1. Identification of resistance mechanisms to small-molecule inhibition of TEAD-regulated transcription.
- Author
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Kulkarni A, Mohan V, Tang TT, Post L, Chan YC, Manning M, Thio N, Parker BL, Dawson MA, Rosenbluh J, Vissers JH, and Harvey KF
- Subjects
- Humans, Cell Line, Tumor, Animals, Hippo Signaling Pathway, Mice, Drug Resistance, Neoplasm genetics, Drug Resistance, Neoplasm drug effects, Cell Proliferation drug effects, Lipoylation, Gene Expression Regulation, Neoplastic drug effects, Transcription, Genetic drug effects, Signal Transduction drug effects, Xenograft Model Antitumor Assays, Small Molecule Libraries pharmacology, Protein Serine-Threonine Kinases metabolism, Protein Serine-Threonine Kinases genetics, Protein Serine-Threonine Kinases antagonists & inhibitors, Adaptor Proteins, Signal Transducing metabolism, Adaptor Proteins, Signal Transducing genetics, Mutation, Transcription Factors metabolism, Transcription Factors genetics, DNA-Binding Proteins metabolism, DNA-Binding Proteins genetics, TEA Domain Transcription Factors
- Abstract
The Hippo tumor suppressor pathway controls transcription by regulating nuclear abundance of YAP and TAZ, which activate transcription with the TEAD1-TEAD4 DNA-binding proteins. Recently, several small-molecule inhibitors of YAP and TEADs have been reported, with some entering clinical trials for different cancers with Hippo pathway deregulation, most notably, mesothelioma. Using genome-wide CRISPR/Cas9 screens we reveal that mutations in genes from the Hippo, MAPK, and JAK-STAT signaling pathways all modulate the response of mesothelioma cell lines to TEAD palmitoylation inhibitors. By exploring gene expression programs of mutant cells, we find that MAPK pathway hyperactivation confers resistance to TEAD inhibition by reinstating expression of a subset of YAP/TAZ target genes. Consistent with this, combined inhibition of TEAD and the MAPK kinase MEK, synergistically blocks proliferation of multiple mesothelioma and lung cancer cell lines and more potently reduces the growth of patient-derived lung cancer xenografts in vivo. Collectively, we reveal mechanisms by which cells can overcome small-molecule inhibition of TEAD palmitoylation and potential strategies to enhance the anti-tumor activity of emerging Hippo pathway targeted therapies., (© 2024. The Author(s).)
- Published
- 2024
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