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.

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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