macro</td>
<td valign="top" align="left" style="background-color:#ffffff">M2</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.37</td>
<td valign="top" align="center" style="background-color:#ffffff">78.6</td>
<td valign="top" align="center" style="background-color:#ffffff">2.93e-265</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">9</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mono/Macro</td>
<td valign="top" align="left" style="background-color:#ffffff">Monocyte</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.29</td>
<td valign="top" align="center" style="background-color:#ffffff">55.5</td>
<td valign="top" align="center" style="background-color:#ffffff">1.35e-53</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">17</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mono/Macro</td>
<td valign="top" align="left" style="background-color:#ffffff">Monocyte</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.44</td>
<td valign="top" align="center" style="background-color:#ffffff">68.6</td>
<td valign="top" align="center" style="background-color:#ffffff">5.77e-69</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">20</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mono/Macro</td>
<td valign="top" align="left" style="background-color:#ffffff">M2</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.28</td>
<td valign="top" align="center" style="background-color:#ffffff">88.6</td>
<td valign="top" align="center" style="background-color:#ffffff">9.11e-75</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">7</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.52</td>
<td valign="top" align="center" style="background-color:#ffffff">70</td>
<td valign="top" align="center" style="background-color:#ffffff">8.61e-231</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">15</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.41</td>
<td valign="top" align="center" style="background-color:#ffffff">70.1</td>
<td valign="top" align="center" style="background-color:#ffffff">1.06e-71</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">14</td>
<td valign="top" align="left" style="background-color:#ffffff">Stromal cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Fibroblasts</td>
<td valign="top" align="left" style="background-color:#ffffff">Fibroblasts</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">-0.29</td>
<td valign="top" align="center" style="background-color:#ffffff">33.7</td>
<td valign="top" align="center" style="background-color:#ffffff">5.64e-08</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">22</td>
<td valign="top" align="left" style="background-color:#ffffff">Stromal cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Endothelial</td>
<td valign="top" align="left" style="background-color:#ffffff">Endothelial</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">-0.47</td>
<td valign="top" align="center" style="background-color:#ffffff">14.2</td>
<td valign="top" align="center" style="background-color:#ffffff">9.18e-21</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">5</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">CD8T</td>
<td valign="top" align="left" style="background-color:#ffffff">CD8Tem</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">-0.28</td>
<td valign="top" align="center" style="background-color:#ffffff">15.9</td>
<td valign="top" align="center" style="background-color:#ffffff">2.56e-77</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">2</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">CD4Tconv</td>
<td valign="top" align="left" style="background-color:#ffffff">Th17</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">-0.34</td>
<td valign="top" align="center" style="background-color:#ffffff">18.4</td>
<td valign="top" align="center" style="background-color:#ffffff">3.62e-75</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">6</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">CD4Tconv</td>
<td valign="top" align="left" style="background-color:#ffffff">CD4Tn</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">-0.46</td>
<td valign="top" align="center" style="background-color:#ffffff">11.8</td>
<td valign="top" align="center" style="background-color:#ffffff">3.69e-120</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">11</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">B</td>
<td valign="top" align="left" style="background-color:#ffffff">B</td>
<td valign="top" align="left" style="background-color:#ffffff">MTOR</td>
<td valign="top" align="center" style="background-color:#ffffff">-0.31</td>
<td valign="top" align="center" style="background-color:#ffffff">16.3</td>
<td valign="top" align="center" style="background-color:#ffffff">1.12e-54</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">4</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mono/Macro</td>
<td valign="top" align="left" style="background-color:#ffffff">M2</td>
<td valign="top" align="left" style="background-color:#ffffff">MAP2K1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.31</td>
<td valign="top" align="center" style="background-color:#ffffff">49.3</td>
<td valign="top" align="center" style="background-color:#ffffff">0</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">9</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mono/Macro</td>
<td valign="top" align="left" style="background-color:#ffffff">Monocyte</td>
<td valign="top" align="left" style="background-color:#ffffff">MAP2K1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.39</td>
<td valign="top" align="center" style="background-color:#ffffff">35.4</td>
<td valign="top" align="center" style="background-color:#ffffff">3.35e-89</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">20</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mono/Macro</td>
<td valign="top" align="left" style="background-color:#ffffff">M2</td>
<td valign="top" align="left" style="background-color:#ffffff">MAP2K1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.39</td>
<td valign="top" align="center" style="background-color:#ffffff">74.2</td>
<td valign="top" align="center" style="background-color:#ffffff">4.14e-203</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">21</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mast</td>
<td valign="top" align="left" style="background-color:#ffffff">Mast</td>
<td valign="top" align="left" style="background-color:#ffffff">MAP2K1</td>
<td valign="top" align="center" style="background-color:#ffffff">-0.29</td>
<td valign="top" align="center" style="background-color:#ffffff">7.8</td>
<td valign="top" align="center" style="background-color:#ffffff">1.75e-08</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">15</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">EGFR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.33</td>
<td valign="top" align="center" style="background-color:#ffffff">27.8</td>
<td valign="top" align="center" style="background-color:#ffffff">0</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">23</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">EGFR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.29</td>
<td valign="top" align="center" style="background-color:#ffffff">25.6</td>
<td valign="top" align="center" style="background-color:#ffffff">1.33e-124</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">13</td>
<td valign="top" align="left" style="background-color:#ffffff">Others</td>
<td valign="top" align="left" style="background-color:#ffffff">Alveolar</td>
<td valign="top" align="left" style="background-color:#ffffff">Alveolar</td>
<td valign="top" align="left" style="background-color:#ffffff">EGFR</td>
<td valign="top" align="center" style="background-color:#ffffff">0.42</td>
<td valign="top" align="center" style="background-color:#ffffff">20</td>
<td valign="top" align="center" style="background-color:#ffffff">1.03e-285</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">21</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Mast</td>
<td valign="top" align="left" style="background-color:#ffffff">Mast</td>
<td valign="top" align="left" style="background-color:#ffffff">YAP1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.78</td>
<td valign="top" align="center" style="background-color:#ffffff">11.3</td>
<td valign="top" align="center" style="background-color:#ffffff">0</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">7</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">YAP1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.29</td>
<td valign="top" align="center" style="background-color:#ffffff">48.3</td>
<td valign="top" align="center" style="background-color:#ffffff">1.08e-188</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">24</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">YAP1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.26</td>
<td valign="top" align="center" style="background-color:#ffffff">51.3</td>
<td valign="top" align="center" style="background-color:#ffffff">2.44e-19</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">11</td>
<td valign="top" align="left" style="background-color:#ffffff">Immune cells</td>
<td valign="top" align="left" style="background-color:#ffffff">B</td>
<td valign="top" align="left" style="background-color:#ffffff">B</td>
<td valign="top" align="left" style="background-color:#ffffff">YAP1</td>
<td valign="top" align="center" style="background-color:#ffffff">-0.29</td>
<td valign="top" align="center" style="background-color:#ffffff">6.7</td>
<td valign="top" align="center" style="background-color:#ffffff">1.06e-45</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">15</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">YAP1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.35</td>
<td valign="top" align="center" style="background-color:#ffffff">30.6</td>
<td valign="top" align="center" style="background-color:#ffffff">0</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">24</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">Malignant</td>
<td valign="top" align="left" style="background-color:#ffffff">YAP1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.39</td>
<td valign="top" align="center" style="background-color:#ffffff">28.8</td>
<td valign="top" align="center" style="background-color:#ffffff">1.22e-67</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">14</td>
<td valign="top" align="left" style="background-color:#ffffff">Stromal cells</td>
<td valign="top" align="left" style="background-color:#ffffff">Fibroblasts</td>
<td valign="top" align="left" style="background-color:#ffffff">Fibroblasts</td>
<td valign="top" align="left" style="background-color:#ffffff">YAP1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.32</td>
<td valign="top" align="center" style="background-color:#ffffff">14.2</td>
<td valign="top" align="center" style="background-color:#ffffff">4.78e-78</td>
</tr>
<tr>
<td valign="top" align="left" style="background-color:#ffffff">13</td>
<td valign="top" align="left" style="background-color:#ffffff">Others</td>
<td valign="top" align="left" style="background-color:#ffffff">Alveolar</td>
<td valign="top" align="left" style="background-color:#ffffff">Alveolar</td>
<td valign="top" align="left" style="background-color:#ffffff">YAP1</td>
<td valign="top" align="center" style="background-color:#ffffff">0.55</td>
<td valign="top" align="center" style="background-color:#ffffff">29.7</td>
<td valign="top" align="center" style="background-color:#ffffff">0</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Single cell sequencing profiling of <italic>EGFR/MAP2K1/MTOR/TEAD1/YAP1</italic> in tumor microenvironment of metastatic NSCLC. <bold>(A)</bold> Cell type distribution and <bold>(B)</bold> bar plot patient distribution of cell-type major lineage of single cell sequencing data from metastatic NSCLC <bold>(C)</bold> <italic>t</italic>-Distributed stochastic neighbor embedding plot of single-cell RNA-seq data from GSE143423 datasets <bold>(D)</bold> The expression distribution of <italic>EGFR/MAP2K1/MTOR/TEAD1/YAP1</italic> in different cell types using single-cell resolution of GSE143423 dataset in TISCH database.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g007.tif"/>
</fig>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>
<italic>EGFR/MAP2K1/MTOR/TEAD1/YAP1</italic> induced macrophage polarization <bold>(A)</bold> Bar plot of expression levels of <italic>EGFR/MAP2K1/MTOR/TEAD1/YAP1</italic> at different macrophage state. <bold>(B)</bold> Enrichment Heatmap of the gene set expression in immune cell (Macrophage-monocyte) at single cell resolution.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g008.tif"/>
</fig>
</sec>
<sec id="s3_6">
<title>Rationale for Drug Design <italic>via</italic> Scaffold-Hopping of Bioactive Compounds and Physicochemical Properties of NSC828786 (NLOC-014A) and NSC828788 (NLOC-015A)</title>
<p>Scaffold-hopping of bioactive compounds is an important approach for novel drug design and development (<xref ref-type="bibr" rid="B56">56</xref>). Biphenyl, flavones, and isoflavones are important natural product backbones, and several bioactive compounds containing these backbones were reported to have a vast range of biological activities, including antioxidative, anti-atherosclerosis, muscle relaxant, antimicrobial, anti-inflammatory, and anticancer effects (<xref ref-type="bibr" rid="B57">57</xref>, <xref ref-type="bibr" rid="B58">58</xref>). A number of clinical drugs, e.g., diflunisal a salicylic acid derivative with several pharmacological activities (anticancer, anti-arthritis, analgesic, and anti-inflammatory properties) (<xref ref-type="bibr" rid="B59">59</xref>) and entrectinib (an anticancer drug), contain difluorophenyl as an important component responsible for their bioactivity. Niclosamide is a multipurpose compound with proven efficacy in treating several diseases, including oxidative stress, infections, metabolic disorders, inflammation, and cancers (<xref ref-type="bibr" rid="B60">60</xref>, <xref ref-type="bibr" rid="B61">61</xref>). In the present study, scaffold-hopping of these natural bioactive compounds (flavones and isoflavones), biphenyl, difluorophenyl, and niclosamide led to the discovery of two structurally related novel small molecules: N-(3,4-difluorophenyl)-2&#x2019;,4&#x2019;-difluoro-4-hydroxy-[1,1&#x2019;-biphenyl-3-carboxamide (NSC828786 or NLOC-014A) and 6-(2,4-difluorophenyl)-3-(3,4-difluorophenyl)-2H-benzo[e] [1,3]oxazine-2,4(3H)-dione (NSC828788 or NLOC-015A) (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9A</bold>
