Bugide Suresh, Parajuli Keshab Raj, Chava Suresh, Pattanayak Rudradip, Manna Deborah L Della, Shrestha Deepmala, Yang Eddy S, Cai Guoping, Johnson Douglas B, Gupta Romi
Department of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL, 35322, USA.
Department of Radiation Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, 35322, USA.
Oncogenesis. 2020 May 5;9(5):44. doi: 10.1038/s41389-020-0228-x.
BRAF inhibitors (BRAFi) have been approved for the clinical treatment of BRAF-mutant metastatic melanoma. Although initial responses to BRAFi are generally favorable, acquired BRAFi resistance emerges rapidly, resulting in treatment failure. Only some of the underlying mechanisms responsible for BRAFi resistance are currently understood. Here, we showed that the genetic inhibition of histone acetyltransferase 1 (HAT1) in BRAF-mutant melanoma cells resulted in BRAFi resistance. Using quantitative immunofluorescence analysis of patient sample pairs, consisting of pre-treatment along with matched progressed BRAFi + MEKi-treated melanoma samples, HAT1 downregulation was observed in 7/11 progressed samples (~63%) in comparison with pre-treated samples. Employing NanoString-based nCounter PanCancer Pathway Panel-based gene expression analysis, we identified increased MAPK, Ras, transforming growth factor (TGF)-β, and Wnt pathway activation in HAT1 expression inhibited cells. We further found that MAPK pathway activation following the loss of HAT1 expression was partially driven by increased insulin growth factor 1 receptor (IGF1R) signaling. We showed that both MAPK and IGF1R pathway inhibition, using the ERK inhibitor SCH772984 and the IGF1R inhibitor BMS-754807, respectively, restored BRAFi sensitivity in melanoma cells lacking HAT1. Collectively, we show that the loss of HAT1 expression confers acquired BRAFi resistance by activating the MAPK signaling pathway via IGF1R.
BRAF抑制剂(BRAFi)已被批准用于BRAF突变转移性黑色素瘤的临床治疗。尽管对BRAFi的初始反应通常良好,但获得性BRAFi耐药性迅速出现,导致治疗失败。目前仅了解部分导致BRAFi耐药的潜在机制。在此,我们表明,BRAF突变黑色素瘤细胞中组蛋白乙酰转移酶1(HAT1)的基因抑制导致BRAFi耐药。通过对患者样本对进行定量免疫荧光分析,这些样本对包括治疗前以及匹配的接受BRAFi + MEKi治疗后病情进展的黑色素瘤样本,与治疗前样本相比,在11个病情进展样本中有7个(约63%)观察到HAT1下调。利用基于NanoString的nCounter泛癌通路面板的基因表达分析,我们发现在HAT1表达受抑制的细胞中,丝裂原活化蛋白激酶(MAPK)、Ras、转化生长因子(TGF)-β和Wnt通路的激活增加。我们进一步发现,HAT1表达缺失后MAPK通路的激活部分是由胰岛素生长因子1受体(IGF1R)信号增强驱动的。我们表明,分别使用ERK抑制剂SCH772984和IGF1R抑制剂BMS-754807抑制MAPK和IGF1R通路,可恢复缺乏HAT1的黑色素瘤细胞对BRAFi的敏感性。总体而言,我们表明HAT1表达缺失通过IGF1R激活MAPK信号通路赋予获得性BRAFi耐药性。