RAF Suppression Synergizes with MEK Inhibition in KRAS Mutant Cancer Cells

KRAS is the most frequently mutated oncogene in human cancer, yet no therapies are available to treat KRAS mutant cancers. We used two independent reverse genetic approaches to identify components of the RAS-signaling pathways required for growth of KRAS mutant tumors. Small interfering RNA (siRNA)...

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Main Authors: Simona Lamba, Mariangela Russo, Chong Sun, Luca Lazzari, Carlotta Cancelliere, Wipawadee Grernrum, Cor Lieftink, Rene Bernards, Federica Di Nicolantonio, Alberto Bardelli
Format: Article
Language:English
Published: Elsevier 2014-09-01
Series:Cell Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2211124714006172
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author Simona Lamba
Mariangela Russo
Chong Sun
Luca Lazzari
Carlotta Cancelliere
Wipawadee Grernrum
Cor Lieftink
Rene Bernards
Federica Di Nicolantonio
Alberto Bardelli
author_facet Simona Lamba
Mariangela Russo
Chong Sun
Luca Lazzari
Carlotta Cancelliere
Wipawadee Grernrum
Cor Lieftink
Rene Bernards
Federica Di Nicolantonio
Alberto Bardelli
author_sort Simona Lamba
collection DOAJ
description KRAS is the most frequently mutated oncogene in human cancer, yet no therapies are available to treat KRAS mutant cancers. We used two independent reverse genetic approaches to identify components of the RAS-signaling pathways required for growth of KRAS mutant tumors. Small interfering RNA (siRNA) screening of 37 KRAS mutant colorectal cancer cell lines showed that RAF1 suppression was synthetic lethal with MEK inhibition. An unbiased kinome short hairpin RNA (shRNA)-based screen confirmed this synthetic lethal interaction in colorectal as well as in lung cancer cells bearing KRAS mutations. Compounds targeting RAF kinases can reverse resistance to the MEK inhibitor selumetinib. MEK inhibition induces RAS activation and BRAF-RAF1 dimerization and sustains MEK-ERK signaling, which is responsible for intrinsic resistance to selumetinib. Prolonged dual blockade of RAF and MEK leads to persistent ERK suppression and efficiently induces apoptosis. Our data underlie the relevance of developing combinatorial regimens of drugs targeting the RAF-MEK pathway in KRAS mutant tumors.
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spelling doaj.art-0548cbb6ffd9481ba6a3ccf3fa4e846b2022-12-22T01:29:30ZengElsevierCell Reports2211-12472014-09-01851475148310.1016/j.celrep.2014.07.033RAF Suppression Synergizes with MEK Inhibition in KRAS Mutant Cancer CellsSimona Lamba0Mariangela Russo1Chong Sun2Luca Lazzari3Carlotta Cancelliere4Wipawadee Grernrum5Cor Lieftink6Rene Bernards7Federica Di Nicolantonio8Alberto Bardelli9Department of Oncology, University of Torino, Str prov 142 Km 3.95, Candiolo, 10060 Torino, ItalyDepartment of Oncology, University of Torino, Str prov 142 Km 3.95, Candiolo, 10060 Torino, ItalyDivision of Molecular Carcinogenesis, Cancer Systems Biology Centre and Cancer Genomics Centre Netherlands, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 Amsterdam, the NetherlandsDepartment of Oncology, University of Torino, Str prov 142 Km 3.95, Candiolo, 10060 Torino, ItalyCandiolo Cancer Institute–FPO, IRCCS, Str prov 142 Km 3.95, Candiolo, 10060 Torino, ItalyDivision of Molecular Carcinogenesis, Cancer Systems Biology Centre and Cancer Genomics Centre Netherlands, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 Amsterdam, the NetherlandsDivision of Molecular Carcinogenesis, Cancer Systems Biology Centre and Cancer Genomics Centre Netherlands, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 Amsterdam, the NetherlandsDivision of Molecular Carcinogenesis, Cancer Systems Biology Centre and Cancer Genomics Centre Netherlands, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 Amsterdam, the NetherlandsDepartment of Oncology, University of Torino, Str prov 142 Km 3.95, Candiolo, 10060 Torino, ItalyDepartment of Oncology, University of Torino, Str prov 142 Km 3.95, Candiolo, 10060 Torino, ItalyKRAS is the most frequently mutated oncogene in human cancer, yet no therapies are available to treat KRAS mutant cancers. We used two independent reverse genetic approaches to identify components of the RAS-signaling pathways required for growth of KRAS mutant tumors. Small interfering RNA (siRNA) screening of 37 KRAS mutant colorectal cancer cell lines showed that RAF1 suppression was synthetic lethal with MEK inhibition. An unbiased kinome short hairpin RNA (shRNA)-based screen confirmed this synthetic lethal interaction in colorectal as well as in lung cancer cells bearing KRAS mutations. Compounds targeting RAF kinases can reverse resistance to the MEK inhibitor selumetinib. MEK inhibition induces RAS activation and BRAF-RAF1 dimerization and sustains MEK-ERK signaling, which is responsible for intrinsic resistance to selumetinib. Prolonged dual blockade of RAF and MEK leads to persistent ERK suppression and efficiently induces apoptosis. Our data underlie the relevance of developing combinatorial regimens of drugs targeting the RAF-MEK pathway in KRAS mutant tumors.http://www.sciencedirect.com/science/article/pii/S2211124714006172
spellingShingle Simona Lamba
Mariangela Russo
Chong Sun
Luca Lazzari
Carlotta Cancelliere
Wipawadee Grernrum
Cor Lieftink
Rene Bernards
Federica Di Nicolantonio
Alberto Bardelli
RAF Suppression Synergizes with MEK Inhibition in KRAS Mutant Cancer Cells
Cell Reports
title RAF Suppression Synergizes with MEK Inhibition in KRAS Mutant Cancer Cells
title_full RAF Suppression Synergizes with MEK Inhibition in KRAS Mutant Cancer Cells
title_fullStr RAF Suppression Synergizes with MEK Inhibition in KRAS Mutant Cancer Cells
title_full_unstemmed RAF Suppression Synergizes with MEK Inhibition in KRAS Mutant Cancer Cells
title_short RAF Suppression Synergizes with MEK Inhibition in KRAS Mutant Cancer Cells
title_sort raf suppression synergizes with mek inhibition in kras mutant cancer cells
url http://www.sciencedirect.com/science/article/pii/S2211124714006172
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