</xref>). Preclinical analysis of drug PKs plays an important role in the drug development process by providing a rationale for the selection of efficacious drug doses and treatment schedules (<xref ref-type="bibr" rid="B26">26</xref>). Herein, we evaluated the drug likeness and PK properties of these compounds. Our results also revealed good predictions for absorption, distribution, metabolism, excretion, toxicity (ADMET) properties, drug-likeness, adherence to Lipinski&#x2019;s rules, and no pan-assay interference compounds (PAINS) alerts (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>). However, NSC828788 (NLOC-015A) demonstrated better PK properties and a higher BBB permeation score than NSC828786 (NLOC-014A) suggesting that NSC828788 would be a better drug candidate (<xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9B&#x2013;D</bold>
</xref>).</p>
<fig id="f9" position="float">
<label>Figure&#xa0;9</label>
<caption>
<p>Rationale for drug design and physicochemical properties of NSC828786 (NLOC-014A) and NSC828788 (NLOC-015A). <bold>(A)</bold> Scaffold-hopping protocol for the design of NSC828788 and NSC828786. <bold>(B)</bold> Blood-brain barrier (BBB) plot of the support vector machine (SVM)/LiCABEDS algorithm and <bold>(C)</bold> BOILED-Egg model for BBB and human intestinal absorption (HIA) permeability of NSC828786 (NLOC-014A) and NSC828788 (NLOC-015A). <bold>(D)</bold> Bioavailability radar showing the physicochemical properties of NSC828786 (NLOC-014A) and NSC828788 (NLOC-015A).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g009.tif"/>
</fig>
</sec>
<sec id="s3_7">
<title>NSC828788 (NLOC-015A) Demonstrated Anticancer Activities and Potential for Targeting the <italic>YAP1/EGFR/MEK1/mTOR</italic> Signaling Network</title>
<p>We first evaluated the <italic>in vitro</italic> anticancer activities of NSC828786 and NSC828788 against 60 human tumor cell lines panels of the National Cancer Institute (NCI). Interestingly, our results revealed that both NSC828786 and NSC828788 with single-dose (10 &#x3bc;M) treatment exhibited antiproliferative activities against all of the NCI-60 cell line panels of breast, prostate, renal, ovarian, colon, central nervous system (CNS), leukemia, and non-small cell lung cancers, and melanomas with NSC828788 demonstrating higher activities than NSC828786 (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S3</bold>
</xref>). Similarly, we found that NSC828788 exhibited dose-dependent cytotoxic effects against nine panels of NSCLCs with IC<sub>50</sub> values ranging 0.338~1.58 &#xb5;M (<xref ref-type="fig" rid="f10">
<bold>Figures&#xa0;10A&#x2013;C</bold>
</xref>). Subsequently, we explored the potential of NSC828788 as a therapeutic target against YAP1/EGFR/MEK1/mTOR through an <italic>in silico</italic> ligand-receptor interaction study. Interestingly, our results revealed that this compound (NLOC-015A) exhibited strong interactions and high affinities; &#x2013;9.10, &#x2013;9.50, &#x2013;9.80, and &#x2013;8.40 kcal/mol for the binding cavities of mTOR, EGFR, MEK-1, and YAP-TEAD, respectively (<xref ref-type="fig" rid="f11">
<bold>Figure&#xa0;11</bold>
</xref>). Our analysis of interactions between the NLOC-015A receptor complex revealed that NLOC-015A interacted with the targets through several conventional H-bonds, halogen bonds, and alkyl and multiple &#x3c0;-interactions (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>). Several van der Waals forces were found around the NLOC-015A backbone with the respective amino acid residues of target binding pockets. Furthermore, ligand-receptor complexes were stabilized by various hydrophobic contacts. Compared to osimertinib&#x2019;s binding affinity, NLOC-015 bound with higher efficacy with T790M and T790M/C797S mutant-bearing EGFR (<xref ref-type="fig" rid="f12">
<bold>Figure&#xa0;12</bold>
</xref>). Altogether, the receptor-ligand interaction profile suggested the high potential of NLOC-015A to target the YAP1/EGFR/MEK1/mTOR signaling network.</p>
<fig id="f10" position="float">
<label>Figure&#xa0;10</label>
<caption>
<p>NSC828788 (NLOC-015A) demonstrated exhibited anticancer activities against NSCLC. <bold>(A, B)</bold>. Bar plot and dose-response curve of NSC828788 against panels of non-small-cell lung cancer (NSCLC). <bold>(C)</bold> IC50 and TG1 concentrations of NSC828788 (NLOC-015A) against panels of non-small-cell lung cancer. P-values were extrapolated as a function of cell viability of treatment with respect to control in the NCI-DTP screen, where *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.001, and ***<italic>p</italic> &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g010.tif"/>
</fig>
<fig id="f11" position="float">
<label>Figure&#xa0;11</label>
<caption>
<p>NSC828788 (NLOC-015A) has potential for targeting YAP1/EGFR/MEK1/mTOR signaling network. Two (2D) dimensional representation and the surface flip of the binding cavities of NSC828788 (NLOC-015A) interaction with mTOR, YAP1, and MEK1.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g011.tif"/>
</fig>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Docking profile of NSC828788 (NLOC-015A) with <italic>YAP1/EGFR/MEK1/mTOR</italic>.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left"/>
<th valign="top" align="left">mTOR</th>
<th valign="top" align="left">EGFR</th>
<th valign="top" align="left">MEK-1</th>
<th valign="top" align="center">Yap1</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">&#x394;G (kcal/mol)</td>
<td valign="top" align="left">&#x2013;9.10</td>
<td valign="top" align="left">&#x2013;9.5</td>
<td valign="top" align="left">&#x2013;9.80</td>
<td valign="top" align="left">&#x2013;8.40</td>
</tr>
<tr>
<td valign="top" align="left">Conventional<break/>H-bonds</td>
<td valign="top" align="left">Ser2165 (1.76)<break/>Lys2187 (2.25)<break/>Val2240 (1.76)</td>
<td valign="top" align="left">Cys797 (2.69)</td>
<td valign="top" align="left">Ile216 (3.37)<break/>Lys97 (2.85)<break/>Asp208 (3.44)</td>
<td valign="top" align="left">Tyr219 (2.29)<break/>Lys221 (2.93)<break/>His229 (3.37)</td>
</tr>
<tr>
<td valign="top" align="left">Alkyl interactions</td>
<td valign="top" align="left">Pro2169, Leu2185</td>
<td valign="top" align="left">Leu718, Lys745</td>
<td valign="top" align="left">Met219, Leu215, Leu118<break/>Ile141</td>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left">Fluorine</td>
<td valign="top" align="left">Glu2190 (2.25), Gly2238 (3.47), Trp2239 (3.48)</td>
<td valign="top" align="left">Asp855 (3.48)</td>
<td valign="top" align="left"/>
<td valign="top" align="left">Gln213 (3.28)</td>
</tr>
<tr>
<td valign="top" align="left">Pi-pi stacked</td>
<td valign="top" align="left">Trp223</td>
<td valign="top" align="left">Phe723</td>
<td valign="top" align="left"/>
<td valign="top" align="left">Thr219, Tyr219</td>
</tr>
<tr>
<td valign="top" align="left">PI-sigma</td>
<td valign="top" align="left">Leu2185</td>
<td valign="top" align="left">Val726</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left">Pi-anion</td>
<td valign="top" align="left">Asp2357</td>
<td valign="top" align="left">Asp855</td>
<td valign="top" align="left">Asp190, Asp208</td>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left">Pi-cation</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">Lys221</td>
</tr>
<tr>
<td valign="top" align="left">Pi-sulfur</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">Met143</td>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left">van der Waals forces</td>
<td valign="top" align="left">Ile2237, Ile2163, Gln2167, Met2345, Ile2356</td>
<td valign="top" align="left">Gly857, Leu858, Asn842, Arg841, Leu844, Gly796, Ala743, Met790</td>
<td valign="top" align="left">Val211, Leu115, Ser212, Phe209, Gly210, Phe129, Ile99, Arg189, Arg234, Met230</td>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left">Hydrophobic contacts</td>
<td valign="top" align="left">Leu718a (3.66)-atm5872<break/>Phe723a (3.46)-atm5875<break/>Lys745a (3.73)-atm5863</td>
<td valign="top" align="left">Leu718a (3.66)-atm5872<break/>Phe723a (3.46)-atm5876<break/>Lys745a (3.73)-atm5863</td>
<td valign="top" align="left">Ile141a (3.54)-atm2767<break/>Asp190a (3.74)-atm2759</td>
<td valign="top" align="left">Ala208a (3.90)-atm1418<break/>Phe224a (3.94)-atm1421<break/>Leu279a (3.81)-atm1423<break/>Thr309a (3.87)-atm1414<break/>Val311a (3.87)-atm1411<break/>Leu367a (3.98)-atm1425<break/>Phe370a (3.80)-atm1425<break/>Ile372a (3.95)-atm1415<break/>Phe392a (3.76)-atm1419<break/>Phe392a (3.91)-atm1425</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>mTOR, mammalian target of rapamycin; EGFR, epidermal growth factor receptor; MEK-1, mitogen-activated protein kinase/extracellular signal-regulated kinase kinase 1; Yap, yes-associated protein.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<fig id="f12" position="float">
<label>Figure&#xa0;12</label>
<caption>
<p>Two (2D) dimensional representation of NSC828788 (NLOC-015A) interaction with <bold>(A)</bold> T790M <bold>(B)</bold> T790M/C797S bearing mutant <italic>EGFR</italic>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g012.tif"/>
</fig>
</sec>
<sec id="s3_8">
<title>NL0C-015A Exhibited Anti-NSCLC Activities <italic>via</italic> Modulation of Hippo- YAP1, <italic>EGFR-MEK</italic>, and NF-&#x3ba;B-TOR Pathways in NSCLC</title>
<p>To further explore the therapeutic mechanism of NLOC-015 in H1975 cells, we performed RNA-sequencing (RNA-Seq) to compare DEGs between control H1975 cells and NLOC-015-treated NSCLC cells. Our sequencing results revealed a total of 801 DEGs (<italic>p</italic>&lt;0.05) with 348 downregulated and 453 upregulated genes. The top 100 upregulated and downregulated genes are displayed in a heatmap (<xref ref-type="fig" rid="f13">
<bold>Figure&#xa0;13A</bold>
</xref>). As expected, compared to control H1975 cells, NLOC-015-treated cells showed downregulation of negative effectors of the Hippo pathway, including YAP1, AREG, TAZ, MYCL, MAP2K1, RICTOR, RPTOR, and NF-&#x3ba;B and upregulation of positive effectors of the hippo pathway, including the LATS1/2, MST, STK25, SAV1, and NF2 (<xref ref-type="fig" rid="f13">
<bold>Figure&#xa0;13B</bold>
</xref>). Coherently, the gene set enrichment analysis (GSEA) of NLOC-015-mediated DEGs identified Hippo signaling, regulation of cellular metabolic processes, tissue development, intracellular signal transduction, MAPK, mTOR, and PI3K-AKT signaling, and lung epithelial development (<xref ref-type="fig" rid="f13">
<bold>Figure&#xa0;13C</bold>
</xref>). Furthermore, we investigated whether NL0C-015A exhibited antitumorigenic activities <italic>via</italic> modulation of the Hippo pathway in NSCLC. We cocultured H1299 and H1975 cells with XMU-MP1, an MST1/2 inhibitor, to pharmacologically inhibit the Hippo pathway. As expected, XMU-MP-1 attenuated the antiproliferative properties of NLOC-015A in both H1975 and H1299 cells, while veterporfin, an activator of the Hippo pathway, produced a reverse effect (<xref ref-type="fig" rid="f13">
<bold>Figures&#xa0;13D</bold>
</xref>).</p>
<fig id="f13" position="float">
<label>Figure&#xa0;13</label>
<caption>
<p>NL0C-015A exhibited anti-non-small-cell lung cancer (NSCLC) activities <italic>via</italic> modulation of Hippo, <italic>EGFR-MEK</italic>, and NF-&#x3ba;B-TOR pathways in NSCLC. <bold>(A)</bold> Heatmap of the top 100 upregulated and downregulated genes. <bold>(B)</bold> Plot of the effect of NLOC-015A treatment on expression of Hippo, <italic>EGFR-MEK</italic>, and NF-&#x3ba;B-TOR pathways. <bold>(C)</bold> GSEA plot of NLOC-015-mediated processes. <bold>(D)</bold> Cell viability plot showing that treatment with XMU-MP-1 attenuated the antiproliferative properties of NLO0C-015A in both H1975 and H1299 cells. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g013.tif"/>
</fig>
</sec>
<sec id="s3_9">
<title>NL0C-015A Compromised Colony-Formation, Invasion and Spheroid Forming Abilities of NSCLC</title>
<p>We evaluated the effects of NL0C-015A on the oncogenic phenotypes of NSCLC cells. Our results revealed that treatments with NL0C-015A significantly inhibited the colony-formation (<xref ref-type="fig" rid="f14">
<bold>Figure&#xa0;14A</bold>
</xref>), migratory abilities (<xref ref-type="fig" rid="f14">
<bold>Figure&#xa0;14B</bold>
</xref>), and spheroid forming abilities (<xref ref-type="fig" rid="f14">
<bold>Figure&#xa0;14C</bold>
</xref>) of H441 and H1975 cells. Western blot analysis revealed that the spheroid-forming inhibition effect of NLOC-015A was concomitantly associated with decreased expression levels of EGFR, MEK1, mTOR and YAP1 (<xref ref-type="fig" rid="f14">
<bold>Figure&#xa0;14D</bold>
</xref>) in both the H1975 and H441 cell lines. Collectively, our results demonstrated that NL0C-015A compromised the oncogenic phenotypes of NSCLC cells <italic>via</italic> modulation of the YAP1, EGFR, MEK1, and mTOR signaling pathways.</p>
<fig id="f14" position="float">
<label>Figure&#xa0;14</label>
<caption>
