Acquisition of chromosome instability is a mechanism to evade oncogene addiction

Lorena Salgueiro1, Christopher Buccitelli2, Konstantina Rowald1

  • 1Division of Molecular Thoracic Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

EMBO Molecular Medicine
|February 8, 2020
PubMed

Insights

Tumors evolve chromosome instability (CIN) to resist targeted therapies. This genomic instability, particularly aneuploidy, accelerates resistance by enabling genetic changes like cMet amplification, crucial for cancer survival.

Area of Science:

  • Oncology
  • Genomics
  • Cancer Evolution

Background:

  • Chromosome instability (CIN) is linked to cancer therapeutic resistance.
  • The role of CIN as an evolutionary mechanism to overcome therapy-induced bottlenecks remains unclear.

Purpose of the Study:

  • To investigate if tumors acquire genomic instability as an adaptive strategy against targeted therapy.
  • To determine the role of CIN in the development of resistance in Kras-driven breast cancer.

Main Methods:

  • Utilized a Kras-driven breast cancer model to study chromosome instability (CIN) and aneuploidy.
  • Performed whole-genome sequencing on resistant tumors.
  • Investigated the effect of cMet inhibition on resistant tumor growth and survival.

Main Results:

  • Aneuploid tumors developed resistance to targeted therapy more rapidly than euploid tumors.
  • Persisting chromosomally stable cancers acquired CIN during treatment.
  • Amplification of the cMet oncogene on chromosome 6 was the predominant alteration in resistant tumors, regardless of initial CIN levels.
  • Pharmacological inhibition of cMet reduced growth and increased cell death in resistant tumors.

Conclusions:

  • Cancer genomes are dynamic, with CIN acquisition being a key mechanism for circumventing oncogene addiction.
  • Both initially aneuploid and euploid tumors can develop resistance through CIN, often involving cMet amplification.
  • Targeting cMet presents a potential therapeutic strategy for overcoming resistance in CIN-associated cancers.

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