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Methods for Evaluating the Role of c-Fos and Dusp1 in Oncogene Dependence
Published on: January 7, 2019
Methods for Evaluating the Role of c-Fos and Dusp1 in Oncogene Dependence
Meenu Kesarwani1, Zachary Kincaid1, Mohammad Azam2
1Cancer Blood Disease Institute, Divisions of Experimental Hematology and Cancer Pathology, Cincinnati Children's Hospital Medical Center.
Abstract:
The demonstration of tyrosine kinase inhibitors (TKIs) in treating chronic myeloid leukemia (CML) has heralded a new era in cancer therapeutics. However, a small population of cells does not respond to TKI treatment, resulting in minimal residual disease (MRD); even the most potent TKIs fail to eradicate these cells. These MRD cells serve as a reservoir to develop resistance to therapy. Why TKI treatment is ineffective against MRD cells is not known. Growth factor signaling is implicated in supporting the survival of MRD cells during TKI treatment, but a mechanistic understanding is lacking. Recent studies demonstrated that an elevated c-Fos and Dusp1 expression as a result of convergent oncogenic and growth factor signaling in MRD cells mediate TKI resistance. The genetic and chemical inhibition of c-Fos and Dusp1 renders CML exquisitely sensitive to TKIs and cures CML in both genetic and humanized mouse models. We identified these target genes using multiple microarrays from TKI-sensitive and -resistant cells. Here, we provide methods for target validation using in vitro and in vivo mouse models. These methods can easily be applied to any target for genetic validation and therapeutic development.
Insights
Targeting c-Fos and Dusp1 overcomes resistance to tyrosine kinase inhibitors (TKIs) in chronic myeloid leukemia (CML). Inhibiting these targets sensitizes CML cells to TKIs, offering a new therapeutic strategy for minimal residual disease.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Tyrosine kinase inhibitors (TKIs) have transformed chronic myeloid leukemia (CML) treatment.
- A subset of CML cells, termed minimal residual disease (MRD), is resistant to TKIs.
- The mechanisms underlying TKI resistance in MRD cells remain largely unknown.
Purpose of the Study:
- To investigate the molecular mechanisms driving TKI resistance in CML MRD cells.
- To identify novel therapeutic targets for overcoming TKI resistance in CML.
Main Methods:
- Comparative gene expression analysis using microarrays to identify differentially expressed genes in TKI-sensitive and -resistant CML cells.
- In vitro and in vivo validation of identified target genes (c-Fos and Dusp1) in genetic and humanized mouse models.
- Assessment of therapeutic efficacy of targeting c-Fos and Dusp1 in combination with TKIs.
Main Results:
- Elevated expression of c-Fos and Dusp1 was identified in TKI-resistant CML MRD cells.
- Convergent oncogenic and growth factor signaling pathways contribute to increased c-Fos and Dusp1 expression.
- Genetic or chemical inhibition of c-Fos and Dusp1 restored sensitivity to TKIs and eradicated CML in preclinical models.
Conclusions:
- c-Fos and Dusp1 are key mediators of TKI resistance in CML.
- Targeting c-Fos and Dusp1 represents a promising therapeutic strategy to overcome TKI resistance and achieve CML cure.
- The presented methods facilitate target validation for therapeutic development in CML.
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