<p>NL0C-015A compromised the oncogenic phenotypes of non-small-cell lung cancer (NSCLC). Graphical representation of the inhibitory effects of NL0C-015A on the <bold>(A)</bold> colony-forming, <bold>(B)</bold> migratory abilities, and <bold>(C)</bold> spheroid forming of H441 and H1975 cells. <bold>(D)</bold> Western blot analysis showing that NL0C-015A suppressed expression levels of <italic>EGFR, mTOR, YAP1,</italic> and <italic>MEK1</italic> in H441 and H1975 cells compared to their vehicle-treated counterparts. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-872470-g014.tif"/>
</fig>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p>Lung cancer is one of the most prevalent malignancies with a devastating prognosis all over the world (<xref ref-type="bibr" rid="B1">1</xref>). The resistance to several generations of EGFR-TKIs has necessitated the search for new drugs with multitarget potential that offer less chance of developing drug resistance. Results of the present study implied the roles of EGFR/MAP2K1/mTOR/YAP1 signaling pathways in the progression, therapeutic resistance, immune-invasive phenotypes, and worse prognoses of NSCLC. In addition, we documented the therapeutic efficacy of NLOC-015A, a multitarget small-molecule inhibitor of EGFR/MAP2K1/mTOR/YAP1 against NSCLC.</p>
<p>Our analysis of TCGA cohorts of NSCLC revealed that dysregulation and genetic alterations of the EGFR, MAP2K1, mTOR, and YAP1 signaling pathways were associated with the progression, therapeutic response, and worse prognosis of NSCLC. In line with our findings, EGFR/MAP2K1/mTOR/YAP1 were implicated in aggressive phenotypes of NSCLC (<xref ref-type="bibr" rid="B62">62</xref>). Despite the implicative role of EGFR in initiation and progression, experimental studies have revealed a potent downregulation of EGFR through metastatic progression (<xref ref-type="bibr" rid="B63">63</xref>, <xref ref-type="bibr" rid="B64">64</xref>). This progressive decrease expression of EGFR during oncogenic metastasis is further supported herein by our data utilizing the TCGA dataset where EGFR expression is significantly downregulated in metastatic lung cancer compare to the primary tumor. Our results are also in consistent with clinical data that reported the downregulation of EGFR2 in metastatic tumor when compared to the primary tumors (<xref ref-type="bibr" rid="B65">65</xref>). Activation of YAP as manifested by gene fusion, amplification of genomic locus, increased expression, or enhanced nuclear translocation is a commonly observed features of malignant tumors (<xref ref-type="bibr" rid="B66">66</xref>&#x2013;<xref ref-type="bibr" rid="B70">70</xref>), suggesting that YAP activation contributes to tumor progression and metastasis (<xref ref-type="bibr" rid="B66">66</xref>). Indeed, YAP overexpression in non-transformed epithelial cells results in epithelial-to-mesenchymal transition (EMT), a critical process for cancer metastasis (<xref ref-type="bibr" rid="B69">69</xref>, <xref ref-type="bibr" rid="B71">71</xref>). Several experimental studies have implicated YAP, TAZ, or TEADs in metastasis of numerous cancers including melanoma, lung, breast, gastric, ovarian, oral squamous cell carcinoma, and colorectal cancers (<xref ref-type="bibr" rid="B72">72</xref>&#x2013;<xref ref-type="bibr" rid="B74">74</xref>). However, these experimental data were supported by human patient data only in pancreatic cancer (<xref ref-type="bibr" rid="B75">75</xref>), breast cancer (<xref ref-type="bibr" rid="B76">76</xref>), and prostate cancer (<xref ref-type="bibr" rid="B77">77</xref>); where YAP or TAZ expression and nuclear localization is increased in metastatic tumors when compared to primary tumors. Conversely, and in line with the results of the present study, some studies found that YAP expression is inversely correlated with metastasis (<xref ref-type="bibr" rid="B78">78</xref>&#x2013;<xref ref-type="bibr" rid="B80">80</xref>). Clinical studies using lung tumor specimen also revealed the association of low YAP expression with lung tumor metastasis (<xref ref-type="bibr" rid="B80">80</xref>). YAP expression also inversely correlated lymph node and distant metastasis in breast cancer (<xref ref-type="bibr" rid="B78">78</xref>, <xref ref-type="bibr" rid="B79">79</xref>). However, it is reported that YAP activities is mainly dependent on concerted activities of its binding partner, TEAD (<xref ref-type="bibr" rid="B71">71</xref>), which we found to be significantly overexpressed in metastatic lung cancer compare to the primary tumor. This opposing expression levels of YAP and TEAD in primary and metastatic lung cancer warrant further experimental study. Altogether these data suggested that YAP mediated tumor metastasis in cancer context dependent manner. However, our findings therefore suggest the pro-apoptotic switch in the role of EGFR and YAP1 during lung cancer metastasis. However, further experimental studies are required to fully elucidate the role of YAP/EGFR in lung cancer metastasis.</p>
<p>Hippo pathway is a tumor suppressor pathway that is mainly regulated by a phosphorylation-dependent protein kinase cascade (<xref ref-type="bibr" rid="B81">81</xref>). MST1/2 kinase phosphorylates LATS1/2, which in turn phosphorylates and inhibits YAP/TAZ, <italic>via</italic> cytoplasmic sequestration, ubiquitination and proteasomal degradation (<xref ref-type="bibr" rid="B81">81</xref>, <xref ref-type="bibr" rid="B82">82</xref>). Therefore, the decrease expression of p-YAP in primary tumor (Grade 1) when compared with normal tissue and further decease phosphorylation from grade II to III indicated the inhibition of Hippo pathway, and support it oncogenic contribution to the advance stage of NSCLC. Decreases phosphorylation and increase YAP activities have been implicated in resistance to a number of cancer drugs (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>) including the first- and second-generation EGFR-TKIs (<xref ref-type="bibr" rid="B22">22</xref>), and treatment of lung cancer with growth factor (vascular endothelial growth factor (VEGF) and YAP) inhibitors provided promising results in previous studies (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B23">23</xref>). Contrary to our observations, studies have reported increase phosphorylation of mTOR in advance tumor stages. Rausch et&#xa0;al. (<xref ref-type="bibr" rid="B83">83</xref>) reported that the high level of p-mTOR was significantly correlated with advanced T-stage of renal carcinoma (<xref ref-type="bibr" rid="B83">83</xref>), while Zhang et&#xa0;al. (<xref ref-type="bibr" rid="B84">84</xref>), reported that the expressions of p-mTOR in NSCLC increases from stage I (21.1%), stage II (32.4%), to stage III-IV (56.3%) (<xref ref-type="bibr" rid="B84">84</xref>). It appears that bulk RNA sequencing data does not support the oncogenic role of p-mTOR in advance stage of NSCLC.</p>
<p>Tumor microenvironment (TME) is a complex system comprising of various cells including the stroma cells, tumor cells, chemokines, cytokines, microvessels and infiltrating immune cells which make up the largest portion of the TME (<xref ref-type="bibr" rid="B85">85</xref>). Tumor initiation depends on vital contributions from the tumor microenvironment (TME) and host immune alterations (<xref ref-type="bibr" rid="B86">86</xref>). Hence, we evaluated the potential role of EGFR, MAP2K1, mTOR, and YAP1 in promoting the infiltration of tumor immune cells within the TME (<xref ref-type="bibr" rid="B25">25</xref>). Interestingly, our results suggested that high expression levels of the gene signature would negatively regulate infiltration levels of cytotoxic lymphocytes, Th cells, and common lymphoid progenitors while inducing increased tumor infiltration levels of monocytes, granulocyte-monocyte progenitors, and immunosuppressive cells that are known mediators of T-cell exclusion.</p>
<p>We further explored the single-cell RNA sequencing (scRNA-seq) and found that Patients with primary NSCLC exhibited higher abundancy of the immune cells within the TME when compared with the malignant cells and stromal cells. Specifically, we found that the TME is mostly populated by monocytes and macrophages, regulatory T cells and Exhausted CD8 T Cells while a very low level of active CD8 T cells was found within the TME of patients with primary NSCLC. Similarly, our single cell RNA sequencing data demonstrated that MAP2K1, mTOR, YAP1 and EGFR were predominantly located on monocytes/macrophages, Treg and exh. CD8 T cell within the TME of patients with primary NSCLC which further implied MAP2K1, YAP1, EGFR and mTOR&#x2019;s role in remodeling the immune microenvironment. we further investigated the expression of the genes in different states of macrophages, and the results demonstrated that genes&#x2019;s expression were significantly higher in M2 macrophages compared to M0 and M1 macrophages, suggesting that EGFR/MTOR/YAP1/MAP2K1 are involved in M2 tumor associated macrophage polarization, which was an essential step for the remodeling of tumor immune microenvironment (TIME) (<xref ref-type="bibr" rid="B55">55</xref>). These above findings suggest that EGFR/MTOR/YAP1/MAP2K1 activation in combination with the polarization of M2 macrophages and infiltration of regulatory T cells and exhausted T cells led to remodeling of TIME and marked tumor progression. Collectively, our analysis of single cell sequencing data suggested that the TME of primary tumor of NSCLC are enormously immunosuppressive than the metastatic tumor and are populated by high expression levels of EGFR/MAP2K1/MTOR/TEAD1/YAP1 within tumor microenvironment of NSCLC. Our study has increase our understanding of the complex regulatory mechanism of the interaction within the TME of NSCLC.</p>
<p>The impaired function of tumor-infiltrating cytotoxic immune cells and the shift towards immunosuppressive cells may induce immunosuppressive phenotypes within the TME and may critically affect the body&#x2019;s antitumor immune response, favoring tumor growth, invasiveness, drug resistance, and metastasis (<xref ref-type="bibr" rid="B87">87</xref>, <xref ref-type="bibr" rid="B88">88</xref>). Indeed, we found that the immune infiltration-mediating roles of EGFR/MAP2K1/mTOR/TEAD1/YAP1 led to overall decreased levels of active cytotoxic lymphocytes in NSCLC tumors and achieved shorter survival durations of cohorts with dysfunctional T-cell phenotypes. Collectively our results suggested that EGFR, MAP2K1, mTOR, TEAD1, and YAP1 could mediate invasive tumor phenotypes and worsen prognoses <italic>via</italic> mechanisms involving both T-cell exclusion and dysfunctional phenotypes. Therefore, targeting inhibitors of these oncogenes appears to be an effective strategy for treating and managing NSCLC. Drug sensitivity analysis shows that in contrast to the association of YAP1/EGFR/MAP2K1 with drug resistance, high expressions of mTOR are favorable to cancer chemotherapy. Hence, mTOR hold promise in cancer therapy. Indeed, many mTOR inhibitors have been approved to treat human cancer (<xref ref-type="bibr" rid="B89">89</xref>), while more mTOR inhibitors are being evaluated in clinical trials (<xref ref-type="bibr" rid="B90">90</xref>). In addition, combining mTOR inhibitor with target therapy and standard chemotherapeutic drugs have yielded superior clinical outcome than individual therapy in several cancer types (<xref ref-type="bibr" rid="B91">91</xref>&#x2013;<xref ref-type="bibr" rid="B94">94</xref>). Altogether, our findings suggested that YAP1/EGFR/MAP2K1/MTOR are potential novel markers for drug screening and therapy exploration</p>
<p>Analysis of receptor-ligand interactions <italic>via</italic> molecular docking is a widely used approach for simulating small-molecule interactions with a protein target and for predicting biological activities of compounds (<xref ref-type="bibr" rid="B95">95</xref>). Non-covalent interactions, including hydrogen bonds, hydrophobic contacts, and ionic interactions, play pivotal roles in stabilizing interactions of small molecules with protein targets (<xref ref-type="bibr" rid="B96">96</xref>). Subsequently, we explored the potential of this compound as a therapeutic target against YAP1/EGFR/MEK1/mTOR through an <italic>in silico</italic> ligand-receptor interaction study. Our molecular docking analysis revealed that NLOC-015A bound to YAP1, EGFR, MEK1 and mTOR with strong binding efficacies ranging &#x2013;8.4 to &#x2013;9.50 kcal/mol. NLOC-015A bound to the targets by several conventional H-bonds, halogen bonds, and alkyl and multiple &#x3c0;-interactions. These non-covalent interactions play pivotal roles in stabilizing small molecules within the binding domain of a target (<xref ref-type="bibr" rid="B96">96</xref>). In addition, several van der Waals forces and hydrophobic contacts were found around the NLOC-015A backbone with respective amino acid residues of target-binding pockets. These van der Waal forces are non-covalent interactions and would create a strong cohesive environment, that could stabilize the complex (<xref ref-type="bibr" rid="B97">97</xref>). Interestingly, compared to osimertinib&#x2019;s binding affinity, NLOC-015 bound with higher efficacy to TK domains of T790M- and T790M/C797S-mutant bearing EGFR. These results hinted at the potential inhibitory roles of NLOC-015A on the expressions and activities of YAP1/EGFR/MEK1/mTOR, and consequently its therapeutic potential for treating NSCLC.</p>
