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Targeting UHRF1-dependent DNA repair selectively sensitizes KRAS mutant lung cancer to chemotherapy
Danmei Tian1, Jinshan Tang1, Xinran Geng2
1Institute of Traditional Chinese Medicine and Natural Products, College of Pharmacy, Jinan University, Guangzhou, 510632, People's Republic of China.
Abstract:
Kirsten rat sarcoma virus oncogene homolog (KRAS) mutant lung cancer remains a challenge to cure and chemotherapy is the current standard treatment in the clinic. Hence, understanding molecular mechanisms underlying the sensitivity of KRAS mutant lung cancer to chemotherapy could help uncover unique strategies to treat this disease. Here we report a compound library screen and identification of cardiac glycosides as agents that selectively enhance the in vitro and in vivo effects of chemotherapy on KRAS mutant lung cancer. Quantitative mass spectrometry reveals that cardiac glycosides inhibit DNA double strand break (DSB) repair through suppressing the expression of UHRF1, an important DSB repair factor. Inhibition of UHRF1 by cardiac glycosides was mediated by specific suppression of the oncogenic KRAS pathway. Overexpression of UHRF1 rescued DSB repair inhibited by cardiac glycosides and depletion of UHRF1 mitigated cardiac glycoside-enhanced chemotherapeutic drug sensitivity in KRAS mutant lung cancer cells. Our study reveals a targetable dependency on UHRF1-stimulated DSB repair in KRAS mutant lung cancer in response to chemotherapy.
Insights
Cardiac glycosides enhance chemotherapy for KRAS mutant lung cancer by inhibiting DNA repair. These compounds suppress UHRF1 expression, a key factor in DNA double-strand break repair, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- KRAS-mutant lung cancer is difficult to treat, with chemotherapy as the current standard.
- Understanding chemotherapy sensitivity mechanisms in KRAS-mutant lung cancer is crucial for developing novel therapies.
Purpose of the Study:
- To identify compounds that selectively enhance chemotherapy efficacy in KRAS-mutant lung cancer.
- To elucidate the molecular mechanisms by which these compounds exert their effects.
Main Methods:
- Compound library screening to identify potential therapeutic agents.
- Quantitative mass spectrometry to analyze molecular targets.
- In vitro and in vivo experiments to assess drug efficacy and mechanisms.
Main Results:
- Cardiac glycosides were identified as agents that enhance chemotherapy effects on KRAS-mutant lung cancer.
- Cardiac glycosides inhibit DNA double-strand break (DSB) repair by suppressing UHRF1 expression.
- This inhibition is mediated by the suppression of the KRAS pathway, and UHRF1 manipulation affects drug sensitivity.
Conclusions:
- Cardiac glycosides represent a promising therapeutic strategy for KRAS-mutant lung cancer.
- Targeting UHRF1-mediated DNA repair offers a novel approach to overcome chemotherapy resistance.
- The KRAS pathway is critical in mediating the effects of cardiac glycosides on DSB repair.
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