Adaptive resistance to PI3Kα-selective inhibitor CYH33 is mediated by genomic and transcriptomic alterations in ESCC cells

Abstract Phosphoinositide-3 kinase alpha-specific inhibitors (PI3Kαi) displayed promising potential for the treatment of esophageal squamous cell carcinoma (ESCC) with frequent activation in PI3K signaling. However, acquired resistance is likely to develop and limit the efficacy of PI3Kαi like other...

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Main Authors: Yu-xiang Wang, Xu Zhang, Qing-yang Ma, Lan-dian Hu, Xi Zhang, Yi Wang, Lan Xu, Chun-hao Yang, Cun Tan, Xiang-yin Kong, Jian Ding, Ling-hua Meng
Format: Article
Language:English
Published: Nature Publishing Group 2021-01-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-020-03370-4
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author Yu-xiang Wang
Xu Zhang
Qing-yang Ma
Lan-dian Hu
Xi Zhang
Yi Wang
Lan Xu
Chun-hao Yang
Cun Tan
Xiang-yin Kong
Jian Ding
Ling-hua Meng
author_facet Yu-xiang Wang
Xu Zhang
Qing-yang Ma
Lan-dian Hu
Xi Zhang
Yi Wang
Lan Xu
Chun-hao Yang
Cun Tan
Xiang-yin Kong
Jian Ding
Ling-hua Meng
author_sort Yu-xiang Wang
collection DOAJ
description Abstract Phosphoinositide-3 kinase alpha-specific inhibitors (PI3Kαi) displayed promising potential for the treatment of esophageal squamous cell carcinoma (ESCC) with frequent activation in PI3K signaling. However, acquired resistance is likely to develop and limit the efficacy of PI3Kαi like other targeted therapies. To identify genomic adaptation to PI3Kαi, we applied whole-genome sequencing and detected gene mutation and amplification in four lines of ESCC cells established with adapted resistance to a novel PI3Kαi CYH33. Particularly, HRAS G12S mutation was found in KYSE180C cells. Overexpression of HRASG12S in ESCC parental cells rendered resistance to CYH33. By contrast, down-regulation of HRASG12S restored the sensitivity of KYSE180C1 cells to CYH33, and combination of CYH33 and MEK162 displayed synergistic effect against KYSE180C1 cells and xenografts. Furthermore, elevated mTORC1, mitogen-activated protein kinase (MAPK), and c-Myc signaling pathways were found in resistant cells by RNA sequencing and combination of CYH33 and RAD001, MEK162, or OTX015 overcame the resistance to CYH33, which was accompanied with enhanced inhibition on S6, extracellular signal-regulated kinase 1 (ERK), or c-Myc, respectively. Overall, we characterized the adaptations to PI3Kαi in ESCC cells and identified combinatorial regimens that may circumvent resistance.
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spelling doaj.art-e86fa4e218ec48b6b0441df9763b31ff2022-12-21T19:03:22ZengNature Publishing GroupCell Death and Disease2041-48892021-01-0112111310.1038/s41419-020-03370-4Adaptive resistance to PI3Kα-selective inhibitor CYH33 is mediated by genomic and transcriptomic alterations in ESCC cellsYu-xiang Wang0Xu Zhang1Qing-yang Ma2Lan-dian Hu3Xi Zhang4Yi Wang5Lan Xu6Chun-hao Yang7Cun Tan8Xiang-yin Kong9Jian Ding10Ling-hua Meng11Division of Anti-tumor Pharmacology, Shanghai Institute of Materia Medica, Chinese Academy of SciencesDivision of Anti-tumor Pharmacology, Shanghai Institute of Materia Medica, Chinese Academy of SciencesShanghai Institute of Nutrition and Health, Chinese Academy of SciencesShanghai Institute of Nutrition and Health, Chinese Academy of SciencesDivision of Anti-tumor Pharmacology, Shanghai Institute of Materia Medica, Chinese Academy of SciencesDivision of Anti-tumor Pharmacology, Shanghai Institute of Materia Medica, Chinese Academy of SciencesDivision of Anti-tumor Pharmacology, Shanghai Institute of Materia Medica, Chinese Academy of SciencesDepartment of Medicinal Chemistry, Shanghai Institute of Materia Medica, Chinese Academy of SciencesDepartment of Medicinal Chemistry, Shanghai Institute of Materia Medica, Chinese Academy of SciencesShanghai Institute of Nutrition and Health, Chinese Academy of SciencesUniversity of Chinese Academy of SciencesDivision of Anti-tumor Pharmacology, Shanghai Institute of Materia Medica, Chinese Academy of SciencesAbstract Phosphoinositide-3 kinase alpha-specific inhibitors (PI3Kαi) displayed promising potential for the treatment of esophageal squamous cell carcinoma (ESCC) with frequent activation in PI3K signaling. However, acquired resistance is likely to develop and limit the efficacy of PI3Kαi like other targeted therapies. To identify genomic adaptation to PI3Kαi, we applied whole-genome sequencing and detected gene mutation and amplification in four lines of ESCC cells established with adapted resistance to a novel PI3Kαi CYH33. Particularly, HRAS G12S mutation was found in KYSE180C cells. Overexpression of HRASG12S in ESCC parental cells rendered resistance to CYH33. By contrast, down-regulation of HRASG12S restored the sensitivity of KYSE180C1 cells to CYH33, and combination of CYH33 and MEK162 displayed synergistic effect against KYSE180C1 cells and xenografts. Furthermore, elevated mTORC1, mitogen-activated protein kinase (MAPK), and c-Myc signaling pathways were found in resistant cells by RNA sequencing and combination of CYH33 and RAD001, MEK162, or OTX015 overcame the resistance to CYH33, which was accompanied with enhanced inhibition on S6, extracellular signal-regulated kinase 1 (ERK), or c-Myc, respectively. Overall, we characterized the adaptations to PI3Kαi in ESCC cells and identified combinatorial regimens that may circumvent resistance.https://doi.org/10.1038/s41419-020-03370-4
spellingShingle Yu-xiang Wang
Xu Zhang
Qing-yang Ma
Lan-dian Hu
Xi Zhang
Yi Wang
Lan Xu
Chun-hao Yang
Cun Tan
Xiang-yin Kong
Jian Ding
Ling-hua Meng
Adaptive resistance to PI3Kα-selective inhibitor CYH33 is mediated by genomic and transcriptomic alterations in ESCC cells
Cell Death and Disease
title Adaptive resistance to PI3Kα-selective inhibitor CYH33 is mediated by genomic and transcriptomic alterations in ESCC cells
title_full Adaptive resistance to PI3Kα-selective inhibitor CYH33 is mediated by genomic and transcriptomic alterations in ESCC cells
title_fullStr Adaptive resistance to PI3Kα-selective inhibitor CYH33 is mediated by genomic and transcriptomic alterations in ESCC cells
title_full_unstemmed Adaptive resistance to PI3Kα-selective inhibitor CYH33 is mediated by genomic and transcriptomic alterations in ESCC cells
title_short Adaptive resistance to PI3Kα-selective inhibitor CYH33 is mediated by genomic and transcriptomic alterations in ESCC cells
title_sort adaptive resistance to pi3kα selective inhibitor cyh33 is mediated by genomic and transcriptomic alterations in escc cells
url https://doi.org/10.1038/s41419-020-03370-4
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