E3 ubiquitin ligase Atrogin-1 mediates adaptive resistance to KIT-targeted inhibition in gastrointestinal stromal tumor.


Journal

Oncogene
ISSN: 1476-5594
Titre abrégé: Oncogene
Pays: England
ID NLM: 8711562

Informations de publication

Date de publication:
12 2021
Historique:
received: 22 07 2021
accepted: 28 09 2021
revised: 20 09 2021
pubmed: 9 10 2021
medline: 4 1 2022
entrez: 8 10 2021
Statut: ppublish

Résumé

KIT/PDGFRA oncogenic tyrosine kinase signaling is the central oncogenic event in most gastrointestinal stromal tumors (GIST), which are human malignant mesenchymal neoplasms that often feature myogenic differentiation. Although targeted inhibition of KIT/PDGFRA provides substantial clinical benefit, GIST cells adapt to KIT/PDGFRA driver suppression and eventually develop resistance. The specific molecular events leading to adaptive resistance in GIST remain unclear. By using clinically representative in vitro and in vivo GIST models and GIST patients' samples, we found that the E3 ubiquitin ligase Atrogin-1 (FBXO32)-the main effector of muscular atrophy in cachexia-resulted in the most critical gene derepressed in response to KIT inhibition, regardless the type of KIT primary or secondary mutation. Atrogin-1 in GISTs is transcriptionally controlled by the KIT-FOXO3a axis, thus indicating overlap with Atrogin-1 regulation mechanisms in nonneoplastic muscle cells. Further, Atrogin-1 overexpression was a GIST-cell-specific pro-survival mechanism that enabled the adaptation to KIT-targeted inhibition by apoptosis evasion through cell quiescence. Buttressed on these findings, we established in vitro and in vivo the preclinical proof-of-concept for co-targeting KIT and the ubiquitin pathway to maximize the therapeutic response to first-line imatinib treatment.

Identifiants

pubmed: 34621020
doi: 10.1038/s41388-021-02049-0
pii: 10.1038/s41388-021-02049-0
doi:

Substances chimiques

Antineoplastic Agents 0
Biomarkers, Tumor 0
Muscle Proteins 0
Pyrazoles 0
Pyrimidines 0
Sulfides 0
Sulfonamides 0
Imatinib Mesylate 8A1O1M485B
FBXO32 protein, human EC 2.3.2.27
SKP Cullin F-Box Protein Ligases EC 2.3.2.27
KIT protein, human EC 2.7.10.1
Proto-Oncogene Proteins c-kit EC 2.7.10.1
TAK-243 V9GGV0YCDI

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

6614-6626

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Nature Limited.

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Auteurs

Alfonso García-Valverde (A)

Sarcoma Translational Research Laboratory, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Jordi Rosell (J)

Sarcoma Translational Research Laboratory, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Sergi Sayols (S)

Institute of Molecular Biology, Mainz, Germany.

David Gómez-Peregrina (D)

Sarcoma Translational Research Laboratory, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Daniel F Pilco-Janeta (DF)

Sarcoma Translational Research Laboratory, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.

Iván Olivares-Rivas (I)

Sarcoma Translational Research Laboratory, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Enrique de Álava (E)

Institute of Biomedicine of Sevilla (IBiS), Virgen del Rocio University Hospital /CSIC/University of Sevilla/CIBERONC, Sevilla, Spain.
Department of Normal and Pathological Cytology and Histology, School of Medicine, University of Seville, Sevilla, Spain.

Joan Maurel (J)

Medical Oncology Department, Hospital Clinic of Barcelona, Translational Genomics and Targeted Therapeutics in Solid Tumors Group, IDIBAPS, University of Barcelona, Barcelona, Spain.

Jordi Rubió-Casadevall (J)

Medical Oncology Service, Institut Català d'Oncologia, Girona, Spain.

Anna Esteve (A)

CNAG-CRG, Centre for Genomic Regulation, Barcelona Institute of Science and Technology (BIST), Barcelona, Spain.
Universitat Pompeu Fabra (UPF), Barcelona, Spain.

Marta Gut (M)

CNAG-CRG, Centre for Genomic Regulation, Barcelona Institute of Science and Technology (BIST), Barcelona, Spain.
Universitat Pompeu Fabra (UPF), Barcelona, Spain.

Claudia Valverde (C)

Department of Medical Oncology, Vall d'Hebron University Hospital, Barcelona, Spain.

Jordi Barretina (J)

Institut Investigació en Ciències de la Salut Germans Trias i Pujol (IGTP), Institut Català d'Oncologia, Badalona, Spain.

Joan Carles (J)

Department of Medical Oncology, Vall d'Hebron University Hospital, Barcelona, Spain.

George D Demetri (GD)

Sarcoma and Bone Cancer Treatment Center, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA.
Ludwig Center at Harvard, Harvard Medical School, Boston, MA, USA.

Jonathan A Fletcher (JA)

Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.

Joaquín Arribas (J)

Institució Catalana de Recerca I Estudis Avançats (ICREA), Barcelona, Spain.
Growth Factors Laboratory, Vall d'Hebron Institute of Oncology (VHIO) and CIBERONC, Barcelona, Spain.

César Serrano (C)

Sarcoma Translational Research Laboratory, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain. cserrano@vhio.net.
Department of Medical Oncology, Vall d'Hebron University Hospital, Barcelona, Spain. cserrano@vhio.net.

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