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Updated: Feb 15, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
AATF suppresses apoptosis, promotes proliferation and is critical for Kras-driven lung cancer
Daniela Welcker1,2, Manaswita Jain1,2, Safiya Khurshid1,2,3
1Department II of Internal Medicine, University of Cologne, Cologne, Germany.
Abstract:
A fundamental principle in malignant tranformation is the ability of cancer cells to escape the naturally occurring cell-intrinsic responses to DNA damage. Tumors progress despite the accumulation of DNA lesions. However, the underlying mechanisms of this tolerance to genotoxic stress are still poorly characterized. Here, we show that replication stress occurs in Kras-driven murine lung adenocarcinomas, as well as in proliferating murine embryonic and adult tissues. We identify the transcriptional regulator AATF/CHE-1 as a key molecule to sustain proliferative tissues and tumor progression in parts by inhibiting p53-driven apoptosis in vivo. In an autochthonous Kras-driven lung adenocarcinoma model, deletion of Aatf delayed lung cancer formation predominantly in a p53-dependent manner. Moreover, targeting Aatf in existing tumors through a dual recombinase strategy caused a halt in tumor progression. Taken together, these data suggest that AATF may serve as a drug target to treat KRAS-driven malignancies.
Insights
Cancer cells evade DNA damage responses for tumor growth. Researchers found that AATF (che-1) sustains proliferative tissues and tumor progression by inhibiting p53-driven apoptosis, suggesting AATF as a potential drug target for KRAS-driven cancers.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Malignant transformation involves cancer cells evading intrinsic DNA damage responses, allowing tumor progression despite accumulated DNA lesions.
- Mechanisms underlying cancer cell tolerance to genotoxic stress remain poorly understood.
- Replication stress is observed in Kras-driven lung adenocarcinomas and other proliferating tissues.
Purpose of the Study:
- To investigate the mechanisms of DNA damage tolerance in cancer.
- To identify key molecules involved in sustaining proliferative tissues and tumor progression.
- To evaluate the therapeutic potential of targeting specific regulators in KRAS-driven malignancies.
Main Methods:
- Analysis of replication stress in Kras-driven murine lung adenocarcinomas and proliferating tissues.
- Identification and functional characterization of the transcriptional regulator AATF/CHE-1.
- In vivo studies involving Aatf deletion in an autochthonous Kras-driven lung adenocarcinoma model.
- In vivo tumor targeting of Aatf using a dual recombinase strategy.
Main Results:
- Replication stress is a feature of Kras-driven lung adenocarcinomas and proliferating normal tissues.
- The transcriptional regulator AATF/CHE-1 was identified as crucial for sustaining proliferative tissues and tumor progression.
- AATF inhibits p53-driven apoptosis in vivo.
- Aatf deletion in a Kras-driven lung cancer model delayed tumor formation in a p53-dependent manner.
- Targeting Aatf in established tumors halted tumor progression.
Conclusions:
- AATF/CHE-1 plays a critical role in enabling cancer cells to tolerate DNA damage and promote tumor progression.
- AATF's inhibition of p53-driven apoptosis is key to its function in cancer.
- AATF represents a potential therapeutic target for KRAS-driven malignancies.
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