Rudalska Ramona, Dauch Daniel, Longerich Thomas, McJunkin Katherine, Wuestefeld Torsten, Kang Tae-Won, Hohmeyer Anja, Pesic Marina, Leibold Josef, von Thun Anne, Schirmacher Peter, Zuber Johannes, Weiss Karl-Heinz, Powers Scott, Malek Nisar P, Eilers Martin, Sipos Bence, Lowe Scott W, Geffers Robert, Laufer Stefan, Zender Lars
1] Division of Translational Gastrointestinal Oncology, Department of Internal Medicine I, University of Tuebingen, Tuebingen, Germany. [2].
Institute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Nat Med. 2014 Oct;20(10):1138-46. doi: 10.1038/nm.3679. Epub 2014 Sep 14.
In solid tumors, resistance to therapy inevitably develops upon treatment with cytotoxic drugs or molecularly targeted therapies. Here, we describe a system that enables pooled shRNA screening directly in mouse hepatocellular carcinomas (HCC) in vivo to identify genes likely to be involved in therapy resistance. Using a focused shRNA library targeting genes located within focal genomic amplifications of human HCC, we screened for genes whose inhibition increased the therapeutic efficacy of the multikinase inhibitor sorafenib. Both shRNA-mediated and pharmacological silencing of Mapk14 (p38α) were found to sensitize mouse HCC to sorafenib therapy and prolong survival by abrogating Mapk14-dependent activation of Mek-Erk and Atf2 signaling. Elevated Mapk14-Atf2 signaling predicted poor response to sorafenib therapy in human HCC, and sorafenib resistance of p-Mapk14-expressing HCC cells could be reverted by silencing Mapk14. Our results suggest that a combination of sorafenib and Mapk14 blockade is a promising approach to overcoming therapy resistance of human HCC.
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