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The integrated stress response is tumorigenic and constitutes a therapeutic liability in KRAS-driven lung cancer

Published version
Peer-reviewed

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Authors

Ghaddar, Nour 
Wang, Shuo 
Krishnamoorthy, Jothilatha 
van Hoef, Vincent 

Abstract

Abstract: The integrated stress response (ISR) is an essential stress-support pathway increasingly recognized as a determinant of tumorigenesis. Here we demonstrate that ISR is pivotal in lung adenocarcinoma (LUAD) development, the most common histological type of lung cancer and a leading cause of cancer death worldwide. Increased phosphorylation of the translation initiation factor eIF2 (p-eIF2α), the focal point of ISR, is related to invasiveness, increased growth, and poor outcome in 928 LUAD patients. Dissection of ISR mechanisms in KRAS-driven lung tumorigenesis in mice demonstrated that p-eIF2α causes the translational repression of dual specificity phosphatase 6 (DUSP6), resulting in increased phosphorylation of the extracellular signal-regulated kinase (p-ERK). Treatments with ISR inhibitors, including a memory-enhancing drug with limited toxicity, provides a suitable therapeutic option for KRAS-driven lung cancer insofar as they substantially reduce tumor growth and prolong mouse survival. Our data provide a rationale for the implementation of ISR-based regimens in LUAD treatment.

Description

Keywords

Article, /631/67/1612/1350, /631/337/574, /13/31, /13/106, /14/63, /38/39, /38/91, /42/89, /64/60, /82/51, /82/29, /119, article

Journal Title

Nature Communications

Conference Name

Journal ISSN

2041-1723

Volume Title

12

Publisher

Nature Publishing Group UK
Sponsorship
Gouvernement du Canada | Canadian Institutes of Health Research (Instituts de Recherche en Santé du Canada) (MOP-137113, MOP-38160, PJT-168864)