1. KEAP1 loss modulates sensitivity to kinase targeted therapy in lung cancer
- Author
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Elsa Beyer Krall, Matthew J. Niederst, Belinda Wang, Jong Wook Kim, John G. Doench, Kristine Yu, Diana M Munoz, Nina Ilic, Andrew J. Aguirre, Robert E McDonald, Juliet Williams, Jeffrey A. Engelman, Srivatsan Raghavan, Frank Stegmeier, John M. Asara, Alice T. Shaw, Amanda J. Redig, Justin F. Gainor, Michael R. Schlabach, Pasi A. Jänne, David A. Ruddy, William C. Hahn, Broad Institute of MIT and Harvard, Wang, Belinda, Raghavan, Srivatsan, Aguirre, Andrew J., Kim, Jong Wook, Doench, John Gerard, and Hahn, William
- Subjects
0301 basic medicine ,MAPK/ERK pathway ,Neuroblastoma RAS viral oncogene homolog ,QH301-705.5 ,Science ,medicine.medical_treatment ,Biology ,medicine.disease_cause ,General Biochemistry, Genetics and Molecular Biology ,Receptor tyrosine kinase ,Targeted therapy ,03 medical and health sciences ,medicine ,Biology (General) ,Protein kinase A ,drug resistance ,General Immunology and Microbiology ,Cell growth ,Kinase ,General Neuroscience ,General Medicine ,3. Good health ,lung cancer ,030104 developmental biology ,Cancer research ,biology.protein ,Medicine ,KRAS ,CRISPR-Cas9 - Abstract
nhibitors that target the receptor tyrosine kinase (RTK)/Ras/mitogen-activated protein kinase (MAPK) pathway have led to clinical responses in lung and other cancers, but some patients fail to respond and in those that do resistance inevitably occurs (Balak et al., 2006; Kosaka et al., 2006; Rudin et al., 2013; Wagle et al., 2011). To understand intrinsic and acquired resistance to inhibition of MAPK signaling, we performed CRISPR-Cas9 gene deletion screens in the setting of BRAF, MEK, EGFR, and ALK inhibition. Loss of KEAP1, a negative regulator of NFE2L2/NRF2, modulated the response to BRAF, MEK, EGFR, and ALK inhibition in BRAF-, NRAS-, KRAS-, EGFR-, and ALK-mutant lung cancer cells. Treatment with inhibitors targeting the RTK/MAPK pathway increased reactive oxygen species (ROS) in cells with intact KEAP1, and loss of KEAP1 abrogated this increase. In addition, loss of KEAP1 altered cell metabolism to allow cells to proliferate in the absence of MAPK signaling. These observations suggest that alterations in the KEAP1/NRF2 pathway may promote survival in the presence of multiple inhibitors targeting the RTK/Ras/MAPK pathway., National Cancer Institute (U.S.) (R01 CA130998), National Cancer Institute (U.S.) (U01 CA176058), National Cancer Institute (U.S.) (U01 CA199253)
- Published
- 2017
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