1. Evaluation of the RAS signaling network in response to MEK inhibition using organoids derived from a familial adenomatous polyposis patient
- Author
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Daisuke Kusama, Hiroki Osumi, Kengo Takeuchi, Yasuko Natsume, Kensei Yamaguchi, Mizuho Sakahara, Atsushi Muroi, Hiroshi Takano, Ryoji Yao, Satoshi Nagayama, Takuya Okamoto, Naohiko Koshikawa, Akira Ooki, Tetsuo Noda, Hiroshi Kawachi, Eiji Shinozaki, Hitomi Yamanaka, and Masashi Ueno
- Subjects
MAPK/ERK pathway ,Adult ,Male ,Cell signaling ,MAP Kinase Signaling System ,Science ,Biology ,medicine.disease_cause ,Article ,Familial adenomatous polyposis ,Transcriptome ,Proto-Oncogene Proteins c-myc ,chemistry.chemical_compound ,Gastrointestinal cancer ,Mice ,Mice, Inbred NOD ,Cell Line, Tumor ,medicine ,Animals ,Humans ,Exome ,Phosphorylation ,Protein kinase B ,Multidisciplinary ,Sequence Analysis, RNA ,Binimetinib ,medicine.disease ,MAP Kinase Kinase Kinases ,digestive system diseases ,Organoids ,chemistry ,Adenomatous Polyposis Coli ,Mutation ,Cancer research ,ras Proteins ,Medicine ,Benzimidazoles ,KRAS ,Interferons ,Colorectal Neoplasms ,Cell signalling - Abstract
RAS signaling is a promising target for colorectal cancer (CRC) therapy, and a variety of selective inhibitors have been developed. However, their use has often failed to demonstrate a significant benefit in CRC patients. Here, we used patient-derived organoids (PDOs) derived from a familial adenomatous polyposis (FAP) patient to analyze the response to chemotherapeutic agents targeting EGFR, BRAF and MEK. We found that PDOs carrying KRAS mutations were resistant to MEK inhibition, while those harboring the BRAF class 3 mutation were hypersensitive. We used a systematic approach to examine the phosphorylation of RAS effectors using reverse-phase protein array (RPPA) and found increased phosphorylation of MEK induced by binimetinib. A high basal level of ERK phosphorylation and its rebound activation after MEK inhibition were detected in KRAS-mutant PDOs. Notably, the phosphorylation of EGFR and AKT was more closely correlated with that of MEK than that of ERK. Transcriptome analysis identified MYC-mediated transcription and IFN signaling as significantly correlated gene sets in MEK inhibition. Our experiments demonstrated that RPPA analysis of PDOs, in combination with the genome and transcriptome, is a useful preclinical research platform to understand RAS signaling and provides clues for the development of chemotherapeutic strategies.
- Published
- 2020