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Published on: January 7, 2019
WEE1 kinase is a therapeutic vulnerability in CIC-DUX4 undifferentiated sarcoma
Rovingaile Kriska M Ponce1, Nicholas J Thomas1, Nam Q Bui2
1Department of Medicine, UCSF, San Francisco, California, USA.
Abstract:
CIC-DUX4 rearrangements define an aggressive and chemotherapy-insensitive subset of undifferentiated sarcomas. The CIC-DUX4 fusion drives oncogenesis through direct transcriptional upregulation of cell cycle and DNA replication genes. Notably, CIC-DUX4-mediated CCNE1 upregulation compromises the G1/S transition to confer a dependence on the G2/M cell cycle checkpoint. Through an integrative transcriptional and kinase activity screen using patient-derived specimens, we now show that CIC-DUX4 sarcomas depend on the G2/M checkpoint regulator WEE1 as part of an adaptive survival mechanism. Specifically, CIC-DUX4 sarcomas depended on WEE1 activity to limit DNA damage and unscheduled mitotic entry. Consequently, genetic or pharmacologic WEE1 inhibition in vitro and in vivo led to rapid DNA damage-associated apoptotic induction of patient-derived CIC-DUX4 sarcomas. Thus, we identified WEE1 as a vulnerability targetable by therapeutic intervention in CIC-DUX4 sarcomas.
Insights
CIC-DUX4 sarcomas are aggressive cancers. Targeting the WEE1 protein kinase inhibits cancer cell growth by inducing DNA damage and apoptosis, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- CIC-DUX4 rearrangements characterize aggressive, chemotherapy-insensitive undifferentiated sarcomas.
- The CIC-DUX4 fusion oncogene upregulates cell cycle and DNA replication genes, leading to CCNE1 overexpression.
- This CCNE1 upregulation causes a G1/S transition defect, creating a dependency on the G2/M cell cycle checkpoint for survival.
Purpose of the Study:
- To identify therapeutic vulnerabilities in CIC-DUX4 sarcomas.
- To investigate the role of the G2/M cell cycle checkpoint in CIC-DUX4 sarcoma survival.
- To evaluate WEE1 as a potential therapeutic target.
Main Methods:
- Integrative transcriptional and kinase activity screening of patient-derived CIC-DUX4 sarcoma specimens.
- In vitro and in vivo genetic and pharmacologic inhibition of WEE1.
- Assessment of DNA damage, mitotic entry, apoptosis, and cell viability.
Main Results:
- CIC-DUX4 sarcomas exhibit dependency on the G2/M checkpoint regulator WEE1 for survival.
- WEE1 activity in these sarcomas limits DNA damage and prevents unscheduled mitotic entry.
- WEE1 inhibition (genetic or pharmacologic) induced rapid, DNA damage-associated apoptosis in patient-derived CIC-DUX4 sarcomas, both in vitro and in vivo.
Conclusions:
- WEE1 is a critical adaptive survival mechanism in CIC-DUX4 sarcomas.
- Targeting WEE1 represents a promising therapeutic strategy for CIC-DUX4 sarcomas.
- WEE1 inhibition effectively induces apoptosis in these aggressive cancers.
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