Kurimchak Alison M, Shelton Claude, Duncan Kelly E, Johnson Katherine J, Brown Jennifer, O'Brien Shane, Gabbasov Rashid, Fink Lauren S, Li Yuesheng, Lounsbury Nicole, Abou-Gharbia Magid, Childers Wayne E, Connolly Denise C, Chernoff Jonathan, Peterson Jeffrey R, Duncan James S
Cancer Biology Program, Fox Chase Cancer Center, Philadelphia, PA 19111, USA.
Molecular Therapeutics Program, Fox Chase Cancer Center, Philadelphia, PA 19111, USA.
Cell Rep. 2016 Aug 2;16(5):1273-1286. doi: 10.1016/j.celrep.2016.06.091. Epub 2016 Jul 21.
Small-molecule BET bromodomain inhibitors (BETis) are actively being pursued in clinical trials for the treatment of a variety of cancers, but the mechanisms of resistance to BETis remain poorly understood. Using a mass spectrometry approach that globally measures kinase signaling at the proteomic level, we evaluated the response of the kinome to targeted BETi treatment in a panel of BRD4-dependent ovarian carcinoma (OC) cell lines. Despite initial inhibitory effects of BETi, OC cells acquired resistance following sustained treatment with the BETi JQ1. Through application of multiplexed inhibitor beads (MIBs) and mass spectrometry, we demonstrate that BETi resistance is mediated by adaptive kinome reprogramming, where activation of compensatory pro-survival kinase networks overcomes BET protein inhibition. Furthermore, drug combinations blocking these kinases may prevent or delay the development of drug resistance and enhance the efficacy of BETi therapy.
小分子BET溴结构域抑制剂(BETis)正在积极开展治疗多种癌症的临床试验,但对BETis耐药的机制仍知之甚少。我们采用一种在蛋白质组水平上全面测量激酶信号传导的质谱方法,评估了激酶组对一组BRD4依赖性卵巢癌(OC)细胞系中靶向BETi治疗的反应。尽管BETi最初有抑制作用,但OC细胞在用BETi JQ1持续治疗后产生了耐药性。通过应用多重抑制剂珠(MIBs)和质谱分析,我们证明BETi耐药是由适应性激酶组重编程介导的,其中补偿性促生存激酶网络的激活克服了BET蛋白抑制。此外,阻断这些激酶的联合用药可能预防或延缓耐药性的产生,并提高BETi治疗的疗效。