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Published on: January 7, 2019
Defective K-Ras oncoproteins overcome impaired effector activation to initiate leukemia in vivo
Angell Shieh1, Ashley F Ward, Kegan L Donlan
1Department of Pediatrics and Division of Pediatric Hematology and Oncology, School of Medicine, University of California-San Francisco, CA, USA.
Abstract:
Reversing the aberrant biochemical output of oncogenic Ras proteins is one of the great challenges in cancer therapeutics; however, it is uncertain which Ras effectors are required for tumor initiation and maintenance. To address this question, we expressed oncogenic K-Ras(D12) proteins with "second site" amino acid substitutions that impair PI3 kinase/Akt or Raf/MEK/ERK activation in bone marrow cells and transplanted them into recipient mice. In spite of attenuated signaling properties, defective K-Ras oncoproteins initiated aggressive clonal T-lineage acute lymphoblastic leukemia (T-ALL). Murine T-ALLs expressing second site mutant proteins restored full oncogenic Ras activity through diverse mechanisms, which included acquiring novel somatic third site Kras(D12) mutations and silencing PTEN. T-ALL cell lines lacking PTEN had elevated levels of phosphorylated Akt, a gene expression pattern similar to human early T-cell precursor ALL, and were resistant to the potent and selective MEK inhibitor PD0325901. Our data, which demonstrate strong selective pressure to overcome the defective activation of PI3 kinase/Akt and Raf/MEK/ERK, implicate both Ras effector pathways as drivers of aberrant growth in T-ALL and further suggest that leukemia cells will deploy multiple mechanisms to develop resistance to targeted inhibitors in vivo.
Insights
Targeting Ras proteins in cancer is challenging. This study shows that even with impaired signaling, Ras mutations drive T-cell acute lymphoblastic leukemia (T-ALL) and develop resistance to targeted therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Oncogenic Ras proteins are key drivers in many cancers, but their specific effector pathways essential for tumor initiation and maintenance remain unclear.
- Developing effective therapeutics against Ras-driven cancers requires understanding the precise molecular mechanisms and potential resistance pathways.
Purpose of the Study:
- To investigate the roles of PI3 kinase/Akt and Raf/MEK/ERK signaling pathways in K-Ras-driven T-cell acute lymphoblastic leukemia (T-ALL).
- To explore the mechanisms by which leukemia cells overcome impaired Ras effector signaling and develop resistance to targeted therapies.
Main Methods:
- Expression of oncogenic K-Ras(D12) with impaired signaling in bone marrow cells, followed by transplantation into recipient mice to induce T-ALL.
- Analysis of acquired mutations, gene silencing (e.g., PTEN), and signaling pathway activation (e.g., phosphorylated Akt) in T-ALL cells.
- Assessment of T-ALL cell line resistance to the MEK inhibitor PD0325901.
Main Results:
- Defective K-Ras oncoproteins initiated aggressive T-ALL despite attenuated signaling.
- Leukemia cells acquired secondary mutations or silenced PTEN to restore Ras activity and overcome impaired PI3K/Akt and Raf/MEK/ERK signaling.
- PTEN-deficient T-ALL cells exhibited elevated Akt phosphorylation, a gene expression profile resembling human early T-cell precursor ALL, and resistance to MEK inhibition.
Conclusions:
- Both PI3 kinase/Akt and Raf/MEK/ERK pathways are critical for aberrant growth in T-ALL, driven by oncogenic Ras.
- Leukemia cells exhibit strong selective pressure to overcome targeted inhibition, employing diverse mechanisms to develop resistance in vivo.
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