Müller Judith, Krijgsman Oscar, Tsoi Jennifer, Robert Lidia, Hugo Willy, Song Chunying, Kong Xiangju, Possik Patricia A, Cornelissen-Steijger Paulien D M, Geukes Foppen Marnix H, Kemper Kristel, Goding Colin R, McDermott Ultan, Blank Christian, Haanen John, Graeber Thomas G, Ribas Antoni, Lo Roger S, Peeper Daniel S
Division of Molecular Oncology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066CX Amsterdam, The Netherlands.
Division of Molecular and Medical Pharmacology, David Geffen School of Medicine at University of California, University of California, Los Angeles (UCLA), 10833 Le Conte Avenue, Los Angeles, California 90095-1750, USA.
Nat Commun. 2014 Dec 15;5:5712. doi: 10.1038/ncomms6712.
Increased expression of the Microphthalmia-associated transcription factor (MITF) contributes to melanoma progression and resistance to BRAF pathway inhibition. Here we show that the lack of MITF is associated with more severe resistance to a range of inhibitors, while its presence is required for robust drug responses. Both in primary and acquired resistance, MITF levels inversely correlate with the expression of several activated receptor tyrosine kinases, most frequently AXL. The MITF-low/AXL-high/drug-resistance phenotype is common among mutant BRAF and NRAS melanoma cell lines. The dichotomous behaviour of MITF in drug response is corroborated in vemurafenib-resistant biopsies, including MITF-high and -low clones in a relapsed patient. Furthermore, drug cocktails containing AXL inhibitor enhance melanoma cell elimination by BRAF or ERK inhibition. Our results demonstrate that a low MITF/AXL ratio predicts early resistance to multiple targeted drugs, and warrant clinical validation of AXL inhibitors to combat resistance of BRAF and NRAS mutant MITF-low melanomas.
小眼畸形相关转录因子(MITF)表达的增加促进黑色素瘤进展以及对BRAF通路抑制的抗性。我们在此表明,MITF的缺失与对一系列抑制剂的更严重抗性相关,而其存在是产生强烈药物反应所必需的。在原发性和获得性抗性中,MITF水平均与几种活化受体酪氨酸激酶(最常见的是AXL)的表达呈负相关。MITF低/AXL高/耐药表型在突变型BRAF和NRAS黑色素瘤细胞系中很常见。在维莫非尼耐药活检中证实了MITF在药物反应中的二分行为,包括一名复发患者中的MITF高和低克隆。此外,含有AXL抑制剂的药物鸡尾酒通过抑制BRAF或ERK增强黑色素瘤细胞清除。我们的结果表明,低MITF/AXL比值可预测对多种靶向药物的早期抗性,并保证对AXL抑制剂进行临床验证以对抗BRAF和NRAS突变型MITF低黑色素瘤的抗性。
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