Nf1-Mutant Tumors Undergo Transcriptome and Kinome Remodeling after Inhibition of either mTOR or MEK

Daniela Pucciarelli1, Steven P Angus2, Benjamin Huang3

  • 1Department of Radiation Oncology, University of California San Francisco, San Francisco, California.

Insights

Loss of NF1 tumor suppressor leads to drug resistance in targeted therapies. NF1-mutant tumors are biochemically diverse, with MEK inhibitor resistance being stable and mTOR inhibitor resistance being reversible.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Loss of the NF1 tumor suppressor gene activates RAS effector pathways.
  • Targeted therapies like mTOR inhibitors (mTORi) and MEK inhibitors (MEKi) are used to inhibit these pathways.
  • Acquired drug resistance and disease progression limit the efficacy of these treatments.

Purpose of the Study:

  • To investigate molecular signatures associated with NF1 loss and acquired drug resistance.
  • To compare the biochemical profiles and responses to kinase inhibition in NF1-mutant tumor cells.
  • To characterize the stability of resistance phenotypes to MEKi and mTORi.

Main Methods:

  • Analysis of exomes, transcriptomes, and kinomes of NF1-mutant mouse tumor cell lines.
  • Generation and analysis of cell lines with acquired resistance to MEKi or mTORi.
  • Biochemical comparisons of tumor cell panels derived from Nf1 mice.

Main Results:

  • NF1 loss of heterozygosity does not confer a common biochemical signature or response to kinase inhibition.
  • Acquired drug resistance in NF1-mutant cells involves altered kinomes and transcriptomes.
  • MEK inhibitor resistance is a stable phenotype, while mTOR inhibitor resistance is reversible in multiple NF1-mutant cell lines.

Conclusions:

  • NF1-mutant tumors exhibit significant biochemical heterogeneity.
  • Targeted kinase inhibition induces broad remodeling of kinome activity and gene expression.
  • Understanding these molecular changes is crucial for developing effective therapeutic strategies for NF1-related cancers.

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