Systematic screening reveals synergistic interactions that overcome MAPK inhibitor resistance in cancer cells

Objective: Effective adjuvant therapeutic strategies are urgently needed to overcome MAPK inhibitor (MAPKi) resistance, which is one of the most common forms of resistance that has emerged in many types of cancers. Here, we aimed to systematically identify the genetic interactions underlying MAPKi r...

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Main Authors: Yu Yu, Minzhen Tao, Libin Xu, Lei Cao, Baoyu Le, Na An, Jilin Dong, Yajie Xu, Baoxing Yang, Wei Li, Bing Liu, Qiong Wu, Yinying Lu, Zhen Xie, Xiaohua Lian
Format: Article
Language:English
Published: China Anti-Cancer Association 2022-02-01
Series:Cancer Biology & Medicine
Subjects:
Online Access:http://www.cancerbiomed.org/index.php/cocr/article/view/1863
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author Yu Yu
Minzhen Tao
Libin Xu
Lei Cao
Baoyu Le
Na An
Jilin Dong
Yajie Xu
Baoxing Yang
Wei Li
Bing Liu
Qiong Wu
Yinying Lu
Zhen Xie
Xiaohua Lian
author_facet Yu Yu
Minzhen Tao
Libin Xu
Lei Cao
Baoyu Le
Na An
Jilin Dong
Yajie Xu
Baoxing Yang
Wei Li
Bing Liu
Qiong Wu
Yinying Lu
Zhen Xie
Xiaohua Lian
author_sort Yu Yu
collection DOAJ
description Objective: Effective adjuvant therapeutic strategies are urgently needed to overcome MAPK inhibitor (MAPKi) resistance, which is one of the most common forms of resistance that has emerged in many types of cancers. Here, we aimed to systematically identify the genetic interactions underlying MAPKi resistance, and to further investigate the mechanisms that produce the genetic interactions that generate synergistic MAPKi resistance. Methods: We conducted a comprehensive pair-wise sgRNA-based high-throughput screening assay to identify synergistic interactions that sensitized cancer cells to MAPKi, and validated 3 genetic combinations through competitive growth, cell viability, and spheroid formation assays. We next conducted Kaplan-Meier survival analysis based on The Cancer Genome Atlas database and conducted immunohistochemistry to determine the clinical relevance of these synergistic combinations. We also investigated the MAPKi resistance mechanisms of these validated synergistic combinations by using co-immunoprecipitation, Western blot, qRT-PCR, and immunofluorescence assays. Results: We constructed a systematic interaction network of MAPKi resistance and identified 3 novel synergistic combinations that effectively targeted MAPKi resistance (ITGB3 + IGF1R, ITGB3 + JNK, and HDGF + LGR5). We next analyzed their clinical relevance and the mechanisms by which they sensitized cancer cells to MAPKi exposure. Specifically, we discovered a novel protein complex, HDGF-LGR5, that adaptively responded to MAPKi to enhance cancer cell stemness, which was up- or downregulated by the inhibitors of ITGB3 + JNK or ITGB3 + IGF1R. Conclusions: Pair-wise sgRNA library screening provided systematic insights into elucidating MAPKi resistance in cancer cells. ITGB3-+ IGF1R-targeting drugs (cilengitide + linsitinib) could be used as an effective therapy for suppressing the adaptive formation of the HDGF-LGR5 protein complex, which enhanced cancer stemness during MAPKi stress.
