1. EML4-ALK fusions drive lung adeno-to-squamous transition through JAK-STAT activation
- Author
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Qin, Zhen, Yue, Meiting, Tang, Shijie, Wu, Fengying, Sun, Honghua, Li, Yuan, Zhang, Yongchang, Izumi, Hiroki, Huang, Hsinyi, Wang, Wanying, Xue, Yun, Tong, Xinyuan, Mori, Shunta, Taki, Tetsuro, Goto, Koichi, Jin, Yujuan, Li, Fei, Li, Fu-Ming, Gao, Yijun, Fang, Zhaoyuan, Fang, Yisheng, Hu, Liang, Yan, Xiumin, Xu, Guoliang, Chen, Haiquan, Kobayashi, Susumu S., Ventura, Andrea, Wong, Kwok-Kin, Zhu, Xueliang, Chen, Liang, Ren, Shengxiang, Chen, Luo-Nan, and Ji, Hongbin
- Abstract
Human lung adenosquamous cell carcinoma (LUAS), containing both adenomatous and squamous pathologies, exhibits strong cancer plasticity. We find that ALK rearrangement is detectable in 5.1–7.5% of human LUAS, and transgenic expression of EML4-ALK drives lung adenocarcinoma (LUAD) formation initially and squamous transition at late stage. We identify club cells as the main cell-of-origin for squamous transition. Through recapitulating lineage transition in organoid system, we identify JAK-STAT signaling, activated by EML4-ALK phase separation, significantly promotes squamous transition. Integrative study with scRNA-seq and immunostaining identify a plastic cell subpopulation in ALK-rearranged human LUAD showing squamous biomarker expression. Moreover, those relapsed ALK-rearranged LUAD show notable upregulation of squamous biomarkers. Consistently, mouse squamous tumors or LUAD with squamous signature display certain resistance to ALK inhibitor, which can be overcome by combined JAK1/2 inhibitor treatment. This study uncovers strong plasticity of ALK-rearranged tumors in orchestrating phenotypic transition and drug resistance and proposes a potentially effective therapeutic strategy.
- Published
- 2024
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