Adaptive resistance of melanoma cells to RAF inhibition via reversible induction of a slowly dividing de-differentiated state.
| Authors | |
| Abstract | Treatment of BRAF-mutant melanomas with MAP kinase pathway inhibitors is paradigmatic of the promise of precision cancer therapy but also highlights problems with drug resistance that limit patient benefit. We use live-cell imaging, single-cell analysis, and molecular profiling to show that exposure of tumor cells to RAF/MEK inhibitors elicits a heterogeneous response in which some cells die, some arrest, and the remainder adapt to drug. Drug-adapted cells up-regulate markers of the neural crest (e.g., NGFR), a melanocyte precursor, and grow slowly. This phenotype is transiently stable, reverting to the drug-naïve state within 9 days of drug withdrawal. Transcriptional profiling of cell lines and human tumors implicates a c-Jun/ECM/FAK/Src cascade in de-differentiation in about one-third of cell lines studied; drug-induced changes in c-Jun and NGFR levels are also observed in xenograft and human tumors. Drugs targeting the c-Jun/ECM/FAK/Src cascade as well as BET bromodomain inhibitors increase the maximum effect (Emax) of RAF/MEK kinase inhibitors by promoting cell killing. Thus, analysis of reversible drug resistance at a single-cell level identifies signaling pathways and inhibitory drugs missed by assays that focus on cell populations. |
| Year of Publication | 2017
|
| Journal | Mol Syst Biol
|
| Volume | 13
|
| Issue | 1
|
| Pages | 905
|
| Date Published | 2017 Jan 09
|
| ISSN | 1744-4292
|
| DOI | 10.15252/msb.20166796
|
| PubMed ID | 28069687
|
| PubMed Central ID | PMC5248573
|
| Links | |
| Grant list | K99 CA194163 / CA / NCI NIH HHS / United States
P01 CA139980 / CA / NCI NIH HHS / United States
P50 GM107618 / GM / NIGMS NIH HHS / United States
|