Farnesyltransferase inhibition overcomes oncogene-addicted non-small cell lung cancer adaptive resistance to targeted therapies.
Carcinoma, Non-Small-Cell Lung
/ genetics
Humans
Farnesyltranstransferase
/ antagonists & inhibitors
Lung Neoplasms
/ genetics
Drug Resistance, Neoplasm
/ genetics
Cell Line, Tumor
Animals
Mice
Oncogene Addiction
/ genetics
Molecular Targeted Therapy
Enzyme Inhibitors
/ pharmacology
Female
Xenograft Model Antitumor Assays
Oncogenes
/ genetics
Antineoplastic Agents
/ pharmacology
Quinolones
Journal
Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555
Informations de publication
Date de publication:
27 Jun 2024
27 Jun 2024
Historique:
received:
02
03
2024
accepted:
03
06
2024
medline:
28
6
2024
pubmed:
28
6
2024
entrez:
27
6
2024
Statut:
epublish
Résumé
Drug-tolerance has emerged as one of the major non-genetic adaptive processes driving resistance to targeted therapy (TT) in non-small cell lung cancer (NSCLC). However, the kinetics and sequence of molecular events governing this adaptive response remain poorly understood. Here, we combine real-time monitoring of the cell-cycle dynamics and single-cell RNA sequencing in a broad panel of oncogenic addiction such as EGFR-, ALK-, BRAF- and KRAS-mutant NSCLC, treated with their corresponding TT. We identify a common path of drug adaptation, which invariably involves alveolar type 1 (AT1) differentiation and Rho-associated protein kinase (ROCK)-mediated cytoskeletal remodeling. We also isolate and characterize a rare population of early escapers, which represent the earliest resistance-initiating cells that emerge in the first hours of treatment from the AT1-like population. A phenotypic drug screen identify farnesyltransferase inhibitors (FTI) such as tipifarnib as the most effective drugs in preventing relapse to TT in vitro and in vivo in several models of oncogenic addiction, which is confirmed by genetic depletion of the farnesyltransferase. These findings pave the way for the development of treatments combining TT and FTI to effectively prevent tumor relapse in oncogene-addicted NSCLC patients.
Identifiants
pubmed: 38937474
doi: 10.1038/s41467-024-49360-4
pii: 10.1038/s41467-024-49360-4
doi:
Substances chimiques
Farnesyltranstransferase
EC 2.5.1.29
tipifarnib
MAT637500A
Enzyme Inhibitors
0
Antineoplastic Agents
0
Quinolones
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
5345Subventions
Organisme : Fondation ARC pour la Recherche sur le Cancer (ARC Foundation for Cancer Research)
ID : PJA2
Organisme : Fondation pour la Recherche Médicale (Foundation for Medical Research in France)
ID : DEQ20170839117
Organisme : Fondation pour la Recherche Médicale (Foundation for Medical Research in France)
ID : DEQ20170839117
Organisme : Fondation pour la Recherche Médicale (Foundation for Medical Research in France)
ID : DEQ20170839117
Organisme : Institut National de la Santé et de la Recherche Médicale (National Institute of Health and Medical Research)
ID : Inserm
Organisme : Institut National de la Santé et de la Recherche Médicale (National Institute of Health and Medical Research)
ID : Inserm
Organisme : Institut National Du Cancer (French National Cancer Institute)
ID : PRT-K18-048
Organisme : Ligue Contre le Cancer
ID : LNCC
Informations de copyright
© 2024. The Author(s).
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