Systematic screening reveals synergistic interactions that overcome MAPK inhibitor resistance in cancer cells

Yu Yu1, Minzhen Tao2, Libin Xu3

  • 1Department of Cell Biology, Basic Medical College, Army Medical University (Third Military Medical University), Chongqing 400038, China.

Abstract

Insights

New drug combinations targeting specific gene interactions can overcome resistance to MAPK inhibitor (MAPKi) cancer therapies. Researchers identified synergistic combinations like ITGB3 + IGF1R to suppress adaptive cancer stemness during MAPKi treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Mitogen-activated protein kinase inhibitor (MAPKi) resistance is a significant challenge in cancer therapy.
  • Adjuvant therapeutic strategies are crucial to overcome this common resistance mechanism.

Purpose of the Study:

  • To systematically identify genetic interactions underlying MAPKi resistance.
  • To investigate mechanisms generating synergistic MAPKi resistance.

Main Methods:

  • Conducted pair-wise sgRNA-based high-throughput screening to identify synergistic interactions.
  • Validated combinations using growth, viability, and spheroid assays.
  • Analyzed clinical relevance via The Cancer Genome Atlas and immunohistochemistry.
  • Investigated resistance mechanisms using molecular assays (co-IP, Western blot, qRT-PCR, immunofluorescence).

Main Results:

  • Identified three novel synergistic combinations targeting MAPKi resistance: ITGB3 + IGF1R, ITGB3 + JNK, and HDGF + LGR5.
  • Discovered a novel HDGF-LGR5 protein complex that enhances cancer cell stemness in response to MAPKi.
  • Showed that ITGB3 + JNK or ITGB3 + IGF1R inhibitors modulate the HDGF-LGR5 complex.

Conclusions:

  • Pair-wise sgRNA screening offers systematic insights into MAPKi resistance.
  • ITGB3 + IGF1R targeting drugs (cilengitide + linsitinib) can suppress the HDGF-LGR5 complex.
  • This suppression inhibits cancer stemness, offering a potential therapeutic strategy against MAPKi resistance.

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