<p>ADMET PKs are drug-like properties that determine the fate of a therapeutic agent and have been criteria for judging the success or failure of many clinical drugs. Therefore, analysis of these parameters has become relevant in drug design and development pipelines (<xref ref-type="bibr" rid="B98">98</xref>). Fortunately, our results revealed adherence to Lipinski&#x2019;s rules, and good ADMET and drug-like properties of NLOC-015A. P-Glycoprotein (P-gp) is a multidrug-resistance protein 1 (MDR1) which pumps drugs and various compounds out of cells (<xref ref-type="bibr" rid="B99">99</xref>). NLOC-015A is a not a substrate for P-gp. These results further suggested that NLOC-015A would have good absorption, permeability, and retention and would achieve optimum drug delivery and a high therapeutic index. In addition, the BBB permeation ability of NLOC-015A is an added advantage which suggests its potential for crossing the BBB and offering a treatment window against lung-brain-metastasized NSCLC. Summing up, NLOC-015A possesses good translational relevance as a potential anti-NSCLC drug candidate worthy of experimental validation.</p>
<p>Interestingly, we provide preclinical evidence of the anti-NSCLC properties of NLOC-015A of suppressing the proliferation of NSCLC in <italic>in vitro</italic> model. We demonstrated that NLOC-015A inhibited the proliferation 9 cell line panel of NSCLC with concomitant downregulation of expression levels of oncogenic molecules, including EGFR, mTOR, Akt, NF-&#x3ba;B, YAP1, MEK signaling network. Furthermore, we demonstrated that NLOC-015A suppressed the oncogenic attributes (colony formation, migration and sphere formation) of H1975 and H441 cells with concomitant downregulation of expression levels of oncogenic molecules. Thus, the inhibitory effect of NLOC-015A on these onco-immunogenic signatures could be of translational relevance for immunotherapy.</p>
</sec>
<sec id="s5">
<title>Conclusions</title>
<p>In conclusion, our analysis of clinical NSCLC cohorts revealed that dysregulation of the EGFR/MAP2K1/mTOR/YAP1 signaling pathways was associated with the progression, therapeutic resistance, immune-invasive phenotypes, and worse prognoses of NSCLC. NLOC-015A, a novel multi-target small molecule, has ADMET PK properties of a good drug-like candidate and efficiently suppressed the proliferation and oncogenic phenotypes of NSCLC with concomitant inhibition of EGFR, mTOR, Akt, NF-&#x3ba;B, YAP1, MEK signaling network. We, therefore, suggest that NLOC-015A might represent a new candidate for treating NSCLC <italic>via</italic> acting as a multi-target inhibitor of EGFR, mTOR, YAP1, and MEK signaling network in NSCLC.</p>
</sec>
<sec id="s6" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: NCBI with BioSample SAMN26207491&#x2019; and SAMN26207492.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>BL carried out the study and wrote the manuscript; H-SH synthesized and provided the drugs; AW and H-SH designed and oversaw the study. All authors have read and agreed to the published version of the manuscript.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>H-SH was funded by the Ministry of Science and Technology, Taiwan (MOST110-2314-B-038-120).</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2022.872470/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2022.872470/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="DataSheet_1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sung</surname> <given-names>H</given-names>
</name>
<name>
<surname>Ferlay</surname> <given-names>J</given-names>
</name>
<name>
<surname>Siegel</surname> <given-names>RL</given-names>
</name>
<name>
<surname>Laversanne</surname> <given-names>M</given-names>
</name>
<name>
<surname>Soerjomataram</surname> <given-names>I</given-names>
</name>
<name>
<surname>Jemal</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries</article-title>. <source>CA: A Cancer J Clin</source> (<year>2021</year>) <volume>71</volume>:<page-range>209&#x2013;49</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.3322/caac.21660</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Osmani</surname> <given-names>L</given-names>
</name>
<name>
<surname>Askin</surname> <given-names>F</given-names>
</name>
<name>
<surname>Gabrielson</surname> <given-names>E</given-names>
</name>
<name>
<surname>Li</surname> <given-names>QK</given-names>
</name>
</person-group>. <article-title>Current WHO Guidelines and the Critical Role of Immunohistochemical Markers in the Subclassification of non-Small Cell Lung Carcinoma (NSCLC): Moving From Targeted Therapy to Immunotherapy</article-title>. <source>Semin Cancer Biol</source> (<year>2018</year>) <volume>52</volume>:<page-range>103&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.semcancer.2017.11.019</pub-id>
</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tan</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>S</given-names>
</name>
<name>
<surname>Zeng</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>M</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>K</given-names>
</name>
<name>
<surname>Yuan</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>Ginsenoside Rg3 Attenuates the Osimertinib Resistance by Reducing the Stemness of non-Small Cell Lung Cancer Cells</article-title>. <source>Environ Toxicol</source> (<year>2020</year>) <volume>35</volume>:<page-range>643&#x2013;51</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/tox.22899</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Hao</surname> <given-names>X</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>K</given-names>
</name>
<name>
<surname>Ma</surname> <given-names>D</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>S</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>Clinical Modality of Resistance and Subsequent Management of Patients With Advanced Non-Small Cell Lung Cancer Failing Treatment With Osimertinib</article-title>. <source>Target Oncol</source> (<year>2019</year>) <volume>14</volume>:<page-range>335&#x2013;42</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s11523-019-00644-6</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jemal</surname> <given-names>A</given-names>
</name>
<name>
<surname>Bray</surname> <given-names>F</given-names>
</name>
<name>
<surname>Center</surname> <given-names>MM</given-names>
</name>
<name>
<surname>Ferlay</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ward</surname> <given-names>E</given-names>
</name>
<name>
<surname>Forman</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Global Cancer Statistics</article-title>. <source>CA Cancer J Clin</source> (<year>2011</year>) <volume>61</volume>:<fpage>69</fpage>&#x2013;<lpage>90</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3322/caac.20107</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ritter</surname> <given-names>CA</given-names>
</name>
<name>
<surname>Arteaga</surname> <given-names>CL</given-names>
</name>
</person-group>. <article-title>The Epidermal Growth Factor Receptor-Tyrosine Kinase: A Promising Therapeutic Target in Solid Tumors</article-title>. <source>Semin Oncol</source> (<year>2003</year>) <volume>30</volume>:<fpage>3</fpage>&#x2013;<lpage>11</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1053/sonc.2003.50027</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ranson</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors</article-title>. <source>Br J Cancer</source> (<year>2004</year>) <volume>90</volume>:<page-range>2250&#x2013;5</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/sj.bjc.6601873</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Karachaliou</surname> <given-names>N</given-names>
</name>
<name>
<surname>Fernandez-Bruno</surname> <given-names>M</given-names>
</name>
<name>
<surname>Paulina Bracht</surname> <given-names>JW</given-names>
</name>
<name>
<surname>Rosell</surname> <given-names>R.J.T.C.R</given-names>
</name>
</person-group>. <article-title>EGFR First- and Second-Generation TKIs&#x2014;There Is Still Place for Them in EGFR -Mutant NSCLC Patients</article-title>. <source>Transl Cancer Res</source> (<year>2018</year>) <volume>2018</volume>:<page-range>S23&#x2013;47</page-range>. doi: <pub-id pub-id-type="doi">10.21037/tcr.2018.10.06</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Scaltriti</surname> <given-names>M</given-names>
</name>
<name>
<surname>Baselga</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>The Epidermal Growth Factor Receptor Pathway: A Model for Targeted Therapy</article-title>. <source>Clin Cancer Res</source> (<year>2006</year>) <volume>12</volume>:<page-range>5268&#x2013;72</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/1078-0432.Ccr-05-1554</pub-id>
</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lazzara</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Lane</surname> <given-names>K</given-names>
</name>
<name>
<surname>Chan</surname> <given-names>R</given-names>
</name>
<name>
<surname>Jasper</surname> <given-names>PJ</given-names>
</name>
<name>
<surname>Yaffe</surname> <given-names>MB</given-names>
</name>
<name>
<surname>Sorger</surname> <given-names>PK</given-names>
</name>
<etal/>
</person-group>. <article-title>Impaired SHP2-Mediated Extracellular Signal-Regulated Kinase Activation Contributes to Gefitinib Sensitivity of Lung Cancer Cells With Epidermal Growth Factor Receptor-Activating Mutations</article-title>. <source>Cancer Res</source> (<year>2010</year>) <volume>70</volume>:<page-range>3843&#x2013;50</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/0008-5472.Can-09-3421</pub-id>
</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Q</given-names>
</name>
</person-group>. <article-title>Association Between EGFR Exon 19 or Exon 21 Mutations and Survival Rates After First-Line EGFR-TKI Treatment in Patients With Non-Small Cell Lung Cancer</article-title>. <source>Mol Clin Oncol</source> (<year>2019</year>) <volume>11</volume>:<page-range>301&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.3892/mco.2019.1881</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huang</surname> <given-names>S-F</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>H-P</given-names>
</name>
<name>
<surname>Li</surname> <given-names>L-H</given-names>
</name>
<name>
<surname>Ku</surname> <given-names>Y-C</given-names>
</name>
<name>
<surname>Fu</surname> <given-names>Y-N</given-names>
</name>
<name>
<surname>Tsai</surname> <given-names>H-Y</given-names>
</name>
<etal/>
</person-group>. <article-title>High Frequency of Epidermal Growth Factor Receptor Mutations With Complex Patterns in Non&#x2013;Small Cell Lung Cancers Related to Gefitinib Responsiveness in Taiwan</article-title>. <source>Clin Cancer Res</source> (<year>2004</year>) <volume>10</volume>:<fpage>8195</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/1078-0432.CCR-04-1245</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kuan</surname> <given-names>F-C</given-names>
</name>
<name>
<surname>Kuo</surname> <given-names>L-T</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>M-C</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>C-T</given-names>
</name>
<name>
<surname>Shi</surname> <given-names>C-S</given-names>
</name>
<name>
<surname>Teng</surname> <given-names>D</given-names>
</name>
<etal/>
</person-group>. <article-title>Overall Survival Benefits of First-Line EGFR Tyrosine Kinase Inhibitors in EGFR-Mutated Non-Small-Cell Lung Cancers: A Systematic Review and Meta-Analysis</article-title>. <source>Br J Cancer</source> (<year>2015</year>) <volume>113</volume>:<page-range>1519&#x2013;28</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/bjc.2015.356</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Takeda</surname> <given-names>M</given-names>
</name>
<name>
<surname>Nakagawa</surname> <given-names>K</given-names>
</name>
</person-group>. <article-title>First- and Second-Generation EGFR-TKIs Are All Replaced to Osimertinib in Chemo-Naive EGFR Mutation-Positive Non-Small Cell Lung Cancer</article-title>? <source>Int J Mol Sci</source> (<year>2019</year>) <volume>20</volume>:<elocation-id>146</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijms20010146</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Imamura</surname> <given-names>F</given-names>
</name>
<name>
<surname>Inoue</surname> <given-names>T</given-names>
</name>
<name>
<surname>Kunimasa</surname> <given-names>K</given-names>
</name>
<name>
<surname>Kubota</surname> <given-names>A</given-names>
</name>
<name>
<surname>Kuhara</surname> <given-names>H</given-names>
</name>
<name>
<surname>Tamiya</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Switching From First or Second Generation EGFR-TKI to Osimertinib in EGFR Mutation-Positive NSCLC</article-title>. <source>Lung Cancer Manage</source> (<year>2020</year>) <volume>9</volume>:<fpage>LMT29</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.2217/lmt-2020-0005</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Paez</surname> <given-names>JG</given-names>
</name>
<name>
<surname>J&#xe4;nne</surname> <given-names>PA</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Tracy</surname> <given-names>S</given-names>
</name>
<name>
<surname>Greulich</surname> <given-names>H</given-names>
</name>
<name>
<surname>Gabriel</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>EGFR Mutations in Lung Cancer: Correlation With Clinical Response to Gefitinib Therapy</article-title>. <source>Sci (New York N.Y.)</source> (<year>2004</year>) <volume>304</volume>:<page-range>1497&#x2013;500</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.1099314</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mok</surname> <given-names>TS</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>Y-L</given-names>
</name>
<name>
<surname>Thongprasert</surname> <given-names>S</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>C-H</given-names>
</name>
<name>
<surname>Chu</surname> <given-names>D-T</given-names>
</name>
<name>
<surname>Saijo</surname> <given-names>N</given-names>
</name>
<etal/>
