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MAP3K1 and MAP2K4 mutations are associated with sensitivity to MEK inhibitors in multiple cancer models
Zheng Xue1, Daniel J Vis1, Alejandra Bruna2
1Division of Molecular Carcinogenesis, Oncode Institute, The Netherlands Cancer Institute, Plesmanlaan 121, Amsterdam, 1066 CX, The Netherlands.
Abstract:
Activation of the mitogen-activated protein kinase (MAPK) pathway is frequent in cancer. Drug development efforts have been focused on kinases in this pathway, most notably on RAF and MEK. We show here that MEK inhibition activates JNK-JUN signaling through suppression of DUSP4, leading to activation of HER Receptor Tyrosine Kinases. This stimulates the MAPK pathway in the presence of drug, thereby blunting the effect of MEK inhibition. Cancers that have lost MAP3K1 or MAP2K4 fail to activate JNK-JUN. Consequently, loss-of-function mutations in either MAP3K1 or MAP2K4 confer sensitivity to MEK inhibition by disabling JNK-JUN-mediated feedback loop upon MEK inhibition. In a panel of 168 Patient Derived Xenograft (PDX) tumors, MAP3K1 and MAP2K4 mutation status is a strong predictor of response to MEK inhibition. Our findings suggest that cancers having mutations in MAP3K1 or MAP2K4, which are frequent in tumors of breast, prostate and colon, may respond to MEK inhibitors. Our findings also suggest that MAP3K1 and MAP2K4 are potential drug targets in combination with MEK inhibitors, in spite of the fact that they are encoded by tumor suppressor genes.
Insights
MEK inhibitors can be less effective due to feedback loops involving JNK-JUN signaling. Loss-of-function mutations in MAP3K1 or MAP2K4 disable this loop, making cancers sensitive to MEK inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling
Background:
- The mitogen-activated protein kinase (MAPK) pathway is frequently activated in various cancers.
- Drug development has primarily targeted RAF and MEK kinases within this pathway.
Purpose of the Study:
- To investigate the feedback mechanisms that regulate MEK inhibitor efficacy.
- To identify biomarkers predicting response to MEK inhibitors.
- To explore novel therapeutic targets in combination with MEK inhibitors.
Main Methods:
- Analysis of JNK-JUN signaling activation upon MEK inhibition.
- Investigation of DUSP4 and HER Receptor Tyrosine Kinases' roles in feedback.
- Assessment of MAP3K1 and MAP2K4 mutation status in Patient Derived Xenograft (PDX) tumors.
- Correlation of mutation status with response to MEK inhibitors.
Main Results:
- MEK inhibition activates JNK-JUN signaling by suppressing DUSP4, leading to HER activation and MAPK pathway stimulation, thus counteracting MEK inhibition.
- Loss-of-function mutations in MAP3K1 or MAP2K4 prevent JNK-JUN activation, rendering cancers sensitive to MEK inhibitors.
- MAP3K1 and MAP2K4 mutation status is a significant predictor of MEK inhibitor response in PDX tumors.
Conclusions:
- MAP3K1 and MAP2K4 mutations create sensitivity to MEK inhibitors by disrupting a key feedback loop.
- Cancers with MAP3K1 or MAP2K4 mutations, common in breast, prostate, and colon cancers, may benefit from MEK inhibitors.
- MAP3K1 and MAP2K4 represent potential therapeutic targets for combination therapy with MEK inhibitors.
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