The GATA2 transcriptional network is requisite for RAS oncogene-driven non-small cell lung cancer
Madhu S Kumar1, David C Hancock, Miriam Molina-Arcas
1Signal Transduction Laboratory, Cancer Research UK London Research Institute, 44 Lincoln's Inn Fields, London WC2A 3LY, UK.
Abstract:
Non-small cell lung cancer (NSCLC) is the most frequent cause of cancer deaths worldwide; nearly half contain mutations in the receptor tyrosine kinase/RAS pathway. Here we show that RAS-pathway mutant NSCLC cells depend on the transcription factor GATA2. Loss of GATA2 reduced the viability of NSCLC cells with RAS-pathway mutations, whereas wild-type cells were unaffected. Integrated gene expression and genome occupancy analyses revealed GATA2 regulation of the proteasome, and IL-1-signaling, and Rho-signaling pathways. These pathways were functionally significant, as reactivation rescued viability after GATA2 depletion. In a Kras-driven NSCLC mouse model, Gata2 loss dramatically reduced tumor development. Furthermore, Gata2 deletion in established Kras mutant tumors induced striking regression. Although GATA2 itself is likely undruggable, combined suppression of GATA2-regulated pathways with clinically approved inhibitors caused marked tumor clearance. Discovery of the nononcogene addiction of KRAS mutant lung cancers to GATA2 presents a network of druggable pathways for therapeutic exploitation.
Insights
RAS-pathway mutations drive non-small cell lung cancer (NSCLC) dependence on GATA2. Targeting GATA2-regulated pathways offers a novel therapeutic strategy for KRAS-mutant lung cancers.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Non-small cell lung cancer (NSCLC) is a leading cause of cancer mortality globally.
- Approximately 50% of NSCLC cases harbor mutations in the receptor tyrosine kinase/RAS pathway.
Purpose of the Study:
- To investigate the role of the transcription factor GATA2 in RAS-pathway mutant NSCLC.
- To identify potential therapeutic targets within GATA2-regulated pathways.
Main Methods:
- Gene expression and genome occupancy analyses were performed.
- Functional significance of GATA2-regulated pathways was assessed.
- A Kras-driven NSCLC mouse model was utilized to evaluate Gata2's role in tumor development and regression.
Main Results:
- Loss of GATA2 selectively reduced the viability of RAS-pathway mutant NSCLC cells.
- GATA2 was found to regulate proteasome, IL-1-signaling, and Rho-signaling pathways.
- Gata2 loss significantly inhibited tumor development and induced regression in established Kras-mutant NSCLC tumors in mice.
Conclusions:
- RAS-pathway mutant NSCLC exhibits a nononcogene addiction to GATA2.
- Targeting GATA2-regulated pathways, even if GATA2 itself is undruggable, presents a promising therapeutic avenue.
- Combined suppression of GATA2-dependent pathways with existing inhibitors led to significant tumor clearance in preclinical models.
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