An Acquired Vulnerability of Drug-Resistant Melanoma with Therapeutic Potential

Copyright © 2018 Elsevier Inc. All rights reserved..

BRAF(V600E) mutant melanomas treated with inhibitors of the BRAF and MEK kinases almost invariably develop resistance that is frequently caused by reactivation of the mitogen activated protein kinase (MAPK) pathway. To identify novel treatment options for such patients, we searched for acquired vulnerabilities of MAPK inhibitor-resistant melanomas. We find that resistance to BRAF+MEK inhibitors is associated with increased levels of reactive oxygen species (ROS). Subsequent treatment with the histone deacetylase inhibitor vorinostat suppresses SLC7A11, leading to a lethal increase in the already-elevated levels of ROS in drug-resistant cells. This causes selective apoptotic death of only the drug-resistant tumor cells. Consistently, treatment of BRAF inhibitor-resistant melanoma with vorinostat in mice results in dramatic tumor regression. In a study in patients with advanced BRAF+MEK inhibitor-resistant melanoma, we find that vorinostat can selectively ablate drug-resistant tumor cells, providing clinical proof of concept for the novel therapy identified here.

Errataetall:

CommentIn: Nat Rev Cancer. 2018 Jul;18(7):403. - PMID 29872113

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:173

Enthalten in:

Cell - 173(2018), 6 vom: 31. Mai, Seite 1413-1425.e14

Sprache:

Englisch

Beteiligte Personen:

Wang, Liqin [VerfasserIn]
Leite de Oliveira, Rodrigo [VerfasserIn]
Huijberts, Sanne [VerfasserIn]
Bosdriesz, Evert [VerfasserIn]
Pencheva, Nora [VerfasserIn]
Brunen, Diede [VerfasserIn]
Bosma, Astrid [VerfasserIn]
Song, Ji-Ying [VerfasserIn]
Zevenhoven, John [VerfasserIn]
Los-de Vries, G Tjitske [VerfasserIn]
Horlings, Hugo [VerfasserIn]
Nuijen, Bastiaan [VerfasserIn]
Beijnen, Jos H [VerfasserIn]
Schellens, Jan H M [VerfasserIn]
Bernards, Rene [VerfasserIn]

Links:

Volltext

Themen:

58IFB293JI
Amino Acid Transport System y+
BRAF protein, human
Drug resistance
EC 2.7.11.1
EC 2.7.12.2
HDAC inhibitors
Histone Deacetylase Inhibitors
Journal Article
MAP Kinase Kinase 1
Melanoma
Protein Kinase Inhibitors
Proto-Oncogene Proteins B-raf
Reactive Oxygen Species
Reactive oxygen species
Research Support, Non-U.S. Gov't
SLC7A11 protein, human
Vorinostat

Anmerkungen:

Date Completed 04.03.2019

Date Revised 03.01.2021

published: Print-Electronic

CommentIn: Nat Rev Cancer. 2018 Jul;18(7):403. - PMID 29872113

Citation Status MEDLINE

doi:

10.1016/j.cell.2018.04.012

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM284015156