NKX2-1/ERK/WNT 反馈环路调节肺腺癌的胃组织特征和对靶向治疗的反应。
An NKX2-1/ERK/WNT feedback loop modulates gastric identity and response to targeted therapy in lung adenocarcinoma.
机构信息
Huntsman Cancer Institute, Salt Lake City, United States.
Department of Pathology, University of Utah, Salt Lake City, United States.
出版信息
Elife. 2021 Apr 6;10:e66788. doi: 10.7554/eLife.66788.
Cancer cells undergo lineage switching during natural progression and in response to therapy. NKX2-1 loss in human and murine lung adenocarcinoma leads to invasive mucinous adenocarcinoma (IMA), a lung cancer subtype that exhibits gastric differentiation and harbors a distinct spectrum of driver oncogenes. In murine BRAF-driven lung adenocarcinoma, NKX2-1 is required for early tumorigenesis, but dispensable for established tumor growth. NKX2-1-deficient, BRAF-driven tumors resemble human IMA and exhibit a distinct response to BRAF/MEK inhibitors. Whereas BRAF/MEK inhibitors drive NKX2-1-positive tumor cells into quiescence, NKX2-1-negative cells fail to exit the cell cycle after the same therapy. BRAF/MEK inhibitors induce cell identity switching in NKX2-1-negative lung tumors within the gastric lineage, which is driven in part by WNT signaling and FoxA1/2. These data elucidate a complex, reciprocal relationship between lineage specifiers and oncogenic signaling pathways in the regulation of lung adenocarcinoma identity that is likely to impact lineage-specific therapeutic strategies.
在自然进展和治疗反应过程中,癌细胞会发生谱系转换。人类和鼠类肺腺癌中 NKX2-1 的缺失会导致侵袭性黏液性腺癌(IMA),这是一种具有胃分化特征并携带独特驱动癌基因的肺癌亚型。在鼠类 BRAF 驱动的肺腺癌中,NKX2-1 对于早期肿瘤发生是必需的,但对于已建立的肿瘤生长则是可有可无的。NKX2-1 缺失的、BRAF 驱动的肿瘤类似于人类的 IMA,并对 BRAF/MEK 抑制剂表现出独特的反应。虽然 BRAF/MEK 抑制剂可将 NKX2-1 阳性肿瘤细胞诱导进入静止状态,但相同治疗后 NKX2-1 阴性细胞无法退出细胞周期。BRAF/MEK 抑制剂在胃谱系内诱导 NKX2-1 阴性肺肿瘤中的细胞身份转换,这部分是由 WNT 信号和 FoxA1/2 驱动的。这些数据阐明了谱系决定因子和致癌信号通路在调节肺腺癌身份中的复杂、相互关系,这可能会影响针对特定谱系的治疗策略。