PHLDA1 Mediates Drug Resistance in Receptor Tyrosine Kinase-Driven Cancer

Abbie E Fearon, Edward P Carter, Natasha S Clayton, Edmund H Wilkes, Ann-Marie Baker, Ekaterina Kapitonova, Bakhouche A Bakhouche, Yasmine Tanner, Jun Wang, Emanuela Gadaleta, Claude Chelala, Kate M Moore, John F Marshall, Juliette Chupin, Peter Schmid, J Louise Jones, Michelle Lockley, Pedro R Cutillas, Richard P Grose

Research output: Contribution to journalArticlepeer-review

36 Citations (SciVal)

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 languageEnglish
Pages (from-to)2469-2481
Number of pages13
JournalCell Reports
Volume22
Issue number9
DOIs
Publication statusPublished - 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

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