Repository logo
 

Therapy-induced tumour secretomes promote resistance and tumour progression.

Accepted version
Peer-reviewed

Loading...
Thumbnail Image

Type

Article

Change log

Authors

Obenauf, Anna C 
Zou, Yilong 
Ji, Andrew L 
Shu, Weiping 

Abstract

Drug resistance invariably limits the clinical efficacy of targeted therapy with kinase inhibitors against cancer. Here we show that targeted therapy with BRAF, ALK or EGFR kinase inhibitors induces a complex network of secreted signals in drug-stressed human and mouse melanoma and human lung adenocarcinoma cells. This therapy-induced secretome stimulates the outgrowth, dissemination and metastasis of drug-resistant cancer cell clones and supports the survival of drug-sensitive cancer cells, contributing to incomplete tumour regression. The tumour-promoting secretome of melanoma cells treated with the kinase inhibitor vemurafenib is driven by downregulation of the transcription factor FRA1. In situ transcriptome analysis of drug-resistant melanoma cells responding to the regressing tumour microenvironment revealed hyperactivation of several signalling pathways, most prominently the AKT pathway. Dual inhibition of RAF and the PI(3)K/AKT/mTOR intracellular signalling pathways blunted the outgrowth of the drug-resistant cell population in BRAF mutant human melanoma, suggesting this combination therapy as a strategy against tumour relapse. Thus, therapeutic inhibition of oncogenic drivers induces vast secretome changes in drug-sensitive cancer cells, paradoxically establishing a tumour microenvironment that supports the expansion of drug-resistant clones, but is susceptible to combination therapy.

Description

Keywords

Adenocarcinoma, Anaplastic Lymphoma Kinase, Animals, Cell Line, Tumor, Cell Movement, Cell Proliferation, Cell Survival, Clone Cells, Disease Progression, Down-Regulation, Drug Resistance, Neoplasm, Enzyme Activation, ErbB Receptors, Female, Humans, Lung Neoplasms, Melanoma, Metabolome, Mice, Neoplasm Metastasis, Protein Kinase Inhibitors, Proto-Oncogene Proteins B-raf, Proto-Oncogene Proteins c-akt, Proto-Oncogene Proteins c-fos, Receptor Protein-Tyrosine Kinases, Signal Transduction, Tumor Microenvironment

Journal Title

Nature

Conference Name

Journal ISSN

0028-0836
1476-4687

Volume Title

520

Publisher

Springer Science and Business Media LLC

Rights

All rights reserved
Sponsorship
Medical Research Council (MC_UU_12022/7)