Targeting COPA to Enhance Erdafitinib Sensitivity in FGFR-Altered Bladder Cancer

Huayuan Zhao1, Xincheng Gao1, Yangkai Jiang2

  • 1Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Insights

Coatomer protein complex subunit α (COPA) deficiency enhances erdafitinib sensitivity in FGFR-altered bladder cancer. This finding reveals a novel resistance mechanism and a potential therapeutic target for urothelial cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Fibroblast growth factor receptor (FGFR) aberrations are prevalent in urothelial cancer.
  • Erdafitinib, an FGFR tyrosine kinase inhibitor, is approved for advanced urothelial cancer with FGFR2/3 alterations.
  • Mechanisms of erdafitinib resistance remain incompletely understood.

Purpose of the Study:

  • To investigate the molecular mechanisms of erdafitinib resistance in urothelial cancer.
  • To identify novel therapeutic targets for enhancing erdafitinib sensitivity.

Main Methods:

  • Genome-wide CRISPR screening was employed to identify genetic modifiers of erdafitinib sensitivity.
  • Functional assays were conducted to assess the role of identified targets in cancer cell proliferation.
  • Molecular mechanisms involving protein degradation and mRNA stability were investigated.

Main Results:

  • Coatomer protein complex subunit α (COPA) was identified as a key target that enhances erdafitinib sensitivity.
  • COPA deficiency reduced the proliferation of FGFR-altered bladder cancer cells treated with erdafitinib.
  • COPA knockout led to increased degradation of LRPPRC, reducing ID3 mRNA stability in an m6A-dependent manner.

Conclusions:

  • This study reveals a novel mechanism of erdafitinib resistance mediated by COPA.
  • Targeting COPA presents a potential therapeutic strategy for overcoming erdafitinib resistance in FGFR-altered bladder cancer.