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spelling doaj.art-1cedb8b12bf74ebba67227599123ae792022-12-21T17:24:39ZengChina Anti-Cancer AssociationCancer Biology & Medicine2095-39412022-02-0119222925210.20892/j.issn.2095-3941.2020.0560Systematic screening reveals synergistic interactions that overcome MAPK inhibitor resistance in cancer cellsYu Yu0Minzhen Tao1Libin Xu2Lei Cao3Baoyu Le4Na An5Jilin Dong6Yajie Xu7Baoxing Yang8Wei Li9Bing Liu10Qiong Wu11Yinying Lu12Zhen Xie13Xiaohua Lian14Department of Cell Biology, Basic Medical College, Army Medical University (Third Military Medical University), Chongqing 400038, ChinaMOE Key Laboratory of Bioinformatics and Bioinformatics Division, Center for Synthetic and System Biology, Department of Automation, Beijing National Research Center for Information Science and Technology, Tsinghua University, Beijing 100084, ChinaNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaDepartment of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, ChinaBeijing Syngentech Co., Ltd, Beijing 102206, ChinaBeijing Syngentech Co., Ltd, Beijing 102206, ChinaBeijing Syngentech Co., Ltd, Beijing 102206, ChinaBeijing Syngentech Co., Ltd, Beijing 102206, ChinaBeijing Syngentech Co., Ltd, Beijing 102206, ChinaBeijing Syngentech Co., Ltd, Beijing 102206, ChinaBeijing Syngentech Co., Ltd, Beijing 102206, ChinaSchool of Life Sciences, Tsinghua University, Beijing 100084, ChinaThe Comprehensive Liver Cancer Center, The 5th Medical Center of PLA General Hospital, Beijing 100039, ChinaMOE Key Laboratory of Bioinformatics and Bioinformatics Division, Center for Synthetic and System Biology, Department of Automation, Beijing National Research Center for Information Science and Technology, Tsinghua University, Beijing 100084, ChinaDepartment of Cell Biology, Basic Medical College, Army Medical University (Third Military Medical University), Chongqing 400038, ChinaObjective: Effective adjuvant therapeutic strategies are urgently needed to overcome MAPK inhibitor (MAPKi) resistance, which is one of the most common forms of resistance that has emerged in many types of cancers. Here, we aimed to systematically identify the genetic interactions underlying MAPKi resistance, and to further investigate the mechanisms that produce the genetic interactions that generate synergistic MAPKi resistance. Methods: We conducted a comprehensive pair-wise sgRNA-based high-throughput screening assay to identify synergistic interactions that sensitized cancer cells to MAPKi, and validated 3 genetic combinations through competitive growth, cell viability, and spheroid formation assays. We next conducted Kaplan-Meier survival analysis based on The Cancer Genome Atlas database and conducted immunohistochemistry to determine the clinical relevance of these synergistic combinations. We also investigated the MAPKi resistance mechanisms of these validated synergistic combinations by using co-immunoprecipitation, Western blot, qRT-PCR, and immunofluorescence assays. Results: We constructed a systematic interaction network of MAPKi resistance and identified 3 novel synergistic combinations that effectively targeted MAPKi resistance (ITGB3 + IGF1R, ITGB3 + JNK, and HDGF + LGR5). We next analyzed their clinical relevance and the mechanisms by which they sensitized cancer cells to MAPKi exposure. Specifically, we discovered a novel protein complex, HDGF-LGR5, that adaptively responded to MAPKi to enhance cancer cell stemness, which was up- or downregulated by the inhibitors of ITGB3 + JNK or ITGB3 + IGF1R. Conclusions: Pair-wise sgRNA library screening provided systematic insights into elucidating MAPKi resistance in cancer cells. ITGB3-+ IGF1R-targeting drugs (cilengitide + linsitinib) could be used as an effective therapy for suppressing the adaptive formation of the HDGF-LGR5 protein complex, which enhanced cancer stemness during MAPKi stress.http://www.cancerbiomed.org/index.php/cocr/article/view/1863pair-wise sgrna librarygenetic interactionsmapki resistancecombinatorial therapycancer stemness
spellingShingle Yu Yu
Minzhen Tao
Libin Xu
Lei Cao
Baoyu Le
Na An
Jilin Dong
Yajie Xu
Baoxing Yang
Wei Li
Bing Liu
Qiong Wu
Yinying Lu
Zhen Xie
Xiaohua Lian
Systematic screening reveals synergistic interactions that overcome MAPK inhibitor resistance in cancer cells
Cancer Biology & Medicine
pair-wise sgrna library
genetic interactions
mapki resistance
combinatorial therapy
cancer stemness
title Systematic screening reveals synergistic interactions that overcome MAPK inhibitor resistance in cancer cells
title_full Systematic screening reveals synergistic interactions that overcome MAPK inhibitor resistance in cancer cells
title_fullStr Systematic screening reveals synergistic interactions that overcome MAPK inhibitor resistance in cancer cells
title_full_unstemmed Systematic screening reveals synergistic interactions that overcome MAPK inhibitor resistance in cancer cells
title_short Systematic screening reveals synergistic interactions that overcome MAPK inhibitor resistance in cancer cells
title_sort systematic screening reveals synergistic interactions that overcome mapk inhibitor resistance in cancer cells
topic pair-wise sgrna library
genetic interactions
mapki resistance
combinatorial therapy
cancer stemness
url http://www.cancerbiomed.org/index.php/cocr/article/view/1863
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