</person-group>. <article-title>Gefitinib or Carboplatin&#x2013;Paclitaxel in Pulmonary Adenocarcinoma</article-title>. <source>New Engl J Med</source> (<year>2009</year>) <volume>361</volume>:<page-range>947&#x2013;57</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1056/NEJMoa0810699</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mitsudomi</surname> <given-names>T</given-names>
</name>
<name>
<surname>Morita</surname> <given-names>S</given-names>
</name>
<name>
<surname>Yatabe</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Negoro</surname> <given-names>S</given-names>
</name>
<name>
<surname>Okamoto</surname> <given-names>I</given-names>
</name>
<name>
<surname>Tsurutani</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Gefitinib Versus Cisplatin Plus Docetaxel in Patients With non-Small-Cell Lung Cancer Harbouring Mutations of the Epidermal Growth Factor Receptor (WJTOG3405): An Open Label, Randomised Phase 3 Trial</article-title>. <source>Lancet Oncol</source> (<year>2010</year>) <volume>11</volume>:<page-range>121&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/s1470-2045(09)70364-x</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chang</surname> <given-names>YS</given-names>
</name>
<name>
<surname>Choi</surname> <given-names>C-M</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>JC</given-names>
</name>
</person-group>. <article-title>Mechanisms of Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor Resistance and Strategies to Overcome Resistance in Lung Adenocarcinoma</article-title>. <source>Tuberc Respir Dis</source> (<year>2016</year>) <volume>79</volume>:<page-range>248&#x2013;56</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4046/trd.2016.79.4.248</pub-id>
</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Keren-Paz</surname> <given-names>A</given-names>
</name>
<name>
<surname>Emmanuel</surname> <given-names>R</given-names>
</name>
<name>
<surname>Samuels</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>YAP and the Drug Resistance Highway</article-title>. <source>Nat Genet</source> (<year>2015</year>) <volume>47</volume>:<page-range>193&#x2013;4</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/ng.3228</pub-id>
</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kapoor</surname> <given-names>A</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>W</given-names>
</name>
<name>
<surname>Ying</surname> <given-names>H</given-names>
</name>
<name>
<surname>Hua</surname> <given-names>S</given-names>
</name>
<name>
<surname>Liewen</surname> <given-names>A</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Q</given-names>
</name>
<etal/>
</person-group>. <article-title>Yap1 Activation Enables Bypass of Oncogenic Kras Addiction in Pancreatic Cancer</article-title>. <source>Cell</source> (<year>2014</year>) <volume>158</volume>:<page-range>185&#x2013;97</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2014.06.003</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>T-F</given-names>
</name>
<name>
<surname>Tseng</surname> <given-names>Y-C</given-names>
</name>
<name>
<surname>Nguyen</surname> <given-names>PA</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y-C</given-names>
</name>
<name>
<surname>Ho</surname> <given-names>C-C</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>C-W</given-names>
</name>
</person-group>. <article-title>Enhanced YAP Expression Leads to EGFR TKI Resistance in Lung Adenocarcinomas</article-title>. <source>Sci Rep</source> (<year>2018</year>) <volume>8</volume>:<fpage>271</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-017-18527-z</pub-id>
</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zou</surname> <given-names>M</given-names>
</name>
<name>
<surname>Lv</surname> <given-names>J</given-names>
</name>
<name>
<surname>Han</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>G</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>G</given-names>
</name>
</person-group>. <article-title>Effective Treatment of Pulmonary Adenocarcinoma Harboring Triple EGFR Mutations of L858R, T790M, and Cis-C797S by Osimertinib, Bevacizumab, and Brigatinib Combination Therapy: A Case Report</article-title>. <source>OncoTar Ther</source> (<year>2018</year>) <volume>11</volume>:<page-range>5545&#x2013;50</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2147/ott.S170358</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>H</given-names>
</name>
<name>
<surname>Na</surname> <given-names>KJ</given-names>
</name>
<name>
<surname>Choi</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>Differences in Tumor Immune Microenvironment in Metastatic Sites of Breast Cancer</article-title>. <source>Front Oncol</source> (<year>2021</year>) <volume>11</volume>:<elocation-id>649004</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fonc.2021.649004</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname> <given-names>S-Y</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>K-C</given-names>
</name>
<name>
<surname>Lawal</surname> <given-names>B</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>ATH</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>C-Z</given-names>
</name>
</person-group>. <article-title>MXD3 as an Onco-Immunological Biomarker Encompassing the Tumor Microenvironment, Disease Staging, Prognoses, and Therapeutic Responses in Multiple Cancer Types</article-title>. <source>Comput Struct Biotechnol J</source> (<year>2021</year>) <volume>19</volume>:<page-range>4970&#x2013;83</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.csbj.2021.08.047</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>J-H</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>ATH</given-names>
</name>
<name>
<surname>Lawal</surname> <given-names>B</given-names>
</name>
<name>
<surname>Tzeng</surname> <given-names>DTW</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>J-C</given-names>
</name>
<name>
<surname>Ho</surname> <given-names>C-L</given-names>
</name>
<etal/>
</person-group>. <article-title>Identification of Cancer Hub Gene Signatures Associated With Immune-Suppressive Tumor Microenvironment and Ovatodiolide as a Potential Cancer Immunotherapeutic Agent</article-title>. <source>Cancers</source> (<year>2021</year>) <volume>13</volume>:<fpage>3847</fpage>. doi: <pub-id pub-id-type="doi">10.3390/cancers13153847</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lawal</surname> <given-names>B</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>L-C</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>J-C</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>J-H</given-names>
</name>
<name>
<surname>Bekaii-Saab</surname> <given-names>TS</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>ATH</given-names>
</name>
<etal/>
</person-group>. <article-title>Multi-Omics Data Analysis of Gene Expressions and Alterations, Cancer-Associated Fibroblast and Immune Infiltrations, Reveals the Onco-Immune Prognostic Relevance of STAT3/CDK2/4/6 in Human Malignancies</article-title>. <source>Cancers</source> (<year>2021</year>) <volume>13</volume>:<fpage>954</fpage>. doi: <pub-id pub-id-type="doi">10.3390/cancers13050954</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lawal</surname> <given-names>B</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>C-Y</given-names>
</name>
<name>
<surname>Mokgautsi</surname> <given-names>N</given-names>
</name>
<name>
<surname>Sumitra</surname> <given-names>MR</given-names>
</name>
<name>
<surname>Khedkar</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>ATH</given-names>
</name>
<etal/>
</person-group>. <article-title>mTOR/EGFR/iNOS/MAP2K1/FGFR/TGFB1 Are Druggable Candidates for N-(2,4-Difluorophenyl)-2&#x2032;,4&#x2032;-Difluoro-4-Hydroxybiphenyl-3-Carboxamide (NSC765598), With Consequent Anticancer Implications</article-title>. <source>Front Oncol</source> (<year>2021</year>) <volume>11</volume>:<elocation-id>656738</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fonc.2021.656738</pub-id>
</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bartha</surname> <given-names>&#xc1;.</given-names>
</name>
<name>
<surname>Gy&#x151;rffy</surname> <given-names>B</given-names>
</name>
</person-group>. <article-title>TNMplot.com: A Web Tool for the Comparison of Gene Expression in Normal, Tumor and Metastatic Tissues</article-title>. <source>Int J Mol Sci</source> (<year>2021</year>) <volume>22</volume>:<fpage>2622</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijms22052622</pub-id>
</citation>
</ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>F</given-names>
</name>
<name>
<surname>Chandrashekar</surname> <given-names>DS</given-names>
</name>
<name>
<surname>Varambally</surname> <given-names>S</given-names>
</name>
<name>
<surname>Creighton</surname> <given-names>CJ</given-names>
</name>
</person-group>. <article-title>Pan-Cancer Molecular Subtypes Revealed by Mass-Spectrometry-Based Proteomic Characterization of More Than 500 Human Cancers</article-title>. <source>Nat Commun</source> (<year>2019</year>) <volume>10</volume>:<fpage>5679</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-019-13528-0</pub-id>
</citation>
</ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Aguirre-Gamboa</surname> <given-names>R</given-names>
</name>
<name>
<surname>Gomez-Rueda</surname> <given-names>H</given-names>
</name>
<name>
<surname>Mart&#xed;nez-Ledesma</surname> <given-names>E</given-names>
</name>
<name>
<surname>Mart&#xed;nez-Torteya</surname> <given-names>A</given-names>
</name>
<name>
<surname>Chacolla-Huaringa</surname> <given-names>R</given-names>
</name>
<name>
<surname>Rodriguez-Barrientos</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>SurvExpress: An Online Biomarker Validation Tool and Database for Cancer Gene Expression Data Using Survival Analysis</article-title>. <source>PloS One</source> (<year>2013</year>) <volume>8</volume>:<elocation-id>e74250</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0074250</pub-id>
</citation>
</ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>T</given-names>
</name>
<name>
<surname>Fu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zeng</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Cohen</surname> <given-names>D</given-names>
</name>
<name>
<surname>Li</surname> <given-names>J</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>Q</given-names>
</name>
<etal/>
</person-group>. <article-title>TIMER2.0 for Analysis of Tumor-Infiltrating Immune Cells</article-title>. <source>Nucleic Acids Res</source> (<year>2020</year>) <volume>48</volume>:<fpage>W509</fpage>&#x2013;<lpage>w514</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/nar/gkaa407</pub-id>
</citation>
</ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>C-J</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>F-F</given-names>
</name>
<name>
<surname>Xia</surname> <given-names>M-X</given-names>
</name>
<name>
<surname>Han</surname> <given-names>L</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>A-Y</given-names>
</name>
</person-group>. <article-title>GSCALite: A Web Server for Gene Set Cancer Analysis</article-title>. <source>Bioinformatics</source> (<year>2018</year>) <volume>34</volume>:<page-range>3771&#x2013;2</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/bioinformatics/bty411</pub-id>
</citation>
</ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sun</surname> <given-names>D</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Han</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Dong</surname> <given-names>X</given-names>
</name>
<name>
<surname>Ge</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>TISCH: A Comprehensive Web Resource Enabling Interactive Single-Cell Transcriptome Visualization of Tumor Microenvironment</article-title>. <source>Nucleic Acids Res</source> (<year>2021</year>) <volume>49</volume>:<page-range>D1420&#x2013;30</page-range>. doi: <pub-id pub-id-type="doi">10.1093/nar/gkaa1020</pub-id>
</citation>
</ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lambrechts</surname> <given-names>D</given-names>
</name>
<name>
<surname>Wauters</surname> <given-names>E</given-names>
</name>
<name>
<surname>Boeckx</surname> <given-names>B</given-names>
</name>
<name>
<surname>Aibar</surname> <given-names>S</given-names>
</name>
<name>
<surname>Nittner</surname> <given-names>D</given-names>
</name>
<name>
<surname>Burton</surname> <given-names>O</given-names>
</name>
<etal/>
</person-group>. <article-title>Phenotype Molding of Stromal Cells in the Lung Tumor Microenvironment</article-title>. <source>Nat Med</source> (<year>2018</year>) <volume>24</volume>:<page-range>1277&#x2013;89</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41591-018-0096-5</pub-id>
</citation>
</ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>C</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>D</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Wan</surname> <given-names>C</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Han</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Integrative Analyses of Single-Cell Transcriptome and Regulome Using MAESTRO</article-title>. <source>Genome Biol</source> (<year>2020</year>) <volume>21</volume>:<page-range>198&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13059-020-02116-x</pub-id>
</citation>
</ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>C-C</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>F-L</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>C-L</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>T-C</given-names>
</name>
<name>
<surname>Chang</surname> <given-names>D-M</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>H-S</given-names>
</name>
