Potential biomarkers uncovered by bioinformatics analysis in sotorasib resistant-pancreatic ductal adenocarcinoma

Prasanna Srinivasan Ramalingam1, Annadurai Priyadharshini2, Isaac Arnold Emerson2

  • 1Protein Engineering Lab, School of Biosciences and Technology, Vellore Institute of Technology, Vellore, India.

PubMed
Abstract

Insights

Resistance to KRAS G12C inhibitor sotorasib is a growing problem in pancreatic cancer. This study identifies ribosomal protein S3 (RPS3) as a key biomarker driving sotorasib resistance by evading apoptosis. Combination therapy may overcome this resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genomics

Background:

  • Mutant KRAS drives tumorigenesis in lung, colon, and pancreatic cancers.
  • KRAS mutants were considered undruggable until the development of the KRAS G12C inhibitor sotorasib (AMG 510).
  • Emerging resistance to sotorasib in non-small-cell lung cancer and pancreatic ductal adenocarcinoma necessitates understanding resistance mechanisms.

Purpose of the Study:

  • To identify crucial biomarkers driving sotorasib (AMG 510) resistance in KRAS G12C-mutant pancreatic ductal adenocarcinoma cells.
  • To analyze gene expression profiles and protein-protein interactions to uncover resistance mechanisms.

Main Methods:

  • RNA-sequencing (RNA-seq) data analysis of MIA-PaCa2 cells.
  • Differential gene expression (DEG) analysis using the limma package.
  • Protein-protein interaction (PPI) network analysis using the STRING database and hub gene identification.

Main Results:

  • Differential gene expression and PPI analysis identified potential biomarkers for sotorasib resistance.
  • Enrichment and survival analyses revealed ribosomal protein S3 (RPS3) as a crucial biomarker in KRAS G12C-mutant pancreatic ductal adenocarcinoma cells resistant to AMG 510.

Conclusions:

  • RPS3 is a critical biomarker for sotorasib resistance, mediating resistance through MDM2/4 interaction to evade apoptosis.
  • Combinatorial therapy with sotorasib and RNA polymerase I inhibitors presents a potential strategy to overcome resistance, warranting further in vitro and in vivo investigation.