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Published on: July 17, 2019
Phosphoinositide 3-kinase regulates wild-type RAS signaling to confer resistance to KRAS inhibition
Abstract:
Despite the availability of RAS inhibitors and the dependence of >90% of pancreatic ductal adenocarcinomas (PDAC) on oncogenic KRAS mutations, resistance to KRAS inhibition remains a serious obstacle. We show here that phosphoinositide 3-kinase (PI3K) plays a major role in this resistance through upstream activation of wild-type RAS signaling - beyond its known KRAS effector function. Combining proximity labeling, CRISPR screens, live-cell imaging, and functional assays we found that PI3K orchestrates phosphoinositide-mediated GAB1 recruitment to the plasma membrane, nucleating assembly of RAS signaling complexes that activate mitogen-activated protein kinase (MAPK) in an EGFR/SHP2/SOS1-dependent manner. We further demonstrate that inhibiting PI3K enhances sensitivity to mutant-specific KRAS inhibitors in PDAC cells, including cells with clinically identified PIK3CA mutations. Our findings refine RAS-PI3K signaling paradigms, reveal that PI3K-driven wild-type RAS activation drives resistance to KRAS inhibition, and illuminate new avenues for augmenting KRAS-targeted therapies in PDAC.
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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