Abstract
Development of resistance causes failure of drugs targeting receptor tyrosine kinase (RTK) networks and represents a critical challenge for precision medicine. Here, we show that PHLDA1 downregulation is critical to acquisition and maintenance of drug resistance in RTK-driven cancer. Using fibroblast growth factor receptor (FGFR) inhibition in endometrial cancer cells, we identify an Akt-driven compensatory mechanism underpinned by downregulation of PHLDA1. We demonstrate broad clinical relevance of our findings, showing that PHLDA1 downregulation also occurs in response to RTK-targeted therapy in breast and renal cancer patients, as well as following trastuzumab treatment in HER2+ breast cancer cells. Crucially, knockdown of PHLDA1 alone was sufficient to confer de novo resistance to RTK inhibitors and induction of PHLDA1 expression re-sensitized drug-resistant cancer cells to targeted therapies, identifying PHLDA1 as a biomarker for drug response and highlighting the potential of PHLDA1 reactivation as a means of circumventing drug resistance.
Original language | English |
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Pages (from-to) | 2469-2481 |
Number of pages | 13 |
Journal | Cell Reports |
Volume | 22 |
Issue number | 9 |
DOIs | |
Publication status | Published - 27 Feb 2018 |
Bibliographical note
Copyright © 2018 The Author(s). Published by Elsevier Inc. All rights reserved.Keywords
- Cell Line, Tumor
- Down-Regulation/drug effects
- Drug Resistance, Neoplasm/drug effects
- Endometrial Neoplasms/metabolism
- Female
- Gene Expression Regulation, Neoplastic/drug effects
- Gene Knockdown Techniques
- Humans
- Lapatinib/pharmacology
- Models, Biological
- Phosphoproteins/metabolism
- Protein Kinase Inhibitors/pharmacology
- Proteomics
- Receptors, Fibroblast Growth Factor/metabolism
- Transcription Factors/genetics
- Trastuzumab/pharmacology