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Allosteric AKT Inhibitors Target Synthetic Lethal Vulnerabilities in E-Cadherin-Deficient Cells
Nicola Bougen-Zhukov1, Yasmin Nouri2, Tanis Godwin3
1Cancer Genetics Laboratory, Centre for Translational Cancer Research (Te Aho Matatū), Department of Biochemistry, University of Otago, Dunedin 9016, New Zealand. nicola.bougen-zhukov@otago.ac.nz.
Abstract:
The CDH1 gene, encoding the cell adhesion protein E-cadherin, is one of the most frequently mutated genes in gastric cancer and inactivating germline CDH1 mutations are responsible for hereditary diffuse gastric cancer syndrome (HDGC). Using cell viability assays, we identified that breast (MCF10A) and gastric (NCI-N87) cells lacking CDH1 expression are more sensitive to allosteric AKT inhibitors than their CDH1-expressing isogenic counterparts. Apoptosis priming and total apoptosis assays in the isogenic MCF10A cells confirmed the enhanced sensitivity of E-cadherin-null cells to the AKT inhibitors. In addition, two of these inhibitors, ARQ-092 and MK2206, preferentially targeted mouse-derived gastric Cdh1-/- organoids for growth arrest. AKT protein expression and activation (as measured by phosphorylation of serine 473) were differentially regulated in E-cadherin-null MCF10A and NCI-N87 cells, with downregulation in the normal breast cells, but upregulation in the gastric cancer cells. Bioinformatic analysis of the TCGA STAD dataset revealed that AKT3, but not AKT1 or AKT2, is upregulated in the majority of E-cadherin-deficient gastric cancers. In conclusion, allosteric AKT inhibitors represent a promising class of drugs for chemoprevention and chemotherapy of cancers with E-cadherin loss.
Insights
E-cadherin loss in cancer increases sensitivity to AKT inhibitors. These drugs show promise for treating gastric cancer and hereditary diffuse gastric cancer syndrome (HDGC).
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- The CDH1 gene encodes E-cadherin, a cell adhesion protein crucial in preventing cancer.
- Germline CDH1 mutations cause hereditary diffuse gastric cancer syndrome (HDGC).
- E-cadherin loss is common in gastric cancers, impacting cell adhesion and potentially treatment response.
Purpose of the Study:
- To investigate the effect of E-cadherin loss on cancer cell sensitivity to allosteric AKT inhibitors.
- To explore the therapeutic potential of AKT inhibitors in cancers with CDH1 deficiency.
Main Methods:
- Cell viability assays were performed on E-cadherin-expressing and E-cadherin-null breast (MCF10A) and gastric (NCI-N87) cancer cells.
- Apoptosis assays were conducted to confirm sensitivity in isogenic cell lines.
- Mouse-derived gastric Cdh1-/- organoids were treated with AKT inhibitors.
- Bioinformatic analysis of the TCGA STAD dataset was used to examine AKT gene expression in E-cadherin-deficient gastric cancers.
Main Results:
- E-cadherin-null cells exhibited increased sensitivity to allosteric AKT inhibitors compared to E-cadherin-expressing cells.
- Specific AKT inhibitors (ARQ-092, MK2206) induced growth arrest in mouse gastric Cdh1-/- organoids.
- AKT protein expression and activation were differentially regulated in E-cadherin-null cells.
- AKT3 was found to be upregulated in E-cadherin-deficient gastric cancers within the TCGA STAD dataset.
Conclusions:
- Allosteric AKT inhibitors demonstrate significant efficacy against E-cadherin-deficient cancer cells and organoids.
- AKT inhibitors represent a potential therapeutic strategy for cancers characterized by E-cadherin loss.
- Targeting AKT signaling could be beneficial for chemoprevention and chemotherapy in HDGC and other E-cadherin-deficient malignancies.
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