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Updated: Jun 29, 2025

Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
Tumor Microenvironment Landscapes Supporting EGFR-mutant NSCLC Are Modulated at the Single-cell Interaction Level by
Giorgia Maroni1,2,3, Indira Krishnan2, Roberta Alfieri3
1Cancer Science Institute of Singapore, National University of Singapore, Singapore.
Abstract:
Lung cancer is the leading cause of cancer deaths. Lethal pulmonary adenocarcinomas (ADC) present with frequent mutations in the EGFR. Genetically engineered murine models of lung cancer expedited comprehension of the molecular mechanisms driving tumorigenesis and drug response. Here, we systematically analyzed the evolution of tumor heterogeneity in the context of dynamic interactions occurring with the intermingled tumor microenvironment (TME) by high-resolution transcriptomics. Our effort identified vulnerable tumor-specific epithelial cells, as well as their cross-talk with niche components (endothelial cells, fibroblasts, and tumor-infiltrating immune cells), whose symbiotic interface shapes tumor aggressiveness and is almost completely abolished by treatment with Unesbulin, a tubulin binding agent that reduces B cell-specific Moloney murine leukemia virus integration site 1 (BMI-1) activity. Simultaneous magnetic resonance imaging (MRI) analysis demonstrated decreased tumor growth, setting the stage for future investigations into the potential of novel therapeutic strategies for EGFR-mutant ADCs.
Significance:
Targeting the TME is an attractive strategy for treatment of solid tumors. Here we revealed how EGFR-mutant landscapes are affected at the single-cell resolution level during Unesbulin treatment. This novel drug, by targeting cancer cells and their interactions with crucial TME components, could be envisioned for future therapeutic advancements.
Insights
This study reveals how Unesbulin targets lung adenocarcinoma cells and their microenvironment. The drug reduces tumor aggressiveness by disrupting cell interactions, offering potential for new EGFR-mutant lung cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Lung cancer, particularly adenocarcinoma (ADC), is a leading cause of cancer mortality.
- Epidermal growth factor receptor (EGFR) mutations are common in lethal ADCs.
- Genetically engineered mouse models are crucial for understanding lung cancer development and drug responses.
Purpose of the Study:
- To analyze tumor heterogeneity evolution in EGFR-mutant lung cancer.
- To investigate the dynamic interactions within the tumor microenvironment (TME).
- To evaluate the effect of Unesbulin on tumor cells and their TME interactions.
Main Methods:
- High-resolution transcriptomics to study tumor heterogeneity and TME.
- Utilizing genetically engineered murine models of lung cancer.
- Magnetic resonance imaging (MRI) to assess tumor growth reduction.
Main Results:
- Identified vulnerable tumor-specific epithelial cells and their cross-talk with TME components (endothelial cells, fibroblasts, immune cells).
- Discovered that Unesbulin treatment abolishes the symbiotic interface shaping tumor aggressiveness.
- Unesbulin reduces B cell-specific Moloney murine leukemia virus integration site 1 (BMI-1) activity.
- MRI confirmed decreased tumor growth following Unesbulin treatment.
Conclusions:
- Unesbulin effectively targets both cancer cells and their TME interactions in EGFR-mutant ADCs.
- Disruption of the tumor-TME interface by Unesbulin reduces tumor aggressiveness.
- Unesbulin shows promise as a novel therapeutic strategy for EGFR-mutant lung adenocarcinomas.
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