Sensitivity towards HDAC inhibition is associated with RTK/MAPK pathway activation in gastric cancer

Therese Seidlitz1, Tim Schmäche1,2,3,4, Fernando Garcίa5

  • 1Department of Visceral, Thoracic and Vascular Surgery, Medical Faculty and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

EMBO Molecular Medicine
|August 22, 2022
PubMed

Insights

Researchers developed three gastric cancer organoid models to study pathway alterations. They discovered a new treatment approach targeting the RTK/MAPK pathway, showing promise for gastric adenocarcinoma patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Gastric cancer is a leading cause of death globally, driven by complex signaling pathway alterations.
  • Understanding these pathways is crucial for developing effective targeted therapies.
  • Existing model systems may not fully capture the heterogeneity of gastric cancer.

Purpose of the Study:

  • To create and characterize novel murine organoid models representing key gastric cancer signaling pathways.
  • To investigate the impact of specific pathway alterations on organoid phenotype, proteome, and drug sensitivity.
  • To identify novel therapeutic vulnerabilities in gastric cancer, particularly related to RTK/MAPK signaling.

Main Methods:

  • Generation of three distinct murine organoid models with defined genetic alterations (RAS-activated, WNT-activated, diffuse).
  • Morphological, phenotypic, and proteomic characterization of the organoid models.
  • Assessment of differential drug sensitivities and pathway dependencies, including RTK/MAPK interference and HDAC inhibition.
  • Validation of findings in patient-derived gastric adenocarcinoma organoids.

Main Results:

  • The three organoid models exhibited distinct morphological and proteomic profiles, reflecting their genetic backgrounds.
  • A differential sensitivity to RTK/MAPK pathway inhibition was observed, dependent on specific oncogenic drivers.
  • An association between RTK/MAPK pathway activity and susceptibility to histone deacetylase (HDAC) inhibition was identified.
  • This association was successfully validated in patient-derived organoids, suggesting a new therapeutic strategy.

Conclusions:

  • Murine organoid models provide valuable systems for studying gastric cancer heterogeneity and pathway interactions.
  • Targeting the RTK/MAPK pathway, in conjunction with HDAC inhibition, represents a potential novel treatment approach for specific gastric cancer subtypes.
  • Further research and clinical validation are warranted to translate these findings into patient care.

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