Proteome Instability Is a Therapeutic Vulnerability in Mismatch Repair-Deficient Cancer

Daniel J McGrail1, Jeannine Garnett1, Jun Yin1

  • 1Department of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

Cancer Cell
|February 29, 2020
PubMed

Insights

Deficient DNA mismatch repair (dMMR) causes proteome instability and protein buildup in tumors. Blocking a specific protein clearance pathway with MLN4924 triggers cancer cell death, enhancing immunotherapy effectiveness.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Immunology

Background:

  • Deficient DNA mismatch repair (dMMR) leads to a hypermutator phenotype and tumorigenesis.
  • The functional consequences of high mutation burden in dMMR tumors are not well understood.
  • Misfolded protein aggregates are a hallmark of dMMR tumors.

Purpose of the Study:

  • To investigate the impact of dMMR-induced mutations on proteome stability.
  • To explore the role of Nedd8-mediated degradation in dMMR cancer cells.
  • To evaluate the therapeutic potential of blocking Nedd8 clearance in combination with PD1 inhibition.

Main Methods:

  • Analysis of proteome instability in dMMR tumors.
  • Investigating the Nedd8-mediated protein degradation pathway.
  • Treatment of dMMR cancer cells with MLN4924 and PD1 inhibitors.

Main Results:

  • dMMR-induced mutations result in proteome instability and accumulation of misfolded protein aggregates.
  • dMMR cells rely on Nedd8-mediated degradation for clearance of these aggregates.
  • MLN4924 treatment blocks Nedd8 clearance, leading to aggregate accumulation and immunogenic cell death.
  • Combination therapy of MLN4924 and PD1 inhibition demonstrated synergistic efficacy.

Conclusions:

  • Proteome instability is a key consequence of dMMR.
  • Targeting the Nedd8 clearance pathway offers a novel therapeutic strategy for dMMR cancers.
  • Combination of MLN4924 and PD1 inhibition shows promise for enhancing anti-tumor immunity.

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