Sublethal cytochrome c release generates drug-tolerant persister cells

<p>Drug-tolerant persister cells (persisters) evade apoptosis upon targeted and conventional cancer therapies and represent a major non-genetic barrier to effective cancer treatment. Here, we show that cells that survive treatment with pro-apoptotic BH3 mimetics display a persister phenotype t...

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Main Authors: Kalkavan, H, Chen, MJ, Crawford, JC, Quarato, G, Fitzgerald, P, Tait, SWG, Goding, CR, Green, DR
Format: Journal article
Language:English
Published: Cell Press 2022
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author Kalkavan, H
Chen, MJ
Crawford, JC
Quarato, G
Fitzgerald, P
Tait, SWG
Goding, CR
Green, DR
author_facet Kalkavan, H
Chen, MJ
Crawford, JC
Quarato, G
Fitzgerald, P
Tait, SWG
Goding, CR
Green, DR
author_sort Kalkavan, H
collection OXFORD
description <p>Drug-tolerant persister cells (persisters) evade apoptosis upon targeted and conventional cancer therapies and represent a major non-genetic barrier to effective cancer treatment. Here, we show that cells that survive treatment with pro-apoptotic BH3 mimetics display a persister phenotype that includes colonization and metastasis&nbsp;<em>in&nbsp;vivo</em>&nbsp;and increased sensitivity toward ferroptosis by GPX4 inhibition. We found that sublethal mitochondrial outer membrane permeabilization (MOMP) and holocytochrome&nbsp;<em>c</em>&nbsp;release are key requirements for the generation of the persister phenotype. The generation of persisters is independent of apoptosome formation and caspase activation, but instead, cytosolic cytochrome&nbsp;<em>c</em>&nbsp;induces the activation of heme-regulated inhibitor (HRI) kinase and engagement of the integrated stress response (ISR) with the consequent synthesis of ATF4, all of which are required for the persister phenotype. Our results reveal that sublethal cytochrome&nbsp;<em>c</em>&nbsp;release couples sublethal MOMP to caspase-independent initiation of an ATF4-dependent, drug-tolerant persister phenotype.</p>
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spelling oxford-uuid:e755301b-e6bf-4ce3-98b6-39292b00f60e2023-09-04T10:20:47ZSublethal cytochrome c release generates drug-tolerant persister cellsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e755301b-e6bf-4ce3-98b6-39292b00f60eEnglishSymplectic ElementsCell Press2022Kalkavan, HChen, MJCrawford, JCQuarato, GFitzgerald, PTait, SWGGoding, CRGreen, DR<p>Drug-tolerant persister cells (persisters) evade apoptosis upon targeted and conventional cancer therapies and represent a major non-genetic barrier to effective cancer treatment. Here, we show that cells that survive treatment with pro-apoptotic BH3 mimetics display a persister phenotype that includes colonization and metastasis&nbsp;<em>in&nbsp;vivo</em>&nbsp;and increased sensitivity toward ferroptosis by GPX4 inhibition. We found that sublethal mitochondrial outer membrane permeabilization (MOMP) and holocytochrome&nbsp;<em>c</em>&nbsp;release are key requirements for the generation of the persister phenotype. The generation of persisters is independent of apoptosome formation and caspase activation, but instead, cytosolic cytochrome&nbsp;<em>c</em>&nbsp;induces the activation of heme-regulated inhibitor (HRI) kinase and engagement of the integrated stress response (ISR) with the consequent synthesis of ATF4, all of which are required for the persister phenotype. Our results reveal that sublethal cytochrome&nbsp;<em>c</em>&nbsp;release couples sublethal MOMP to caspase-independent initiation of an ATF4-dependent, drug-tolerant persister phenotype.</p>
spellingShingle Kalkavan, H
Chen, MJ
Crawford, JC
Quarato, G
Fitzgerald, P
Tait, SWG
Goding, CR
Green, DR
Sublethal cytochrome c release generates drug-tolerant persister cells
title Sublethal cytochrome c release generates drug-tolerant persister cells
title_full Sublethal cytochrome c release generates drug-tolerant persister cells
title_fullStr Sublethal cytochrome c release generates drug-tolerant persister cells
title_full_unstemmed Sublethal cytochrome c release generates drug-tolerant persister cells
title_short Sublethal cytochrome c release generates drug-tolerant persister cells
title_sort sublethal cytochrome c release generates drug tolerant persister cells
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