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Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
Functional genomics reveals that tumors with activating phosphoinositide 3-kinase mutations are dependent on
Teresa Davoli1, Kristen E Mengwasser1, Jingjing Duan2,3
1Howard Hughes Medical Institute, Department of Genetics, Harvard Medical School, Division of Genetics, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
Abstract:
Activating mutations in the phosphoinositide 3-kinase (PI3K) signaling pathway are frequently identified in cancer. To identify pathways that support PI3K oncogenesis, we performed a genome-wide RNAi screen in isogenic cell lines harboring wild-type or mutant PIK3CA to search for PI3K synthetic-lethal (SL) genes. A combined analysis of these results with a meta-analysis of two other large-scale RNAi screening data sets in PI3K mutant cancer cell lines converged on ribosomal protein translation and proteasomal protein degradation as critical nononcogene dependencies for PI3K-driven tumors. Genetic or pharmacologic inhibition of either pathway alone, but not together, selectively killed PI3K mutant tumor cells in an mTOR-dependent manner. The expression of ribosomal and proteasomal components was significantly up-regulated in primary human colorectal tumors harboring PI3K pathway activation. Importantly, a PI3K SL gene signature containing the top hits of the SL genes identified in our meta-analysis robustly predicted overall patient survival in colorectal cancer, especially among patients with tumors with an activated PI3K pathway. These results suggest that disruption of protein turnover homeostasis via ribosome or proteasome inhibition may be a novel treatment strategy for PI3K mutant human tumors.
Insights
Targeting protein translation or degradation pathways offers a novel strategy for PI3K-mutant cancers. Inhibiting either pathway selectively kills cancer cells, showing promise for treating PI3K-driven tumors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Activating mutations in the phosphoinositide 3-kinase (PI3K) pathway are common in various cancers.
- Understanding non-oncogene dependencies is crucial for developing targeted cancer therapies.
Purpose of the Study:
- To identify synthetic-lethal (SL) genes that are essential for the survival of cancer cells with PI3K pathway mutations.
- To explore novel therapeutic strategies targeting PI3K-driven oncogenesis.
Main Methods:
- Genome-wide RNA interference (RNAi) screening in PI3K wild-type and mutant cell lines.
- Meta-analysis of screening data with other large-scale RNAi datasets.
- Inhibition of identified pathways (ribosomal translation and proteasomal degradation) and assessment of cancer cell viability.
- Analysis of gene expression in human colorectal tumors and correlation with patient survival.
Main Results:
- Ribosomal protein translation and proteasomal protein degradation were identified as critical nononcogene dependencies for PI3K-driven tumors.
- Selective killing of PI3K mutant tumor cells was achieved by inhibiting either translation or degradation pathways, dependent on mTOR signaling.
- Upregulated expression of ribosomal and proteasomal components was observed in human colorectal tumors with PI3K pathway activation.
- A PI3K SL gene signature predicted patient survival in colorectal cancer, particularly in those with PI3K pathway activation.
Conclusions:
- Disruption of protein turnover homeostasis through ribosome or proteasome inhibition represents a potential novel treatment strategy for PI3K mutant cancers.
- Targeting these pathways offers a selective approach to eliminate PI3K-driven tumor cells.
- The findings provide a basis for developing new therapeutic interventions for cancers with activated PI3K signaling.
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