</person-group>. <article-title>Discovery of 5-(2&#x2032;,4&#x2032;-Difluorophenyl)-Salicylanilides as New Inhibitors of Receptor Activator of NF-&#x3ba;b Ligand (RANKL)-Induced Osteoclastogenesis</article-title>. <source>Eur J Med Chem</source> (<year>2015</year>) <volume>98</volume>:<page-range>115&#x2013;26</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ejmech.2015.05.015</pub-id>
</citation>
</ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>C-C</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>F-L</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>C-L</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>T-C</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>F-C</given-names>
</name>
<name>
<surname>Ahmed Ali</surname> <given-names>AA</given-names>
</name>
<etal/>
</person-group>. <article-title>Novel Inhibitors of RANKL-Induced Osteoclastogenesis: Design, Synthesis, and Biological Evaluation of 6-(2,4-Difluorophenyl)-3-Phenyl-2H-Benzo[E][1,3]Oxazine-2,4(3H)-Diones</article-title>. <source>Bioorg Med Chem</source> (<year>2015</year>) <volume>23</volume>:<page-range>4522&#x2013;32</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.bmc.2015.06.007</pub-id>
</citation>
</ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Daina</surname> <given-names>A</given-names>
</name>
<name>
<surname>Michielin</surname> <given-names>O</given-names>
</name>
<name>
<surname>Zoete</surname> <given-names>V</given-names>
</name>
</person-group>. <article-title>SwissADME: A Free Web Tool to Evaluate Pharmacokinetics, Drug-Likeness and Medicinal Chemistry Friendliness of Small Molecules</article-title>. <source>Sci Rep</source> (<year>2017</year>) <volume>7</volume>:<elocation-id>42717</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/srep42717</pub-id>
</citation>
</ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Poroikov</surname> <given-names>VV</given-names>
</name>
<name>
<surname>Filimonov</surname> <given-names>DA</given-names>
</name>
<name>
<surname>Gloriozova</surname> <given-names>TA</given-names>
</name>
<name>
<surname>Lagunin</surname> <given-names>AA</given-names>
</name>
<name>
<surname>Druzhilovskiy</surname> <given-names>DS</given-names>
</name>
<name>
<surname>Rudik</surname> <given-names>AV</given-names>
</name>
<etal/>
</person-group>. <article-title>Computer-Aided Prediction of Biological Activity Spectra for Organic Compounds: The Possibilities and Limitations</article-title>. <source>Russian Chem Bull</source> (<year>2019</year>) <volume>68</volume>:<page-range>2143&#x2013;54</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s11172-019-2683-0</pub-id>
</citation>
</ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Lv</surname> <given-names>M</given-names>
</name>
<name>
<surname>Pei</surname> <given-names>R</given-names>
</name>
<name>
<surname>Li</surname> <given-names>P</given-names>
</name>
<name>
<surname>Pei</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>AlzPlatform: An Alzheimer&#x2019;s Disease Domain-Specific Chemogenomics Knowledgebase for Polypharmacology and Target Identification Research</article-title>. <source>J Chem Inf Model</source> (<year>2014</year>) <volume>54</volume>:<page-range>1050&#x2013;60</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/ci500004h</pub-id>
</citation>
</ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Daina</surname> <given-names>A</given-names>
</name>
<name>
<surname>Zoete</surname> <given-names>VA</given-names>
</name>
</person-group>. <article-title>BOILED-Egg To Predict Gastrointestinal Absorption and Brain Penetration of Small Molecules</article-title>. <source>ChemMedChem</source> (<year>2016</year>) <volume>11</volume>:<page-range>1117&#x2013;21</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/cmdc.201600182</pub-id>
</citation>
</ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baell</surname> <given-names>JB</given-names>
</name>
<name>
<surname>Holloway</surname> <given-names>GA</given-names>
</name>
</person-group>. <article-title>New Substructure Filters for Removal of Pan Assay Interference Compounds (PAINS) From Screening Libraries and for Their Exclusion in Bioassays</article-title>. <source>J Med Chem</source> (<year>2010</year>) <volume>53</volume>:<page-range>2719&#x2013;40</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/jm901137j</pub-id>
</citation>
</ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Marcus D Hanwell</surname> <given-names>DEC</given-names>
</name>
<name>
<surname>Lonie</surname> <given-names>DC</given-names>
</name>
<name>
<surname>Vandermeersch</surname> <given-names>T</given-names>
</name>
</person-group>. <article-title>Eva Zurek and Geoffrey R Hutchison. Avogadro: An Advanced Semantic Chemical Editor, Visualization, and Analysis Platform</article-title>. <source>J Cheminform</source> (<year>2012</year>) <volume>4</volume>:<fpage>17</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1758-2946-4-17</pub-id>
</citation>
</ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Trott</surname> <given-names>O</given-names>
</name>
<name>
<surname>Olson</surname> <given-names>AJ</given-names>
</name>
</person-group>. <article-title>AutoDock Vina: Improving the Speed and Accuracy of Docking With a New Scoring Function, Efficient Optimization, and Multithreading</article-title>. <source>J Comput Chem</source> (<year>2010</year>) <volume>31</volume>:<page-range>455&#x2013;61</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/jcc.21334</pub-id>
</citation>
</ref>
<ref id="B46">
<label>46</label>
<citation citation-type="book">
<person-group person-group-type="author">
<collab>Visualizer, D.S</collab>
</person-group>. <source>BIOVIA, Dassault Syst&#xe8;mes, BIOVIA Workbook, Release 2020; BIOVIA Pipeline Pilot, Release 2020</source>. <publisher-loc>San Diego</publisher-loc>: <publisher-name>Dassault Syst&#xe8;mes</publisher-name> (<year>2020</year>).</citation>
</ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tian</surname> <given-names>W</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>C</given-names>
</name>
<name>
<surname>Lei</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>J</given-names>
</name>
<name>
<surname>Liang</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>CASTp 3.0: Computed Atlas of Surface Topography of Proteins</article-title>. <source>Nucleic Acids Res</source> (<year>2018</year>) <volume>46</volume>:<page-range>W363&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/nar/gky473</pub-id>
</citation>
</ref>
<ref id="B48">
<label>48</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Salentin</surname> <given-names>S</given-names>
</name>
<name>
<surname>Schreiber</surname> <given-names>S</given-names>
</name>
<name>
<surname>Haupt</surname> <given-names>VJ</given-names>
</name>
<name>
<surname>Adasme</surname> <given-names>MF</given-names>
</name>
<name>
<surname>Schroeder</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>PLIP: Fully Automated Protein-Ligand Interaction Profiler</article-title>. <source>Nucleic Acids Res</source> (<year>2015</year>) <volume>43</volume>:<page-range>W443&#x2013;447</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/nar/gkv315</pub-id>
</citation>
</ref>
<ref id="B49">
<label>49</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vichai</surname> <given-names>V</given-names>
</name>
<name>
<surname>Kirtikara</surname> <given-names>K</given-names>
</name>
</person-group>. <article-title>Sulforhodamine B Colorimetric Assay for Cytotoxicity Screening</article-title>. <source>Nat Protoc</source> (<year>2006</year>) <volume>1</volume>:<page-range>1112&#x2013;6</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nprot.2006.179</pub-id>
</citation>
</ref>
<ref id="B50">
<label>50</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lawal</surname> <given-names>B</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y-C</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>ATH</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>H-S</given-names>
</name>
</person-group>. <article-title>Pro-Oncogenic C-Met/EGFR, Biomarker Signatures of the Tumor Microenvironment are Clinical and Therapy Response Prognosticators in Colorectal Cancer, and Therapeutic Targets of 3-Phenyl-2H-Benzo[E][1,3]-Oxazine-2,4(3h)-Dione Derivatives</article-title>. <source>Front Pharmacol</source> (<year>2021</year>) <volume>12</volume>:<elocation-id>691234</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fphar.2021.691234</pub-id>
</citation>
</ref>
<ref id="B51">
<label>51</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Franken</surname> <given-names>NA</given-names>
</name>
<name>
<surname>Rodermond</surname> <given-names>HM</given-names>
</name>
<name>
<surname>Stap</surname> <given-names>J</given-names>
</name>
<name>
<surname>Haveman</surname> <given-names>J</given-names>
</name>
<name>
<surname>van Bree</surname> <given-names>C</given-names>
</name>
</person-group>. <article-title>Clonogenic Assay of Cells In Vitro</article-title>. <source>Nat Protoc</source> (<year>2006</year>) <volume>1</volume>:<page-range>2315&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nprot.2006.339</pub-id>
</citation>
</ref>
<ref id="B52">
<label>52</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname> <given-names>ATH</given-names>
</name>
<name>
<surname>Srivastava</surname> <given-names>P</given-names>
</name>
<name>
<surname>Yadav</surname> <given-names>VK</given-names>
</name>
<name>
<surname>Tzeng</surname> <given-names>DTW</given-names>
</name>
<name>
<surname>Iamsaard</surname> <given-names>S</given-names>
</name>
<name>
<surname>Su</surname> <given-names>EC-Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Ovatodiolide, Isolated From Anisomeles Indica, Suppresses Bladder Carcinogenesis Through Suppression of mTOR/&#x3b2;-Catenin/CDK6 and Exosomal miR-21 Derived From M2 Tumor-Associated Macrophages</article-title>. <source>Toxicol Appl Pharmacol</source> (<year>2020</year>) <volume>401</volume>:<elocation-id>115109</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.taap.2020.115109</pub-id>
</citation>
</ref>
<ref id="B53">
<label>53</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ma</surname> <given-names>H-P</given-names>
</name>
<name>
<surname>Chang</surname> <given-names>H-L</given-names>
</name>
<name>
<surname>Bamodu</surname> <given-names>OA</given-names>
</name>
<name>
<surname>Yadav</surname> <given-names>VK</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>T-Y</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>ATH</given-names>
</name>
<etal/>
</person-group>. <article-title>Collagen 1a1 (COL1A1) Is a Reliable Biomarker and Putative Therapeutic Target for Hepatocellular Carcinogenesis and Metastasis</article-title>. <source>Cancers</source> (<year>2019</year>) <volume>11</volume>:<fpage>786</fpage>. doi: <pub-id pub-id-type="doi">10.3390/cancers11060786</pub-id>
</citation>
</ref>
<ref id="B54">
<label>54</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mahmood</surname> <given-names>T</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>P-C</given-names>
</name>
</person-group>. <article-title>Western Blot: Technique, Theory, and Trouble Shooting</article-title>. <source>North Am J Med Sci</source> (<year>2012</year>) <volume>4</volume>:<page-range>429&#x2013;34</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4103/1947-2714.100998</pub-id>
</citation>
</ref>
<ref id="B55">
<label>55</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>A</given-names>
</name>
<name>
<surname>Han</surname> <given-names>X</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Song</surname> <given-names>L</given-names>
</name>
<etal/>
</person-group>. <article-title>ITGB2 as a Prognostic Indicator and a Predictive Marker for Immunotherapy in Gliomas</article-title>. <source>Cancer Immunol Immunother</source> (<year>2021</year>) <volume>71</volume>(<issue>3</issue>):<page-range>645&#x2013;60</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00262-021-03022-2</pub-id>
</citation>
</ref>
<ref id="B56">
<label>56</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jasial</surname> <given-names>S</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Bajorath</surname> <given-names>J.r</given-names>
</name>
</person-group>. <article-title>Assessing the Growth of Bioactive Compounds and Scaffolds Over Time: Implications for Lead Discovery and Scaffold Hopping</article-title>. <source>J Chem Inf Model</source> (<year>2016</year>) <volume>56</volume>:<page-range>300&#x2013;7</page-range>. doi: <pub-id pub-id-type="doi">10.1021/acs.jcim.5b00713</pub-id>
</citation>
</ref>
<ref id="B57">
<label>57</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Williams</surname> <given-names>RJ</given-names>
</name>
<name>
<surname>Spencer</surname> <given-names>JPE</given-names>
</name>
<name>
<surname>Rice-Evans</surname> <given-names>C</given-names>
</name>
</person-group>. <article-title>Flavonoids and Isoflavones (Phytoestrogens): Absorption, Metabolism, and Bioactivity. Flavonoids: Antioxidants or Signalling Molecules</article-title>?. <source>Free Radical Biol Med</source> (<year>2004</year>) <volume>36</volume>:<page-range>838&#x2013;49</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2004.01.001</pub-id>
</citation>
</ref>
<ref id="B58">
<label>58</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Erlund</surname> <given-names>I</given-names>
</name>
</person-group>. <article-title>Review of the Flavonoids Quercetin, Hesperetin, and Naringenin. Dietary Sources, Bioactivities, Bioavailability, and Epidemiology</article-title>. <source>Nutr Res</source> (<year>2004</year>) <volume>24</volume>:<page-range>851&#x2013;74</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.nutres.2004.07.005</pub-id>
</citation>
</ref>
<ref id="B59">
<label>59</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Snetkov</surname> <given-names>P</given-names>
</name>
<name>
<surname>Morozkina</surname> <given-names>S</given-names>
</name>
<name>
