Targeting MXD1 sensitises pancreatic cancer to trametinib

Shaoping Zhang1, Shuang Deng1, Ji Liu1

  • 1State Key Laboratory of Oncology in South China and Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.

Gut
|January 17, 2025
PubMed
Abstract

Insights

Pancreatic cancer (PDAC) resistance to trametinib is linked to a viral mimicry response. Inhibiting MXD1, a key factor in this resistance, restores sensitivity to trametinib therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genomics

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) exhibits resistance to trametinib therapy, limiting its clinical application.
  • The molecular mechanisms driving trametinib resistance in PDAC are not well understood.
  • Identifying these mechanisms is crucial for improving treatment outcomes.

Purpose of the Study:

  • To elucidate the mechanisms of trametinib resistance in PDAC.
  • To identify druggable targets associated with trametinib resistance.
  • To enhance the efficacy of trametinib treatment for resistant PDAC.

Main Methods:

  • Established patient-derived xenograft (PDX) models and primary cell lines for functional studies.
  • Utilized single-cell RNA sequencing, ATAC-seq, and CUT&Tag sequencing to investigate molecular mechanisms.
  • Analyzed gene expression, chromatin accessibility, and epigenetic modifications.

Main Results:

  • Identified a PDAC subpopulation with hyperactivated viral mimicry response in trametinib-resistant models.
  • Trametinib treatment induced MAX dimerisation protein 1 (MXD1) expression, increasing H3K4 trimethylation at transposable element (TE) loci.
  • Enhanced TE transcription produced double-stranded RNAs, activating viral mimicry and oncogenic interferon-stimulated genes.

Conclusions:

  • Discovered a novel mechanism of trametinib resistance in PDAC involving MXD1 and viral mimicry.
  • Identified MXD1 as a potential druggable target for overcoming trametinib resistance.
  • Inhibiting MXD1 expression can re-sensitize resistant PDAC cells to trametinib.