1. Single-cell transcriptional changes associated with drug tolerance and response to combination therapies in cancer
- Author
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Alexandra E. Rader, Carlota Rubio-Perez, Maxim V. Frolov, Mary Pasquinelli, Majd M. Ariss, Ryan D. Conrardy, Abul B. M. M. K. Islam, Alexa M. Gajda, Lawrence Eric Feldman, Cammille C. Go, Stefan J. Green, Alexandre Ferro Aissa, Elizaveta V. Benevolenskaya, Nuria Lopez-Bigas, and Klara Valyi-Nagy
- Subjects
0301 basic medicine ,Epithelial-Mesenchymal Transition ,Cancer therapy ,Cell Survival ,Science ,General Physics and Astronomy ,Antineoplastic Agents ,Drug resistance ,Biology ,Article ,General Biochemistry, Genetics and Molecular Biology ,Receptor tyrosine kinase ,Gene regulatory networks ,03 medical and health sciences ,0302 clinical medicine ,Drug tolerance ,Cell Line, Tumor ,Neoplasms ,Drug Discovery ,medicine ,Humans ,Cancer models ,Protein Kinase Inhibitors ,EGFR inhibitors ,Multidisciplinary ,Crizotinib ,Drug discovery ,Receptor Protein-Tyrosine Kinases ,Drug Tolerance ,U937 Cells ,General Chemistry ,respiratory tract diseases ,ErbB Receptors ,Gene Expression Regulation, Neoplastic ,Drug Combinations ,Cholesterol ,030104 developmental biology ,Drug Resistance, Neoplasm ,030220 oncology & carcinogenesis ,Mutation ,Cancer research ,biology.protein ,Heterografts ,Vesicle-mediated transport ,Tyrosine kinase ,medicine.drug - Abstract
Tyrosine kinase inhibitors were found to be clinically effective for treatment of patients with certain subsets of cancers carrying somatic mutations in receptor tyrosine kinases. However, the duration of clinical response is often limited, and patients ultimately develop drug resistance. Here, we use single-cell RNA sequencing to demonstrate the existence of multiple cancer cell subpopulations within cell lines, xenograft tumors and patient tumors. These subpopulations exhibit epigenetic changes and differential therapeutic sensitivity. Recurrently overrepresented ontologies in genes that are differentially expressed between drug tolerant cell populations and drug sensitive cells include epithelial-to-mesenchymal transition, epithelium development, vesicle mediated transport, drug metabolism and cholesterol homeostasis. We show analysis of identified markers using the LINCS database to predict and functionally validate small molecules that target selected drug tolerant cell populations. In combination with EGFR inhibitors, crizotinib inhibits the emergence of a defined subset of EGFR inhibitor-tolerant clones. In this study, we describe the spectrum of changes associated with drug tolerance and inhibition of specific tolerant cell subpopulations with combination agents., It has been proposed that resistance to targeted therapies in non-small cell lung carcinoma (NSCLC) is due to a nonhomogeneous cell population. Here the authors analyse preclinical NSCLC models using single-cell RNA-seq and identify drug tolerant cell states and subpopulations, as well as associated genes.
- Published
- 2021