<surname>Olekhnovich</surname> <given-names>R</given-names>
</name>
<name>
<surname>Uspenskaya</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Diflunisal Targeted Delivery Systems: A Review</article-title>. <source>Materials</source> (<year>2021</year>) <volume>14</volume>:<fpage>6687</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ma14216687</pub-id>
</citation>
</ref>
<ref id="B60">
<label>60</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Li</surname> <given-names>P-K</given-names>
</name>
<name>
<surname>Roberts</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Arend</surname> <given-names>RC</given-names>
</name>
<name>
<surname>Samant</surname> <given-names>RS</given-names>
</name>
<name>
<surname>Buchsbaum</surname> <given-names>DJ</given-names>
</name>
</person-group>. <article-title>Multi-Targeted Therapy of Cancer by Niclosamide: A New Application for an Old Drug</article-title>. <source>Cancer Lett</source> (<year>2014</year>) <volume>349</volume>:<fpage>8</fpage>&#x2013;<lpage>14</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.canlet.2014.04.003</pub-id>
</citation>
</ref>
<ref id="B61">
<label>61</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kadri</surname> <given-names>H</given-names>
</name>
<name>
<surname>Lambourne</surname> <given-names>OA</given-names>
</name>
<name>
<surname>Mehellou</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>Niclosamide, a Drug With Many (Re) Purposes</article-title>. <source>ChemMedChem</source> (<year>2018</year>) <volume>13</volume>:<fpage>1088</fpage>. doi: <pub-id pub-id-type="doi">10.1002/cmdc.201800100</pub-id>
</citation>
</ref>
<ref id="B62">
<label>62</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname> <given-names>DW</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>TC</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>HS</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>TC-N19, a Novel Dual Inhibitor of EGFR and cMET, Efficiently Overcomes EGFR-TKI Resistance in non-Small-Cell Lung Cancer Cells</article-title>. <source>Cell Death Dis</source> (<year>2016</year>) <volume>7</volume>:<elocation-id>e2290</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/cddis.2016.192</pub-id>
</citation>
</ref>
<ref id="B63">
<label>63</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wendt</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Williams</surname> <given-names>WK</given-names>
</name>
<name>
<surname>Pascuzzi</surname> <given-names>PE</given-names>
</name>
<name>
<surname>Balanis</surname> <given-names>NG</given-names>
</name>
<name>
<surname>Schiemann</surname> <given-names>BJ</given-names>
</name>
<name>
<surname>Carlin</surname> <given-names>CR</given-names>
</name>
<etal/>
</person-group>. <article-title>The Antitumorigenic Function of EGFR in Metastatic Breast Cancer is Regulated by Expression of Mig6</article-title>. <source>Neoplasia</source> (<year>2015</year>) <volume>17</volume>:<page-range>124&#x2013;33</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.neo.2014.11.009</pub-id>
</citation>
</ref>
<ref id="B64">
<label>64</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nickerson</surname> <given-names>NK</given-names>
</name>
<name>
<surname>Mohammad</surname> <given-names>KS</given-names>
</name>
<name>
<surname>Gilmore</surname> <given-names>JL</given-names>
</name>
<name>
<surname>Crismore</surname> <given-names>E</given-names>
</name>
<name>
<surname>Bruzzaniti</surname> <given-names>A</given-names>
</name>
<name>
<surname>Guise</surname> <given-names>TA</given-names>
</name>
<etal/>
</person-group>. <article-title>Decreased Autocrine EGFR Signaling in Metastatic Breast Cancer Cells Inhibits Tumor Growth in Bone and Mammary Fat Pad</article-title>. <source>PloS One</source> (<year>2012</year>) <volume>7</volume>:<elocation-id>e30255</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0030255</pub-id>
</citation>
</ref>
<ref id="B65">
<label>65</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Niikura</surname> <given-names>N</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Hayashi</surname> <given-names>N</given-names>
</name>
<name>
<surname>Mittendorf</surname> <given-names>EA</given-names>
</name>
<name>
<surname>Gong</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Palla</surname> <given-names>SL</given-names>
</name>
<etal/>
</person-group>. <article-title>Loss of Human Epidermal Growth Factor Receptor 2 (HER2) Expression in Metastatic Sites of HER2-Overexpressing Primary Breast Tumors</article-title>. <source>J Clin Oncol</source> (<year>2012</year>) <volume>30</volume>:<fpage>593</fpage>. doi: <pub-id pub-id-type="doi">10.1200/JCO.2010.33.8889</pub-id>
</citation>
</ref>
<ref id="B66">
<label>66</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Warren</surname> <given-names>JSA</given-names>
</name>
<name>
<surname>Xiao</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Lamar</surname> <given-names>JM</given-names>
</name>
</person-group>. <article-title>YAP/TAZ Activation as a Target for Treating Metastatic Cancer</article-title>. <source>Cancers</source> (<year>2018</year>) <volume>10</volume>:<fpage>115</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/cancers10040115</pub-id>
</citation>
</ref>
<ref id="B67">
<label>67</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zanconato</surname> <given-names>F</given-names>
</name>
<name>
<surname>Cordenonsi</surname> <given-names>M</given-names>
</name>
<name>
<surname>Piccolo</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>YAP/TAZ at the Roots of Cancer</article-title>. <source>Cancer Cell</source> (<year>2016</year>) <volume>29</volume>:<fpage>783</fpage>&#x2013;<lpage>803</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ccell.2016.05.005</pub-id>
</citation>
</ref>
<ref id="B68">
<label>68</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zheng</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Pan</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>The Hippo Signaling Pathway in Development and Disease</article-title>. <source>Dev Cell</source> (<year>2019</year>) <volume>50</volume>:<page-range>264&#x2013;82</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.devcel.2019.06.003</pub-id>
</citation>
</ref>
<ref id="B69">
<label>69</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Overholtzer</surname> <given-names>M</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Smolen</surname> <given-names>GA</given-names>
</name>
<name>
<surname>Muir</surname> <given-names>B</given-names>
</name>
<name>
<surname>Li</surname> <given-names>W</given-names>
</name>
<name>
<surname>Sgroi</surname> <given-names>DC</given-names>
</name>
<etal/>
</person-group>. <article-title>Transforming Properties of YAP, A Candidate Oncogene on the Chromosome 11q22 Amplicon</article-title>. <source>Proc Natl Acad Sci USA</source> (<year>2006</year>) <volume>103</volume>:<page-range>12405&#x2013;10</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.0605579103</pub-id>
</citation>
</ref>
<ref id="B70">
<label>70</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Han</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>G</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Miao</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>WWC3 Regulates the Wnt and Hippo Pathways <italic>via</italic> Dishevelled Proteins and Large Tumour Suppressor 1, to Suppress Lung Cancer Invasion and Metastasis</article-title>. <source>J Pathol</source> (<year>2017</year>) <volume>242</volume>:<page-range>435&#x2013;47</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/path.4919</pub-id>
</citation>
</ref>
<ref id="B71">
<label>71</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname> <given-names>B</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ye</surname> <given-names>X</given-names>
</name>
<name>
<surname>Lai</surname> <given-names>ZC</given-names>
</name>
<name>
<surname>Guan</surname> <given-names>KL</given-names>
</name>
</person-group>. <article-title>Both TEAD-Binding and WW Domains are Required for the Growth Stimulation and Oncogenic Transformation Activity of Yes-Associated Protein</article-title>. <source>Cancer Res</source> (<year>2009</year>) <volume>69</volume>:<page-range>1089&#x2013;98</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/0008-5472.can-08-2997</pub-id>
</citation>
</ref>
<ref id="B72">
<label>72</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nallet-Staub</surname> <given-names>F</given-names>
</name>
<name>
<surname>Marsaud</surname> <given-names>V</given-names>
</name>
<name>
<surname>Li</surname> <given-names>L</given-names>
</name>
<name>
<surname>Gilbert</surname> <given-names>C</given-names>
</name>
<name>
<surname>Dodier</surname> <given-names>S</given-names>
</name>
<name>
<surname>Bataille</surname> <given-names>V</given-names>
</name>
<etal/>
</person-group>. <article-title>Pro-Invasive Activity of the Hippo Pathway Effectors YAP and TAZ in Cutaneous Melanoma</article-title>. <source>J Invest Dermatol</source> (<year>2014</year>) <volume>134</volume>:<page-range>123&#x2013;32</page-range>. doi: <pub-id pub-id-type="doi">10.1038/jid.2013.319</pub-id>
</citation>
</ref>
<ref id="B73">
<label>73</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lau</surname> <given-names>AN</given-names>
</name>
<name>
<surname>Curtis</surname> <given-names>SJ</given-names>
</name>
<name>
<surname>Fillmore</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Rowbotham</surname> <given-names>SP</given-names>
</name>
<name>
<surname>Mohseni</surname> <given-names>M</given-names>
</name>
<name>
<surname>Wagner</surname> <given-names>DE</given-names>
</name>
<etal/>
</person-group>. <article-title>Tumor-Propagating Cells and Y Ap/T Az Activity Contribute to Lung Tumor Progression and Metastasis</article-title>. <source>EMBO J</source> (<year>2014</year>) <volume>33</volume>:<page-range>468&#x2013;81</page-range>. doi: <pub-id pub-id-type="doi">10.1002/embj.201386082</pub-id>
</citation>
</ref>
<ref id="B74">
<label>74</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gu</surname> <given-names>JJ</given-names>
</name>
<name>
<surname>Rouse</surname> <given-names>C</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>X</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Onaitis</surname> <given-names>MW</given-names>
</name>
<name>
<surname>Pendergast</surname> <given-names>AM</given-names>
</name>
</person-group>. <article-title>Inactivation of ABL Kinases Suppresses non&#x2013;Small Cell Lung Cancer Metastasis</article-title>. <source>JCI Insight</source> (<year>2016</year>) <volume>1</volume>(<issue>21</issue>):<fpage>e89647</fpage>. doi: <pub-id pub-id-type="doi">10.1172/jci.insight.89647</pub-id>
</citation>
</ref>
<ref id="B75">
<label>75</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname> <given-names>S</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Purohit</surname> <given-names>V</given-names>
</name>
<name>
<surname>Shukla</surname> <given-names>SK</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>X</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>Active YAP Promotes Pancreatic Cancer Cell Motility, Invasion and Tumorigenesis in a Mitotic Phosphorylation-Dependent Manner Through LPAR3</article-title>. <source>Oncotarget</source> (<year>2015</year>) <volume>6</volume>:<fpage>36019</fpage>. doi: <pub-id pub-id-type="doi">10.18632/oncotarget.5935</pub-id>
</citation>
</ref>
<ref id="B76">
<label>76</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bartucci</surname> <given-names>M</given-names>
</name>
<name>
<surname>Dattilo</surname> <given-names>R</given-names>
</name>
<name>
<surname>Moriconi</surname> <given-names>C</given-names>
</name>
<name>
<surname>Pagliuca</surname> <given-names>A</given-names>
</name>
<name>
<surname>Mottolese</surname> <given-names>M</given-names>
</name>
<name>
<surname>Federici</surname> <given-names>G</given-names>
</name>
<etal/>
</person-group>. <article-title>TAZ is Required for Metastatic Activity and Chemoresistance of Breast Cancer Stem Cells</article-title>. <source>Oncogene</source> (<year>2015</year>) <volume>34</volume>:<page-range>681&#x2013;90</page-range>. doi: <pub-id pub-id-type="doi">10.1038/onc.2014.5</pub-id>
</citation>
</ref>
<ref id="B77">
<label>77</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hu</surname> <given-names>X</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>J</given-names>
</name>
<name>
<surname>Fu</surname> <given-names>Q</given-names>
</name>
</person-group>. <article-title>Loss of YAP Protein in Prostate Cancer is Associated With Gleason Score Increase</article-title>. <source>Tumori J</source> (<year>2015</year>) <volume>101</volume>:<page-range>189&#x2013;93</page-range>. doi: <pub-id pub-id-type="doi">10.5301/tj.5000238</pub-id>
</citation>
</ref>
<ref id="B78">
<label>78</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cao</surname> <given-names>L</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>PL</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>M</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>M</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>Expression of YES-Associated Protein (YAP) and its Clinical Significance in Breast Cancer Tissues</article-title>. <source>Hum Pathol</source> (<year>2017</year>) <volume>68</volume>:<page-range>166&#x2013;74</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.humpath.2017.08.032</pub-id>
</citation>
</ref>
<ref id="B79">
<label>79</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yu</surname> <given-names>SJ</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>JY</given-names>
</name>
<name>
<surname>Kuang</surname> <given-names>XY</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>JM</given-names>
</name>
<name>
