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Transcriptional Profiling Reveals Lineage-Specific Characteristics in ATR/CHK1 Inhibitor-Resistant Endometrial
Tzu-Ting Huang1, Jung-Min Lee1
1Women's Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Acquired resistance to ATR/CHK1 inhibitors in endometrial cancer (EC) is linked to specific gene expression changes. Understanding these transcriptomic shifts in microsatellite instability-high and copy-number-high ECs can guide future therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Recurrent endometrial cancer (EC) has limited treatment options, necessitating novel therapeutic strategies.
- The ATR-CHK1 signaling pathway is a key target in high-risk EC due to its role in maintaining genome integrity.
- Acquired resistance to ATR and CHK1 inhibitors (ATRi/CHK1i) is a significant clinical challenge, with its transcriptomic basis in EC being largely unknown.
Purpose of the Study:
- To investigate the transcriptomic changes associated with acquired resistance to ATRi/CHK1i in different EC subtypes.
- To identify common and distinct molecular mechanisms driving resistance in microsatellite instability-high (MSI-h) and copy-number-high (CNH) EC models.
- To establish a transcriptomic framework for understanding and potentially overcoming resistance to ATRi/CHK1i in EC.
Main Methods:
- Development of isogenic ATRi- and CHK1i-resistant cell line models from MSI-h (HEC1A) and CNH (ARK2) EC lineages.
- Comprehensive transcriptomic profiling of resistant cell lines and their parental counterparts.
- Bioinformatic analysis to identify differentially expressed genes and enriched pathways in resistance states.
Main Results:
- MSI-h derived resistant clones exhibited a unified transcriptional state characterized by epithelial-mesenchymal transition, cytokine signaling, and interferon responses.
- ATRi-resistant MSI-h models additionally showed enrichment of developmental and KRAS/Notch-associated pathways.
- CNH-derived resistant clones displayed divergent transcriptomic profiles based on inhibitor class: ATRi resistance enriched proliferation pathways, while CHK1i resistance induced interferon signaling.
- Genes including *THBS1*, *EDN1*, and *TENM2* were consistently upregulated across all resistant models.
Conclusions:
- Acquired resistance to ATRi and CHK1i in EC is influenced by both the cancer's genetic lineage (MSI-h vs. CNH) and the specific inhibitor used.
- Distinct transcriptomic states are associated with resistance, offering potential targets for overcoming therapeutic limitations.
- These findings provide a molecular basis for developing biomarkers and novel therapeutic strategies for recurrent EC.
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