1. Resistance to Epigenetic-Targeted Therapy Engenders Tumor Cell Vulnerabilities Associated with Enhancer Remodeling
- Author
-
Iniguez, Amanda Balboni, Alexe, Gabriela, Wang, Emily Jue, Roti, Giovanni, Patel, Sarvagna, Chen, Liying, Kitara, Samuel, Conway, Amy, Robichaud, Amanda L, Stolte, Björn, Bandopadhayay, Pratiti, Goodale, Amy, Pantel, Sasha, Lee, Yenarae, Cheff, Dorian M, Hall, Matthew D, Guha, Rajarshi, Davis, Mindy I, Menard, Marie, Nasholm, Nicole, Weiss, William A, Qi, Jun, Beroukhim, Rameen, Piccioni, Federica, Johannessen, Cory, and Stegmaier, Kimberly
- Subjects
Biological Sciences ,Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Genetics ,Human Genome ,Cancer ,Cancer Genomics ,5.1 Pharmaceuticals ,Animals ,Azepines ,Cell Line ,Tumor ,Disease-Free Survival ,Drug Resistance ,Neoplasm ,Epigenesis ,Genetic ,Female ,Humans ,Indazoles ,Mice ,Nude ,Molecular Targeted Therapy ,Neuroblastoma ,Phosphatidylinositol 3-Kinases ,Phosphoinositide-3 Kinase Inhibitors ,Proteins ,Signal Transduction ,Sulfonamides ,Triazoles ,Xenograft Model Antitumor Assays ,BET inhibition ,MYCN ,PI3K signaling ,drug resistance ,enhancer remodeling ,neuroblastoma ,Neurosciences ,Oncology & Carcinogenesis ,Biochemistry and cell biology ,Oncology and carcinogenesis - Abstract
Drug resistance represents a major challenge to achieving durable responses to cancer therapeutics. Resistance mechanisms to epigenetically targeted drugs remain largely unexplored. We used bromodomain and extra-terminal domain (BET) inhibition in neuroblastoma as a prototype to model resistance to chromatin modulatory therapeutics. Genome-scale, pooled lentiviral open reading frame (ORF) and CRISPR knockout rescue screens nominated the phosphatidylinositol 3-kinase (PI3K) pathway as promoting resistance to BET inhibition. Transcriptomic and chromatin profiling of resistant cells revealed that global enhancer remodeling is associated with upregulation of receptor tyrosine kinases (RTKs), activation of PI3K signaling, and vulnerability to RTK/PI3K inhibition. Large-scale combinatorial screening with BET inhibitors identified PI3K inhibitors among the most synergistic upfront combinations. These studies provide a roadmap to elucidate resistance to epigenetic-targeted therapeutics and inform efficacious combination therapies.
- Published
- 2018