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Loss of VOPP1 Contributes to BET Inhibitor Acquired Resistance in Non-Small Cell Lung Cancer Cells
Lin Sun1,2, Qian Wu1,2, Xia-Juan Huan1,2
1State Key Laboratory of Drug Research, Cancer Research Center, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Abstract:
Inhibitors targeting bromodomain and extraterminal (BET) proteins are promising anticancer drugs. The emergence of drug resistance during treatments will impair their therapeutic effectiveness. To investigate the mechanisms of acquired resistance to BET inhibitors (BETi), we generated a series of drug-resistant sublines by exposing non-small cell lung cancer (NSCLC) NCI-H1975 cells to the BETi ABBV-075. These sublines displayed cross-resistance to other tested BETis, increased migration abilities, reduced growth rates accompanied by an increased proportion of cells in G1 phase and decreased apoptotic responses to BETis. Changes in RNA expression and gene mutation profiles in the resistant variants indicate that emergence of BETi resistance is multifactorial. Importantly, all the tested ABBV-075-resistant variants showed loss of vesicular overexpressed in cancer prosurvival protein 1 (VOPP1) and an increase in the antiapoptotic BCL-2 protein. By knockdown, knockout, and reconstitution of VOPP1 in resistant cells, their parental cells, and other NSCLC cells, we confirmed that the loss of VOPP1 contributed to BETi resistance. Moreover, knockout of VOPP1 in the parental cells caused the increased expression of BCL-2, and the latter directly mediated BETi resistance. Through combined treatments with BETis and BCL-2 inhibitors (BCL-2i), we demonstrated that BCL-2is synergistically sensitized resistant cells to BETis.
Implications:
Based on these results, for the first time, we establish a causal link from VOPP1 loss to BCL-2 gain and then to BETi resistance, which provides new insights into BETi resistance and paves the way for further testing to circumvent BETi resistance.
Insights
Drug resistance to bromodomain and extraterminal (BET) inhibitors in non-small cell lung cancer is linked to loss of VOPP1 and increased BCL-2. Combining BET inhibitors with BCL-2 inhibitors overcomes this resistance.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Bromodomain and extraterminal (BET) protein inhibitors are promising anticancer agents.
- Acquired drug resistance limits the therapeutic efficacy of BET inhibitors (BETi).
- Understanding resistance mechanisms is crucial for improving cancer treatment strategies.
Purpose of the Study:
- To investigate the mechanisms of acquired resistance to BET inhibitors in non-small cell lung cancer (NSCLC).
- To identify molecular players involved in the development of BETi resistance.
- To explore therapeutic strategies to overcome BETi resistance.
Main Methods:
- Generation of drug-resistant NSCLC cell lines (NCI-H1975) through exposure to the BET inhibitor ABBV-075.
- Analysis of phenotypic changes, RNA expression, and gene mutations in resistant sublines.
- Functional studies involving VOPP1 manipulation (knockdown, knockout, reconstitution) and BCL-2 inhibition.
Main Results:
- Resistant cells exhibited cross-resistance to BETis, increased migration, reduced growth, and decreased apoptosis.
- Loss of vesicular overexpressed in cancer prosurvival protein 1 (VOPP1) and increased BCL-2 were observed in resistant variants.
- Loss of VOPP1 causally contributed to BETi resistance by upregulating BCL-2, which mediated resistance.
- Combined treatment with BET inhibitors and BCL-2 inhibitors synergistically sensitized resistant cells.
Conclusions:
- Established a causal link between VOPP1 loss, BCL-2 upregulation, and BET inhibitor resistance in NSCLC.
- Identified VOPP1 and BCL-2 as key players in BETi resistance mechanisms.
- Demonstrated the potential of combining BET inhibitors with BCL-2 inhibitors to overcome drug resistance.
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