Inverse agonists of retinoic acid receptor/retinoid X receptor signaling as lineage-specific antitumor agents against human adenoid cystic carcinoma

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BACKGROUND: Adenoid cystic carcinoma (ACC) is a lethal malignancy of exocrine glands, characterized by the coexistence within tumor tissues of 2 distinct populations of cancer cells, phenotypically similar to the myoepithelial and ductal lineages of normal salivary epithelia. The developmental relationship linking these 2 cell types, and their differential vulnerability to antitumor treatments, remains unknown.

METHODS: Using single-cell RNA sequencing, we identified cell-surface markers (CD49f, KIT) that enabled the differential purification of myoepithelial-like (CD49fhigh/KITneg) and ductal-like (CD49flow/KIT+) cells from patient-derived xenografts (PDXs) of human ACCs. Using prospective xenotransplantation experiments, we compared the tumor-initiating capacity of the 2 cell types and tested whether one could differentiate into the other. Finally, we searched for signaling pathways with differential activation between the 2 cell types and tested their role as lineage-specific therapeutic targets.

RESULTS: Myoepithelial-like cells displayed higher tumorigenicity than ductal-like cells and acted as their progenitors. Myoepithelial-like and ductal-like cells displayed differential expression of genes encoding for suppressors and activators of retinoic acid signaling, respectively. Agonists of retinoic acid receptor (RAR) or retinoid X receptor (RXR) signaling (all-trans retinoic acid, bexarotene) promoted myoepithelial-to-ductal differentiation, whereas suppression of RAR/RXR signaling with a dominant-negative RAR construct abrogated it. Inverse agonists of RAR/RXR signaling (BMS493, AGN193109) displayed selective toxicity against ductal-like cells and in vivo antitumor activity against PDX models of human ACC.

CONCLUSIONS: In human ACCs, myoepithelial-like cells act as progenitors of ductal-like cells, and myoepithelial-to-ductal differentiation is promoted by RAR/RXR signaling. Suppression of RAR/RXR signaling is lethal to ductal-like cells and represents a new therapeutic approach against human ACCs.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:115

Enthalten in:

Journal of the National Cancer Institute - 115(2023), 7 vom: 06. Juli, Seite 838-852

Sprache:

Englisch

Beteiligte Personen:

Viragova, Sara [VerfasserIn]
Aparicio, Luis [VerfasserIn]
Palmerini, Pierangela [VerfasserIn]
Zhao, Junfei [VerfasserIn]
Valencia Salazar, Luis E [VerfasserIn]
Schurer, Alexandra [VerfasserIn]
Dhuri, Anika [VerfasserIn]
Sahoo, Debashis [VerfasserIn]
Moskaluk, Christopher A [VerfasserIn]
Rabadan, Raul [VerfasserIn]
Dalerba, Piero [VerfasserIn]

Links:

Volltext

Themen:

5688UTC01R
Antineoplastic Agents
Journal Article
Receptors, Retinoic Acid
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Retinoid X Receptors
Tretinoin

Anmerkungen:

Date Completed 17.07.2023

Date Revised 12.04.2024

published: Print

Citation Status MEDLINE

doi:

10.1093/jnci/djad062

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355445808