<surname>Hou</surname> <given-names>YF</given-names>
</name>
<name>
<surname>Di</surname> <given-names>GH</given-names>
</name>
<etal/>
</person-group>. <article-title>MicroRNA-200a Promotes Anoikis Resistance and Metastasis by Targeting YAP1 in Human Breast Cancer</article-title>. <source>Clin Cancer Res</source> (<year>2013</year>) <volume>19</volume>:<page-range>1389&#x2013;99</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/1078-0432.ccr-12-1959</pub-id>
</citation>
</ref>
<ref id="B80">
<label>80</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sun</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Schwenzer</surname> <given-names>A</given-names>
</name>
<name>
<surname>Rupp</surname> <given-names>T</given-names>
</name>
<name>
<surname>Murdamoothoo</surname> <given-names>D</given-names>
</name>
<name>
<surname>Vegliante</surname> <given-names>R</given-names>
</name>
<name>
<surname>Lefebvre</surname> <given-names>O</given-names>
</name>
<etal/>
</person-group>. <article-title>Tenascin-C Promotes Tumor Cell Migration and Metastasis Through Integrin &#x3b1;9&#x3b2;1-Mediated YAP Inhibition</article-title>. <source>Cancer Res</source> (<year>2018</year>) <volume>78</volume>:<page-range>950&#x2013;61</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/0008-5472.can-17-1597</pub-id>
</citation>
</ref>
<ref id="B81">
<label>81</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Moon</surname> <given-names>S</given-names>
</name>
<name>
<surname>Yeon Park</surname> <given-names>S</given-names>
</name>
<name>
<surname>Woo Park</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>Regulation of the Hippo Pathway in Cancer Biology</article-title>. <source>Cell Mol Life Sci</source> (<year>2018</year>) <volume>75</volume>:<page-range>2303&#x2013;19</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00018-018-2804-1</pub-id>
</citation>
</ref>
<ref id="B82">
<label>82</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Meng</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Moroishi</surname> <given-names>T</given-names>
</name>
<name>
<surname>Guan</surname> <given-names>KL</given-names>
</name>
</person-group>. <article-title>Mechanisms of Hippo Pathway Regulation</article-title>. <source>Genes Dev</source> (<year>2016</year>) <volume>30</volume>:<fpage>1</fpage>&#x2013;<lpage>17</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/gad.274027.115</pub-id>
</citation>
</ref>
<ref id="B83">
<label>83</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rausch</surname> <given-names>S</given-names>
</name>
<name>
<surname>Schollenberger</surname> <given-names>D</given-names>
</name>
<name>
<surname>Hennenlotter</surname> <given-names>J</given-names>
</name>
<name>
<surname>St&#xfc;hler</surname> <given-names>V</given-names>
</name>
<name>
<surname>Kruck</surname> <given-names>S</given-names>
</name>
<name>
<surname>Stenzl</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>mTOR and mTOR Phosphorylation Status in Primary and Metastatic Renal Cell Carcinoma Tissue: Differential Expression and Clinical Relevance</article-title>. <source>J Cancer Res Clin Oncol</source> (<year>2019</year>) <volume>145</volume>:<page-range>153&#x2013;63</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00432-018-2775-5</pub-id>
</citation>
</ref>
<ref id="B84">
<label>84</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Ni</surname> <given-names>HJ</given-names>
</name>
<name>
<surname>Cheng</surname> <given-names>DY</given-names>
</name>
</person-group>. <article-title>Prognostic Value of Phosphorylated mTOR/RPS6KB1 in Non- Small Cell Lung Cancer</article-title>. <source>Asian Pac J Cancer Prev</source> (<year>2013</year>) <volume>14</volume>:<page-range>3725&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.7314/apjcp.2013.14.6.3725</pub-id>
</citation>
</ref>
<ref id="B85">
<label>85</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bindea</surname> <given-names>G</given-names>
</name>
<name>
<surname>Mlecnik</surname> <given-names>B</given-names>
</name>
<name>
<surname>Tosolini</surname> <given-names>M</given-names>
</name>
<name>
<surname>Kirilovsky</surname> <given-names>A</given-names>
</name>
<name>
<surname>Waldner</surname> <given-names>M</given-names>
</name>
<name>
<surname>Obenauf</surname> <given-names>AC</given-names>
</name>
<etal/>
</person-group>. <article-title>Spatiotemporal Dynamics of Intratumoral Immune Cells Reveal the Immune Landscape in Human Cancer</article-title>. <source>Immunity</source> (<year>2013</year>) <volume>39</volume>:<page-range>782&#x2013;95</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2013.10.003</pub-id>
</citation>
</ref>
<ref id="B86">
<label>86</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pitteri</surname> <given-names>SJ</given-names>
</name>
<name>
<surname>Kelly-Spratt</surname> <given-names>KS</given-names>
</name>
<name>
<surname>Gurley</surname> <given-names>KE</given-names>
</name>
<name>
<surname>Kennedy</surname> <given-names>J</given-names>
</name>
<name>
<surname>Buson</surname> <given-names>TB</given-names>
</name>
<name>
<surname>Chin</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Tumor Microenvironment-Derived Proteins Dominate the Plasma Proteome Response During Breast Cancer Induction and Progression</article-title>. <source>Cancer Res</source> (<year>2011</year>) <volume>71</volume>:<page-range>5090&#x2013;100</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/0008-5472.can-11-0568</pub-id>
</citation>
</ref>
<ref id="B87">
<label>87</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>K</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>R</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>Y-M</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>X-X</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>W</given-names>
</name>
<etal/>
</person-group>. <article-title>Identification of Differentially Expressed Genes in non-Small Cell Lung Cancer</article-title>. <source>Aging</source> (<year>2019</year>) <volume>11</volume>:<page-range>11170&#x2013;85</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.18632/aging.102521</pub-id>
</citation>
</ref>
<ref id="B88">
<label>88</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lawal</surname> <given-names>B</given-names>
</name>
<name>
<surname>Kuo</surname> <given-names>Y-C</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>S-L</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>F-C</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>ATH</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>H-Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Transcriptomic-Based Identification of the Immuno-Oncogenic Signature of Cholangiocarcinoma for HLC-018 Multi-Target Therapy Exploration</article-title>. <source>Cells</source> (<year>2021</year>) <volume>10</volume>:<fpage>2873</fpage>. doi: <pub-id pub-id-type="doi">10.3390/cells10112873</pub-id>
</citation>
</ref>
<ref id="B89">
<label>89</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>X</given-names>
</name>
<name>
<surname>Qian</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>W</given-names>
</name>
<name>
<surname>Shu</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Clinical Efficacy of mTOR Inhibitors in Solid Tumors: A Systematic Review</article-title>. <source>Future Oncol</source> (<year>2015</year>) <volume>11</volume>:<page-range>1687&#x2013;99</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2217/fon.15.70</pub-id>
</citation>
</ref>
<ref id="B90">
<label>90</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hua</surname> <given-names>H</given-names>
</name>
<name>
<surname>Kong</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>T</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>Targeting mTOR for Cancer Therapy</article-title>. <source>J Hematol Oncol</source> (<year>2019</year>) <volume>12</volume>:<page-range>71&#x2013;1</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13045-019-0754-1</pub-id>
</citation>
</ref>
<ref id="B91">
<label>91</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Smith</surname> <given-names>MC</given-names>
</name>
<name>
<surname>Mader</surname> <given-names>MM</given-names>
</name>
<name>
<surname>Cook</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Iversen</surname> <given-names>P</given-names>
</name>
<name>
<surname>Ajamie</surname> <given-names>R</given-names>
</name>
<name>
<surname>Perkins</surname> <given-names>E</given-names>
</name>
<etal/>
</person-group>. <article-title>Characterization of LY3023414, A Novel PI3K/mTOR Dual Inhibitor Eliciting Transient Target Modulation to Impede Tumor Growth</article-title>. <source>Mol Cancer Ther</source> (<year>2016</year>) <volume>15</volume>:<page-range>2344&#x2013;56</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/1535-7163.mct-15-0996</pub-id>
</citation>
</ref>
<ref id="B92">
<label>92</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Inaba</surname> <given-names>K</given-names>
</name>
<name>
<surname>Oda</surname> <given-names>K</given-names>
</name>
<name>
<surname>Ikeda</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Sone</surname> <given-names>K</given-names>
</name>
<name>
<surname>Miyasaka</surname> <given-names>A</given-names>
</name>
<name>
<surname>Kashiyama</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>Antitumor Activity of a Combination of Dual PI3K/mTOR Inhibitor SAR245409 and Selective MEK1/2 Inhibitor Pimasertib in Endometrial Carcinomas</article-title>. <source>Gynecol Oncol</source> (<year>2015</year>) <volume>138</volume>:<page-range>323&#x2013;31</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ygyno.2015.05.031</pub-id>
</citation>
</ref>
<ref id="B93">
<label>93</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Olmez</surname> <given-names>I</given-names>
</name>
<name>
<surname>Brenneman</surname> <given-names>B</given-names>
</name>
<name>
<surname>Xiao</surname> <given-names>A</given-names>
</name>
<name>
<surname>Serbulea</surname> <given-names>V</given-names>
</name>
<name>
<surname>Benamar</surname> <given-names>M</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Combined CDK4/6 and mTOR Inhibition Is Synergistic Against Glioblastoma</article-title>. <source>Via Multiple Mechanisms Clin Cancer Res</source> (<year>2017</year>) <volume>23</volume>:<page-range>6958&#x2013;68</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/1078-0432.ccr-17-0803</pub-id>
</citation>
</ref>
<ref id="B94">
<label>94</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Peddi</surname> <given-names>VR</given-names>
</name>
<name>
<surname>Wiseman</surname> <given-names>A</given-names>
</name>
<name>
<surname>Chavin</surname> <given-names>K</given-names>
</name>
<name>
<surname>Slakey</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Review of Combination Therapy With mTOR Inhibitors and Tacrolimus Minimization After Transplantation</article-title>. <source>Transplant Rev (Orlando)</source> (<year>2013</year>) <volume>27</volume>:<fpage>97</fpage>&#x2013;<lpage>107</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.trre.2013.06.001</pub-id>
</citation>
</ref>
<ref id="B95">
<label>95</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thangaraj</surname> <given-names>P</given-names>
</name>
</person-group>. <article-title>Molecular Docking of Bioactive Compounds Against BRCA and COX Proteins</article-title>. <source>Prog Drug Res</source> (<year>2016</year>) <volume>71</volume>:<page-range>181&#x2013;3</page-range>. doi: <pub-id pub-id-type="doi">10.1007/978-3-319-26811-8_32</pub-id>
</citation>
</ref>
<ref id="B96">
<label>96</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname> <given-names>H</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Hydrogen Bonding Penalty Upon Ligand Binding</article-title>. <source>PloS One</source> (<year>2011</year>) <volume>6</volume>:<elocation-id>e19923</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0019923</pub-id>
</citation>
</ref>
<ref id="B97">
<label>97</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Arthur</surname> <given-names>DE</given-names>
</name>
<name>
<surname>Uzairu</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Molecular Docking Studies on the Interaction of NCI Anticancer Analogues With Human Phosphatidylinositol 4,5-Bisphosphate 3-Kinase Catalytic Subunit</article-title>. <source>J King Saud Univ - Sci</source> (<year>2019</year>) <volume>31</volume>:<page-range>1151&#x2013;66</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jksus.2019.01.011</pub-id>
</citation>
</ref>
<ref id="B98">
<label>98</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lawal</surname> <given-names>B</given-names>
</name>
<name>
<surname>Kuo</surname> <given-names>Y-C</given-names>
</name>
<name>
<surname>Sumitra</surname> <given-names>MR</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>AT</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>H-S</given-names>
</name>
</person-group>. <article-title>In Vivo Pharmacokinetic and Anticancer Studies of HH-N25, A Selective Inhibitor of Topoisomerase I, and Hormonal Signaling for Treating Breast Cancer</article-title>. <source>J&#xa0;Inflamm Res</source> (<year>2021</year>) <volume>14</volume>:<fpage>1</fpage>&#x2013;<lpage>13</lpage>. doi: <pub-id pub-id-type="doi">10.2147/JIR.S329401</pub-id>
</citation>
</ref>
<ref id="B99">
<label>99</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Amin</surname> <given-names>ML</given-names>
</name>
</person-group>. <article-title>P-Glycoprotein Inhibition for Optimal Drug Delivery</article-title>. <source>Drug Target Insights</source> (<year>2013</year>) <volume>7</volume>:<fpage>27</fpage>&#x2013;<lpage>34</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4137/DTI.S12519</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>