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人肾细胞癌中可逆舒尼替尼耐受状态的分子和功能特征。

Molecular and functional characterization of reversible-sunitinib-tolerance state in human renal cell carcinoma.

机构信息

Department of Urology and Pediatric Urology, Saarland University, Homburg, Germany.

出版信息

J Cell Mol Med. 2024 May;28(9):e18329. doi: 10.1111/jcmm.18329.

Abstract

Therapy failure with the tyrosine kinase inhibitor (TKI) sunitinib remains a great challenge in metastatic renal cell carcinoma (mRCC). Growing evidence indicates that the tumour subpopulation can enter a transient, non-mutagenic drug-tolerant state to endure the treatment underlying the minimal residual disease and tumour relapse. Drug tolerance to sunitinib remains largely unexplored in RCC. Here, we show that sunitinib-tolerant 786-O/S and Caki-2/S cells are induced by prolonged drug treatment showing reduced drug sensitivity, enhanced clonogenicity, and DNA synthesis. Sunitinib-tolerance developed via dynamic processes, including (i) engagement of c-MET and AXL pathways, (ii) alteration of stress-induced p38 kinase and pro-survival BCL-2 signalling, (iii) extensive actin remodelling, which was correlated with activation of focal adhesion proteins. Remarkably, the acute drug response in both sensitive and sunitinib-tolerant cell lines led to dramatic fine-tuning of the actin-cytoskeleton and boosted cellular migration and invasion, indicating that the drug-response might depend on cell state transition rather than pre-existing mutations. The drug-tolerant state was transiently acquired, as the cells resumed initial drug sensitivity after >10 passages under drug withdrawal, reinforcing the concept of dynamic regulation and phenotypic heterogeneity. Our study described molecular events contributing to the reversible switch into sunitinib-tolerance, providing possible novel therapeutic opportunities in RCC.

摘要

酪氨酸激酶抑制剂 (TKI) 舒尼替尼治疗失败仍然是转移性肾细胞癌 (mRCC) 的巨大挑战。越来越多的证据表明,肿瘤亚群可以进入短暂的、非突变的药物耐受状态,以耐受潜在的微小残留疾病和肿瘤复发的治疗。舒尼替尼在肾细胞癌中的药物耐受仍然在很大程度上没有得到探索。在这里,我们表明,经过长时间的药物治疗,舒尼替尼耐受的 786-O/S 和 Caki-2/S 细胞被诱导产生,表现为药物敏感性降低、集落形成能力增强和 DNA 合成增加。舒尼替尼耐受是通过动态过程发展的,包括 (i) 参与 c-MET 和 AXL 途径,(ii) 改变应激诱导的 p38 激酶和生存 BCL-2 信号,(iii) 广泛的肌动蛋白重塑,这与粘着斑蛋白的激活有关。值得注意的是,在敏感和舒尼替尼耐受细胞系中的急性药物反应导致肌动蛋白细胞骨架的剧烈微调,并增强了细胞迁移和侵袭,表明药物反应可能取决于细胞状态的转变,而不是预先存在的突变。药物耐受状态是短暂获得的,因为细胞在停药后 >10 代时恢复了最初的药物敏感性,这强化了动态调节和表型异质性的概念。我们的研究描述了导致舒尼替尼耐受可逆转换的分子事件,为肾细胞癌提供了可能的新的治疗机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4908/11063727/fc3999d2a7d0/JCMM-28-e18329-g003.jpg

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