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Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Suppression of Chromosome Instability Limits Acquired Drug Resistance
Elizabeth A Crowley1, Nicole M Hermance1, Conor P Herlihy1
1Department of Biology and Biotechnology, Worcester Polytechnic Institute, Worcester, Massachusetts.
Abstract:
Numerical chromosome instability, or nCIN, defined as the high frequency of whole chromosome gains and losses, is prevalent in many solid tumors. nCIN has been shown to promote intratumor heterogeneity and corresponds with tumor aggressiveness, drug resistance, and tumor relapse. Although increased nCIN has been shown to promote the acquisition of genomic changes responsible for drug resistance, the potential to modulate nCIN in a therapeutic manner has not been well explored. Here we assess the role of nCIN in the acquisition of drug resistance in non-small cell lung cancer. We show that the generation of whole chromosome segregation errors in non-small cell lung cancer cells is sensitive to manipulation of microtubule dynamics and that enhancement of chromosome cohesion strongly suppresses nCIN and reduces intratumor heterogeneity. We demonstrate that suppression of nCIN has no impact on non-small cell lung cancer cell proliferation in vitro nor in tumor initiation in mouse xenograft models. However, suppression of nCIN alters the timing and molecular mechanisms that drive acquired drug resistance. These findings suggest mechanisms to suppress nCIN may serve as effective cotherapies to limit tumor evolution and sustain drug response.
Insights
Numerical chromosome instability (nCIN) drives tumor evolution and drug resistance in lung cancer. Suppressing nCIN limits tumor heterogeneity and alters resistance mechanisms without affecting proliferation, suggesting nCIN inhibition as a therapeutic strategy.
Area of Science:
- Oncology
- Genetics
- Cell Biology
Background:
- Numerical chromosome instability (nCIN), characterized by whole chromosome gains/losses, is common in solid tumors.
- nCIN promotes tumor heterogeneity, aggressiveness, drug resistance, and relapse.
- Therapeutic modulation of nCIN for cancer treatment remains largely unexplored.
Purpose of the Study:
- To investigate the role of nCIN in the development of drug resistance in non-small cell lung cancer (NSCLC).
- To explore the potential of modulating nCIN as a therapeutic strategy in NSCLC.
Main Methods:
- Assessed nCIN in NSCLC cells by manipulating microtubule dynamics and chromosome cohesion.
- Evaluated the impact of nCIN suppression on tumor cell proliferation and initiation in vitro and in mouse xenograft models.
- Analyzed the effects of nCIN suppression on the timing and molecular mechanisms of acquired drug resistance.
Main Results:
- nCIN generation in NSCLC cells is sensitive to microtubule dynamics.
- Enhancing chromosome cohesion significantly suppressed nCIN and reduced intratumor heterogeneity.
- nCIN suppression did not affect NSCLC cell proliferation or tumor initiation.
- Suppression of nCIN altered the mechanisms and timing of acquired drug resistance.
Conclusions:
- nCIN plays a critical role in driving acquired drug resistance in NSCLC.
- Suppression of nCIN can limit tumor evolution and potentially sustain drug response.
- Targeting nCIN represents a promising therapeutic avenue for NSCLC treatment and overcoming drug resistance.
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