1. Drug Repurposing to Target the Apoptosome in MAPKi-Resistant Melanoma
- Author
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Giancarlo Troncone, Marieelena Capone, Luigi Ferrante, Rossella De Cegli, Claudio Arra, Paolo A. Ascierto, Paola Quadrano, Gabriele Madonna, Gennaro Ciliberto, Pietro Carotenuto, Mariagrazia Volpe, Alessia Romano, Antonella Iuliano, Giuseppe De Palma, Anna Barbato, Manuela Morleo, Alessia Indrieri, Roberta Tammaro, Antonio Barbieri, Simona Brillante, Luisa Lanfrancone, Eduardo Clery, and Brunella Franco
- Subjects
Neuroblastoma RAS viral oncogene homolog ,MAPK/ERK pathway ,Oncogene ,Melanoma ,Cancer cell ,medicine ,Cancer research ,Cancer ,Context (language use) ,Biology ,medicine.disease ,Microphthalmia-associated transcription factor - Abstract
Melanoma is a deadly form of cancer characterized by high aggressiveness and remarkable therapy-resistance. The inactivation of apoptosis constitutes a common strategy adopted by cancer cells to survive death-stimulating drugs. We examined the transcriptome of human melanoma samples responders and resistant to MAPK inhibitors and discovered that APAF-1, the main component of apoptosome, is downregulated in resistant tumors. The decreased expression of APAF-1 was correlated with high levels of the melanoma survival oncogene MITF . We therefore demonstrated that the MITF/APAF-1 axis could be relevant in driving resistance to MAPK inhibitor treatments. A drug-repositioning screen identified Quinacrine and Methylbenzethonium as potent activators of apoptosis in a context that mimics drug resistance mediated by APAF-1 inactivation. Our findings demonstrated the pro-apoptotic and tumor-suppressor activity of the compounds in a large panel of melanoma cells, including patient-derived cells and in vivo models, where the two drugs showed remarkable suppression of MITF function. Quinacrine and Methylbenzethonium profoundly sensitize BRAF and NRAS mutant melanoma cells to MAPK-pathway inhibitors, thus indicating their pharmacological relevance in melanoma. Transcriptomic profiles of melanoma cells revealed that both compounds regulate key-signaling networks in melanoma, including the MITF gene network. In summary, we demonstrate that inhibiting a driver of MAPK inhibitor resistance could improve current approaches of targeted melanoma therapy.
- Published
- 2021
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