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A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Initiation of high frequency multi-drug resistance following kinase targeting by siRNAs
Charles Swanton1, Barbara Nicke, Michela Marani
1Signal Transduction Laboratory, Cancer Research UK London Research Institute, London, UK. charles.swanton@cancer.org.uk
Abstract:
The sequential use of non cross-resistant cytotoxic agents is the standard of care for advanced solid tumors in order to enhance survival and optimise quality of life. Nevertheless, drug resistance to non cross-resistant agents is commonly witnessed, with clinical response rates to non cross-resistant regimens declining as the disease advances. Expression of ABC transporters is unlikely to fully explain this phenomenon, and a clear molecular explanation for this process remains uncertain. A statistical analysis of a recently published RNA interference screen targeting 779 kinases in three cell lines deriving from different tumor types reveals a significant correlation between resistance to paclitaxel and a non cross-resistant cytotoxic agent. Furthermore, 20% of kinases that promote resistance to paclitaxel when targeted by RNAi also promote resistance to a non cross-resistant agent within that same cell line, consistent with a tissue-type dependence of multi-drug resistance. Conversely, paclitaxel-specific resistance and sensitising kinases occur less frequently than expected. This indicates that several cell line specific kinases may regulate multi-drug resistance and provide a potential explanation for the phenomenon of drug resistance to non cross-resistant agents witnessed in oncology practice. Furthermore, this work supports efforts to identify common pathways of drug response for future drug discovery programmes.
Insights
Drug resistance to non cross-resistant chemotherapy agents in advanced solid tumors is a challenge. Kinase activity significantly influences this multi-drug resistance, varying by tumor type.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Standard cancer treatment involves sequential non cross-resistant chemotherapy to improve survival and quality of life.
- Drug resistance to these agents is common in advanced solid tumors, leading to declining treatment efficacy.
- The molecular basis for resistance to non cross-resistant agents remains unclear, with ABC transporters offering incomplete explanations.
Purpose of the Study:
- To investigate the molecular mechanisms underlying resistance to non cross-resistant chemotherapy agents.
- To identify specific kinases involved in multi-drug resistance across different cancer types.
- To explore potential therapeutic targets for overcoming chemotherapy resistance.
Main Methods:
- Statistical analysis of a large-scale RNA interference (RNAi) screen targeting 779 kinases.
- Utilized three distinct cell lines representing different tumor types.
- Assessed correlations between kinase expression and resistance to paclitaxel and a non cross-resistant agent.
Main Results:
- A significant correlation was found between resistance to paclitaxel and a non cross-resistant agent, mediated by specific kinases.
- Approximately 20% of kinases conferring paclitaxel resistance also conferred resistance to the non cross-resistant agent within the same cell line, indicating tissue-type dependence.
- Kinases specific to paclitaxel resistance or sensitization were less frequent than anticipated.
Conclusions:
- Cell line-specific kinases play a crucial role in regulating multi-drug resistance.
- These findings offer a potential molecular explanation for observed clinical resistance to non cross-resistant agents in oncology.
- Identified common and specific kinase pathways involved in drug response, supporting future drug discovery efforts.
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