Treatment-Induced Tumor Dormancy through YAP-Mediated Transcriptional Reprogramming of the Apoptotic Pathway

Kari J Kurppa1, Yao Liu2, Ciric To1

  • 1Department of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215, USA.

Cancer Cell
|January 15, 2020
PubMed

Insights

Targeting dormant cancer cells after EGFR TKI treatment is key. Combining EGFR/MEK inhibition with YAP/TEAD blockade overcomes dormancy by promoting apoptosis in non-small cell lung cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Tumor dormancy following epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) treatment in EGFR-mutant non-small cell lung cancer (NSCLC) presents a significant therapeutic challenge.
  • Understanding the mechanisms that drive this dormancy is crucial for developing effective eradication strategies.

Purpose of the Study:

  • To investigate the mechanisms underlying tumor cell dormancy after EGFR TKI treatment.
  • To identify novel therapeutic targets for eradicating dormant cells and overcoming treatment resistance in NSCLC.

Main Methods:

  • Utilized combined EGFR/MEK inhibition to block ERK1/2 reactivation and uncover dormant cells.
  • Characterized the senescence-like dormant state, focusing on YAP/TEAD activity and its interaction with SLUG.
  • Assessed the impact of pharmacological YAP/TEAD co-inhibition and genetic YAP1 deletion on dormant cell depletion.

Main Results:

  • Combined EGFR/MEK inhibition induced a senescence-like dormant state characterized by high YAP/TEAD activity.
  • YAP/TEAD, via SLUG, represses the pro-apoptotic protein BMF, thereby limiting drug-induced apoptosis.
  • Pharmacological co-inhibition of YAP/TEAD or genetic YAP1 deletion effectively depleted dormant cells by enhancing apoptosis.

Conclusions:

  • Targeting the YAP/TEAD pathway in conjunction with EGFR/MEK inhibition offers a promising strategy to eradicate dormant non-small cell lung cancer cells.
  • Enhancing the initial efficacy of targeted therapies by overcoming dormancy could lead to improved and prolonged treatment responses in cancer patients.

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