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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
Dynamic reprogramming of the kinome in response to targeted MEK inhibition in triple-negative breast cancer
James S Duncan1, Martin C Whittle, Kazuhiro Nakamura
1Department of Pharmacology, Lineberger Comprehensive Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA.
Abstract:
Kinase inhibitors have limited success in cancer treatment because tumors circumvent their action. Using a quantitative proteomics approach, we assessed kinome activity in response to MEK inhibition in triple-negative breast cancer (TNBC) cells and genetically engineered mice (GEMMs). MEK inhibition caused acute ERK activity loss, resulting in rapid c-Myc degradation that induced expression and activation of several receptor tyrosine kinases (RTKs). RNAi knockdown of ERK or c-Myc mimicked RTK induction by MEK inhibitors, and prevention of proteasomal c-Myc degradation blocked kinome reprogramming. MEK inhibitor-induced RTK stimulation overcame MEK2 inhibition, but not MEK1 inhibition, reactivating ERK and producing drug resistance. The C3Tag GEMM for TNBC similarly induced RTKs in response to MEK inhibition. The inhibitor-induced RTK profile suggested a kinase inhibitor combination therapy that produced GEMM tumor apoptosis and regression where single agents were ineffective. This approach defines mechanisms of drug resistance, allowing rational design of combination therapies for cancer.
Insights
Tumors develop resistance to MEK inhibitors by activating receptor tyrosine kinases (RTKs). Combination therapy targeting these RTKs can overcome resistance and induce tumor regression in triple-negative breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Proteomics
Background:
- Kinase inhibitors show limited efficacy in cancer due to resistance mechanisms.
- Triple-negative breast cancer (TNBC) remains a challenging malignancy with few targeted therapies.
Purpose of the Study:
- To investigate kinome reprogramming in response to MEK inhibition in TNBC.
- To identify mechanisms of drug resistance and explore rational combination therapies.
Main Methods:
- Quantitative proteomics was employed to analyze kinome activity in TNBC cells and genetically engineered mouse models (GEMMs).
- RNA interference (RNAi) was used to assess the roles of ERK and c-Myc in resistance.
- Proteasomal degradation pathways were investigated.
Main Results:
- MEK inhibition led to ERK activity loss, c-Myc degradation, and subsequent induction of receptor tyrosine kinases (RTKs).
- RTK induction mediated resistance to MEK inhibitors by reactivating ERK, particularly MEK2.
- Combination therapy targeting RTKs induced tumor apoptosis and regression in GEMMs.
Conclusions:
- Understanding kinome reprogramming is crucial for overcoming drug resistance in cancer.
- Targeting RTKs in combination with MEK inhibitors offers a promising strategy for TNBC treatment.
- This study provides a framework for rational drug combination design in oncology.
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