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Updated: Sep 9, 2025

Methods for Evaluating the Role of c-Fos and Dusp1 in Oncogene Dependence
Published on: January 7, 2019
DFFB suppresses interferon to enable cancer persister cell regrowth
August F Williams1, David A G Gervasio1, Claire E Turkal1
1Department of Dermatology, School of Medicine, University of California San Diego.
Abstract:
Oncogene targeted cancer therapies can provide deep responses but frequently suffer from acquired resistance.1 Therapeutic approaches to treat tumours which have acquired drug resistance are complicated by continual tumour evolution and multiple co-occurring resistance mechanisms.2,3 Rather than treating resistance after it emerges, it may possible to prevent it by inhibiting the adaptive processes which initiate resistance but these are poorly understood.4 Here we report that residual cancer persister cells that survive oncogene targeted therapy are growth arrested by drug stress-induced intrinsic Type I interferon (IFN) signaling. To escape growth arrest, persister cells leverage apoptotic machinery to transcriptionally suppress interferon-stimulated genes (ISGs). Mechanistically, persister cells sublethally engage apoptotic caspases to activate DNA endonuclease DNA Fragmentation Factor B (DFFB, also known as Caspase-Activated DNase (CAD)) which induces DNA damage, mutagenesis, and stress response factor Activating Transcription Factor 3 (ATF3). ATF3 limits Activator Protein-1 (AP1)-mediated ISG expression sufficiently to allow persister cell regrowth. Persister cells deficient in DFFB or ATF3 exhibit high ISG expression and are consequently unable to regrow. Therefore, sublethal apoptotic stress paradoxically promotes regrowth of residual cancer cells that survive drug treatment.
Insights
Cancer cells surviving targeted therapy are growth-arrested by interferon signaling. These cells paradoxically use apoptosis to suppress this signaling, enabling regrowth and promoting drug resistance.
Area of Science:
- Molecular Biology
- Cancer Research
- Immunology
Background:
- Targeted cancer therapies can induce deep responses but often lead to acquired drug resistance.
- Tumor evolution and multiple resistance mechanisms complicate treatment of resistant cancers.
- Understanding and preventing adaptive resistance mechanisms is crucial for effective cancer therapy.
Purpose of the Study:
- Investigate the mechanisms by which residual cancer persister cells survive oncogene-targeted therapy.
- Identify the adaptive processes that initiate drug resistance in cancer persister cells.
- Determine how persister cells escape growth arrest to promote tumor regrowth.
Main Methods:
- Analysis of residual cancer persister cells surviving oncogene-targeted therapy.
- Investigated the role of Type I interferon (IFN) signaling in growth arrest.
- Examined the involvement of apoptotic machinery, DNA Fragmentation Factor B (DFFB/CAD), and Activating Transcription Factor 3 (ATF3) in persister cell adaptation.
Main Results:
- Drug stress induces intrinsic Type I interferon (IFN) signaling, causing growth arrest in cancer persister cells.
- Persister cells suppress interferon-stimulated genes (ISGs) by leveraging apoptotic pathways.
- Sublethal activation of DFFB/CAD by caspases leads to ATF3-mediated suppression of ISGs, facilitating persister cell regrowth.
- DFFB or ATF3 deficient persister cells show high ISG expression and fail to regrow.
Conclusions:
- Sublethal apoptotic stress paradoxically promotes the regrowth of residual cancer cells that survive drug treatment.
- The DFFB-ATF3 axis is essential for cancer persister cells to overcome IFN-induced growth arrest and acquire drug resistance.
- Targeting this apoptotic-driven adaptive mechanism could offer novel strategies to overcome acquired resistance in cancer therapy.
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