GCN2 kinase activation by ATP-competitive kinase inhibitors
Colin P Tang1,2,3, Owen Clark1, John R Ferrarone4
1Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Abstract:
Small-molecule kinase inhibitors represent a major group of cancer therapeutics, but tumor responses are often incomplete. To identify pathways that modulate kinase inhibitor response, we conducted a genome-wide knockout (KO) screen in glioblastoma cells treated with the pan-ErbB inhibitor neratinib. Loss of general control nonderepressible 2 (GCN2) kinase rendered cells resistant to neratinib, whereas depletion of the GADD34 phosphatase increased neratinib sensitivity. Loss of GCN2 conferred neratinib resistance by preventing binding and activation of GCN2 by neratinib. Several other Food and Drug Administration (FDA)-approved inhibitors, such erlotinib and sunitinib, also bound and activated GCN2. Our results highlight the utility of genome-wide functional screens to uncover novel mechanisms of drug action and document the role of the integrated stress response (ISR) in modulating the response to inhibitors of oncogenic kinases.
Insights
General control nonderepressible 2 (GCN2) kinase influences cancer drug response. Discovering its role in neratinib resistance reveals new therapeutic strategies for glioblastoma and other cancers.
Area of Science:
- Molecular Biology
- Cancer Therapeutics
- Genomics
Background:
- Small-molecule kinase inhibitors are crucial cancer drugs, but incomplete tumor responses limit their efficacy.
- Understanding mechanisms of drug resistance is vital for improving cancer treatment outcomes.
Purpose of the Study:
- To identify cellular pathways that modulate the response to the pan-ErbB inhibitor neratinib in glioblastoma.
- To investigate the role of the integrated stress response (ISR) in kinase inhibitor drug action.
Main Methods:
- Conducted a genome-wide knockout (KO) screen in glioblastoma cells.
- Treated cells with the pan-ErbB inhibitor neratinib.
- Assessed the impact of gene knockouts on drug sensitivity and identified key regulatory proteins.
Main Results:
- Loss of general control nonderepressible 2 (GCN2) kinase conferred resistance to neratinib.
- Depletion of GADD34 phosphatase enhanced neratinib sensitivity.
- GCN2 was found to directly bind and be activated by neratinib and other FDA-approved kinase inhibitors (e.g., erlotinib, sunitinib).
Conclusions:
- The integrated stress response (ISR) pathway, particularly GCN2, plays a significant role in modulating responses to kinase inhibitors.
- Genome-wide screens are effective for uncovering novel mechanisms of drug action and resistance.
- Targeting the ISR may offer new strategies to overcome resistance to kinase inhibitors in cancer therapy.
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