BCL2 Amplicon Loss and Transcriptional Remodeling Drives ABT-199 Resistance in B Cell Lymphoma Models

Xiaohong Zhao1, Yuan Ren1, Matthew Lawlor2

  • 1Chemical Biology and Molecular Medicine Program, Moffitt Cancer Center & Research Institute, Tampa, FL 33612, USA.

Cancer Cell
|May 16, 2019
PubMed

Insights

Drug-tolerant persister cells drive resistance to BCL-2 inhibitor ABT-199 in lymphomas. Targeting transcriptional reprogramming, particularly cyclin-dependent kinase 7 (CDK7), offers a new strategy to overcome this resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Drug-tolerant persister tumor cells are a key factor in the development of drug resistance and disease relapse.
  • Resistance to BCL-2 inhibitors like ABT-199 is a significant challenge in treating certain lymphomas.

Purpose of the Study:

  • To investigate the mechanisms underlying ABT-199 resistance in mantle cell lymphoma and double-hit lymphoma models.
  • To identify vulnerabilities in drug-tolerant persister cells that can be targeted to overcome resistance.

Main Methods:

  • Utilized lymphoma models to study ABT-199 resistance.
  • Performed pharmacoproteomic and pharmacogenomic screens.
  • Analyzed adaptive super-enhancer remodeling and transcriptional reprogramming.

Main Results:

  • ABT-199 resistance emerged from persister clones with loss of 18q21 amplicons harboring BCL2.
  • Persister status was linked to adaptive super-enhancer remodeling that altered transcription.
  • Persister cells showed vulnerability to inhibition of transcriptional machinery, especially CDK7.

Conclusions:

  • Targeting transcriptional reprogramming, particularly CDK7, can overcome ABT-199 resistance in B-cell lymphomas.
  • Transcription-targeting agents represent a promising therapeutic approach for disabling drug resistance.

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