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Global Phosphoproteomics Reveal CDK Suppression as a Vulnerability to KRas Addiction in Pancreatic Cancer
Aslamuzzaman Kazi1, Liwei Chen1, Shengyan Xiang1
1Department of Drug Discovery, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Purpose:
Among human cancers that harbor mutant (mt) KRas, some, but not all, are dependent on mt KRas. However, little is known about what drives KRas dependency.
Experimental Design:
Global phosphoproteomics, screening of a chemical library of FDA drugs, and genome-wide CRISPR/Cas9 viability database analysis were used to identify vulnerabilities of KRas dependency.
Results:
Global phosphoproteomics revealed that KRas dependency is driven by a cyclin-dependent kinase (CDK) network. CRISPR/Cas9 viability database analysis revealed that, in mt KRas-driven pancreatic cancer cells, knocking out the cell-cycle regulators CDK1 or CDK2 or the transcriptional regulators CDK7 or CDK9 was as effective as knocking out KRas. Furthermore, screening of a library of FDA drugs identified AT7519, a CDK1, 2, 7, and 9 inhibitor, as a potent inducer of apoptosis in mt KRas-dependent, but not in mt KRas-independent, human cancer cells. In vivo AT7519 inhibited the phosphorylation of CDK1, 2, 7, and 9 substrates and suppressed growth of xenografts from 5 patients with pancreatic cancer. AT7519 also abrogated mt KRas and mt p53 primary and metastatic pancreatic cancer in three-dimensional (3D) organoids from 2 patients, 3D cocultures from 8 patients, and mouse 3D organoids from pancreatic intraepithelial neoplasia, primary, and metastatic tumors.
Conclusions:
A link between CDK hyperactivation and mt KRas dependency was uncovered and pharmacologically exploited to abrogate mt KRas-driven pancreatic cancer in highly relevant models, warranting clinical investigations of AT7519 in patients with pancreatic cancer.
Insights
Researchers uncovered that mutant KRas (mt KRas) cancer dependency is driven by cyclin-dependent kinases (CDKs). Inhibiting CDKs with AT7519 effectively treated KRas-dependent pancreatic cancer in preclinical models, suggesting potential for clinical trials.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Mutant KRas (mt KRas) drives many human cancers, but not all are KRas-dependent.
- The specific mechanisms underlying KRas dependency remain largely unknown.
Purpose of the Study:
- To identify the molecular drivers of KRas dependency in human cancers.
- To explore therapeutic strategies targeting KRas-dependent cancers.
Main Methods:
- Global phosphoproteomics to analyze signaling networks.
- Screening of FDA-approved drugs against cancer cell lines.
- Genome-wide CRISPR/Cas9 viability screening to identify genetic vulnerabilities.
Main Results:
- Phosphoproteomics identified a cyclin-dependent kinase (CDK) network as central to KRas dependency.
- CRISPR/Cas9 analysis showed that inhibiting CDK1, CDK2, CDK7, or CDK9 was as effective as KRas knockout in pancreatic cancer cells.
- The CDK inhibitor AT7519 induced apoptosis in mt KRas-dependent cells and suppressed tumor growth in patient-derived xenografts and organoid models.
Conclusions:
- A direct link exists between CDK hyperactivation and mt KRas dependency.
- Pharmacological inhibition of CDKs using AT7519 shows promise for treating mt KRas-driven pancreatic cancer.
- Clinical investigation of AT7519 in patients with pancreatic cancer is warranted.
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