Phosphoinositide 3-kinase regulates wild-type RAS signaling to confer resistance to KRAS inhibition

Insights

Phosphoinositide 3-kinase (PI3K) drives resistance to KRAS inhibitors in pancreatic cancer by activating wild-type RAS signaling. Inhibiting PI3K enhances sensitivity to KRAS-targeted therapies in PDAC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Signaling

Background:

  • Pancreatic ductal adenocarcinomas (PDAC) heavily rely on KRAS mutations.
  • Resistance to KRAS inhibitors is a significant challenge in PDAC treatment.
  • The precise mechanisms driving KRAS inhibitor resistance are not fully understood.

Purpose of the Study:

  • To investigate the role of phosphoinositide 3-kinase (PI3K) in mediating resistance to KRAS inhibition in PDAC.
  • To elucidate the signaling pathways through which PI3K contributes to this resistance.
  • To explore the therapeutic potential of combining PI3K and KRAS inhibitors.

Main Methods:

  • Proximity labeling
  • CRISPR screens
  • Live-cell imaging
  • Functional assays
  • Analysis of RAS signaling complexes

Main Results:

  • PI3K activates wild-type RAS signaling upstream of KRAS, contributing to resistance.
  • PI3K orchestrates GAB1 recruitment and RAS signaling complex assembly via phosphoinositides.
  • This PI3K-driven signaling activates the MAPK pathway in an EGFR/SHP2/SOS1-dependent manner.
  • PI3K inhibition increases PDAC cell sensitivity to KRAS inhibitors, including in cells with PIK3CA mutations.

Conclusions:

  • PI3K plays a critical role in KRAS inhibitor resistance in PDAC through novel wild-type RAS activation.
  • Targeting PI3K can overcome resistance mechanisms and enhance the efficacy of KRAS-targeted therapies.
  • These findings offer new strategies for improving PDAC treatment outcomes.

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