Laboratory of Lipid Metabolism and Cancer, Department of Oncology, LKI-Leuven Cancer Institute, KU Leuven, 3000, Leuven, Belgium.
Laboratory for Molecular Cancer Biology, VIB Center for Cancer Biology, 3000, Leuven, Belgium.
Nat Commun. 2018 Jun 27;9(1):2500. doi: 10.1038/s41467-018-04664-0.
Whereas significant anti-tumor responses are observed in most BRAF-mutant melanoma patients exposed to MAPK-targeting agents, resistance almost invariably develops. Here, we show that in therapy-responsive cells BRAF inhibition induces downregulation of the processing of Sterol Regulator Element Binding (SREBP-1) and thereby lipogenesis. Irrespective of the escape mechanism, therapy-resistant cells invariably restore this process to promote lipid saturation and protect melanoma from ROS-induced damage and lipid peroxidation. Importantly, pharmacological SREBP-1 inhibition sensitizes BRAF-mutant therapy-resistant melanoma to BRAF inhibitors both in vitro and in a pre-clinical PDX in vivo model. Together, these data indicate that targeting SREBP-1-induced lipogenesis may offer a new avenue to overcome acquisition of resistance to BRAF-targeted therapy. This work also provides evidence that targeting vulnerabilities downstream of oncogenic signaling offers new possibilities in overcoming resistance to targeted therapies.
尽管大多数接受 MAPK 靶向药物治疗的 BRAF 突变黑色素瘤患者都观察到了显著的抗肿瘤反应,但几乎不可避免地会产生耐药性。在这里,我们表明在对治疗有反应的细胞中,BRAF 抑制诱导固醇调节元件结合蛋白 (SREBP-1) 的加工下调,从而导致脂肪生成。无论逃逸机制如何,耐药细胞总是会恢复这个过程,以促进脂质饱和并保护黑色素瘤免受 ROS 诱导的损伤和脂质过氧化。重要的是,药理学 SREBP-1 抑制在体外和体内 PDX 临床前模型中使 BRAF 突变型耐药性黑色素瘤对 BRAF 抑制剂敏感。总之,这些数据表明靶向 SREBP-1 诱导的脂肪生成可能为克服对 BRAF 靶向治疗的获得性耐药提供新途径。这项工作还提供了证据,表明靶向致癌信号下游的脆弱性为克服靶向治疗的耐药性提供了新的可能性。
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