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Mapping the Structure-Function Relationships of Disordered Oncogenic Transcription Factors Using Transcriptomic Analysis
Published on: June 27, 2020
Transcriptional profiling identifies cyclin D1 as a critical downstream effector of mutant epidermal growth factor
Susumu Kobayashi1, Takeshi Shimamura, Stefano Monti
1Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA.
Abstract:
Activating mutations in the epidermal growth factor receptor (EGFR) tyrosine kinase domain determine responsiveness to EGFR tyrosine kinase inhibitors in patients with advanced non-small cell lung cancer (NSCLC). The modulation of transcriptional pathways by mutant EGFR signaling is not fully understood. Previously, we and others identified a single base pair change leading to a threonine to methionine (T790M) amino acid alteration in the ATP-binding pocket of the EGFR as a common mechanism of acquired resistance. The gefitinib-resistant, T790M-mutant H1975 NSCLC cell line undergoes prominent growth arrest and apoptosis when treated with the irreversible EGFR inhibitor, CL-387,785. We did a transcriptional profiling study of mutant EGFR target genes that are differentially expressed in the "resistant" gefitinib-treated and the "sensitive" CL387,785-treated H1975 cells to identify the pivotal transcriptional changes in NSCLC with EGFR-activating mutations. We identified a small subset of early gene changes, including significant reduction of cyclin D1 as a result of EGFR inhibition by CL-387,785 but not by gefitinib. The reduction in cyclin D1 transcription was associated with subsequent suppression of E2F-responsive genes, consistent with proliferation arrest. Furthermore, cyclin D1 expression was higher in EGFR-mutant lung cancer cells compared with cells with wild-type EGFR. EGFR-mutant cells were routinely sensitive to the cyclin-dependent kinase inhibitor flavopiridol, confirming the functional relevance of the cyclin D axis. These studies suggest that cyclin D1 may contribute to the emergence of EGFR-driven tumorigenesis and can be an alternative target of therapy.
Insights
Activating mutations in epidermal growth factor receptor (EGFR) drive non-small cell lung cancer (NSCLC). Cyclin D1 reduction by EGFR inhibitors halts proliferation, suggesting it as a therapeutic target in EGFR-mutant NSCLC.
Area of Science:
- Molecular oncology
- Cancer genetics
- Pharmacogenomics
Background:
- Activating mutations in the epidermal growth factor receptor (EGFR) are key drivers of non-small cell lung cancer (NSCLC) and determine sensitivity to EGFR tyrosine kinase inhibitors.
- Acquired resistance to EGFR inhibitors, often mediated by the T790M mutation, remains a significant clinical challenge in NSCLC treatment.
- The precise transcriptional alterations induced by mutant EGFR signaling and subsequent drug treatment are not fully elucidated.
Purpose of the Study:
- To identify pivotal transcriptional changes in NSCLC cells harboring activating EGFR mutations upon treatment with different EGFR inhibitors.
- To investigate the role of cyclin D1 in the proliferation of EGFR-mutant NSCLC cells and its response to targeted therapy.
- To explore cyclin D1 as a potential therapeutic target in EGFR-driven lung tumorigenesis.
Main Methods:
- Transcriptional profiling of H1975 NSCLC cells (harboring T790M EGFR mutation) treated with gefitinib (resistant) and CL-387,785 (sensitive) to identify differentially expressed genes.
- Analysis of cyclin D1 transcription and its downstream effects on E2F-responsive genes.
- Comparison of cyclin D1 expression between EGFR-mutant and wild-type EGFR NSCLC cells and assessment of sensitivity to flavopiridol (a CDK inhibitor).
Main Results:
- Treatment with the irreversible EGFR inhibitor CL-387,785, but not gefitinib, significantly reduced cyclin D1 transcription in H1975 cells.
- Reduced cyclin D1 expression correlated with suppressed E2F-responsive genes, indicating proliferation arrest.
- EGFR-mutant NSCLC cells exhibited higher cyclin D1 expression and were sensitive to flavopiridol, confirming the functional importance of the cyclin D axis.
Conclusions:
- Cyclin D1 downregulation is an early transcriptional event following effective EGFR inhibition in resistant NSCLC cells.
- The cyclin D1/E2F pathway plays a crucial role in the proliferation of EGFR-driven NSCLC.
- Targeting cyclin D1 represents a promising alternative therapeutic strategy for patients with EGFR-mutant NSCLC.
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