AP1/Fra1 confers resistance to MAPK cascade inhibition in pancreatic cancer

Christian Schneeweis1,2, Sandra Diersch1, Zonera Hassan1

  • 1Medical Clinic and Polyclinic II, Klinikum Rechts Der Isar, Technical University Munich, 81675, Munich, Germany.

Insights

FRA1 is linked to KRAS signaling in pancreatic cancer but dispensable for tumor development. It modulates responses to RAF-MEK-ERK inhibitors, suggesting FRA1 targeting could enhance cancer therapies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Signaling

Background:

  • Targeting KRAS downstream signaling is crucial for pancreatic cancer therapy.
  • FRA1, an AP1 family member, is associated with KRAS signaling and present in early pancreatic lesions and basal-like pancreatic cancer.
  • The role of FRA1 in Kras-driven pancreatic cancer progression and therapeutic response requires elucidation.

Purpose of the Study:

  • To investigate the role of FRA1 in Kras-driven pancreatic cancer.
  • To determine FRA1's impact on sensitivity to RAF-MEK-ERK pathway inhibitors.
  • To explore FRA1 as a therapeutic target in pancreatic cancer.

Main Methods:

  • Utilized primary pancreatic ductal epithelial cells and genetically engineered mouse models with conditional oncogenic Kras expression.
  • Conducted unbiased drug screens using FRA1 gain- and loss-of-function models.
  • Performed mechanistic studies to understand FRA1's role in ERK signaling and drug sensitivity.

Main Results:

  • FRA1 is linked to KRAS signaling and expressed in pre-malignant pancreatic lesions and basal-like pancreatic cancer.
  • FRA1 is not essential for KrasG12D-induced pancreatic cancer development in mice.
  • FRA1 modulates pancreatic cancer cell sensitivity to RAF-MEK-ERK inhibitors.
  • FRA1-associated adaptive rewiring of ERK signaling correlates with sensitivity to KRAS pathway inhibitors.
  • Pharmacological degradation of FRA1 synergizes with MEK inhibitors.

Conclusions:

  • FRA1 is a key modulator of sensitivity to MAPK cascade inhibition in pancreatic cancer.
  • Targeting FRA1, potentially through degradation, can synergize with MEK inhibitors.
  • These findings support the development of mechanism-based therapies targeting FRA1 for pancreatic cancer.

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