Single-cell analysis resolves the cell state transition and signaling dynamics associated with melanoma drug-induced

Yapeng Su1,2, Wei Wei3,4,5, Lidia Robert6

  • 1NanoSystems Biology Cancer Center, California Institute of Technology, Pasadena, CA 91125.

Insights

Targeting BRAF in melanoma causes adaptive cell changes leading to resistance. Combining BRAF inhibitors with network-targeting drugs can overcome this resistance by halting adaptive transitions.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • BRAF inhibitors are standard treatment for BRAF-mutant melanomas.
  • Tumors often develop resistance to BRAF inhibitors through complex adaptive mechanisms.
  • Understanding these adaptive changes is crucial for improving therapeutic strategies.

Purpose of the Study:

  • To investigate the cell state dynamics and resistance mechanisms in BRAF-mutant melanoma under continuous BRAF inhibition.
  • To identify signaling networks activated early during the adaptive response.
  • To evaluate combination therapies targeting BRAF and identified networks.

Main Methods:

  • Genome-wide transcriptomics and single-cell phenotyping of patient-derived melanoma cell lines.
  • Markov modeling to analyze cell state transitions.
  • Single-cell functional proteomics to assess signaling network activation.
  • In vitro drug combination studies.

Main Results:

  • Continuous BRAF inhibition induced reversible cell state transitions, characterized by Lamarckian and Darwinian mechanisms.
  • Specific signaling networks were activated early, preceding the development of drug-resistant phenotypes.
  • Combination therapy (BRAF inhibitor + network-targeting drug) effectively halted adaptive transitions.
  • This combination strategy led to prolonged growth inhibition in multiple cell lines.

Conclusions:

  • Melanoma cells undergo adaptive transitions upon BRAF inhibition, contributing to therapy resistance.
  • Early-activated signaling networks are critical mediators of this adaptive response.
  • Targeting these networks concurrently with BRAF inhibition offers a promising strategy to overcome resistance and improve treatment outcomes.