Neuronal differentiation and cell-cycle programs mediate response to BET-bromodomain inhibition in MYC-driven medulloblastoma

被引:40
作者
Bandopadhayay, Pratiti [1 ,2 ,3 ]
Piccioni, Federica [2 ]
O'Rourke, Ryan [1 ,2 ]
Ho, Patricia [1 ,2 ]
Gonzalez, Elizabeth M. [1 ,2 ]
Buchan, Graham [1 ,2 ]
Qian, Kenin [1 ,2 ]
Gionet, Gabrielle [1 ,2 ]
Girard, Emily [4 ]
Coxon, Margo [4 ]
Rees, Matthew G. [2 ]
Brenan, Lisa [2 ]
Dubois, Frank [2 ,5 ]
Shapira, Ofer [2 ,5 ]
Greenwald, Noah F. [2 ,5 ,6 ]
Pages, Melanie [1 ,2 ]
Iniguez, Amanda Balboni [1 ,2 ]
Paolella, Brenton R. [2 ,5 ]
Meng, Alice [7 ]
Sinai, Claire [1 ,7 ]
Roti, Giovanni [1 ,2 ,8 ]
Dharia, Neekesh V. [1 ,2 ,3 ]
Creech, Amanda [2 ]
Tanenbaum, Benjamin [2 ]
Khadka, Prasidda [1 ,2 ,3 ]
Tracy, Adam [2 ]
Tiv, Hong L. [9 ,10 ]
Hong, Andrew L. [1 ,2 ,3 ]
Coy, Shannon [11 ]
Rashid, Rumana [11 ,12 ]
Lin, Jia-Ren [13 ,14 ]
Cowley, Glenn S. [2 ,15 ]
Lam, Fred C. [16 ]
Goodale, Amy [2 ]
Lee, Yenarae [2 ]
Schoolcraft, Kathleen [7 ]
Vazquez, Francisca [2 ]
Hahn, William C. [2 ,7 ,17 ]
Tsherniak, Aviad [2 ]
Bradner, James E. [2 ,7 ,17 ,18 ]
Yaffe, Michael B. [2 ,16 ]
Milde, Till [19 ,20 ,21 ]
Pfister, Stefan M. [19 ,22 ,23 ,24 ]
Qi, Jun [5 ]
Schenone, Monica [2 ]
Carr, Steven A. [2 ]
Ligon, Keith L. [2 ,11 ,17 ,25 ,26 ]
Kieran, Mark W. [1 ,3 ]
Santagata, Sandro [7 ,11 ]
Olson, James M. [4 ]
机构
[1] Dana Farber Boston Childrens Canc & Blood Disorde, Boston, MA USA
[2] Broad Inst MIT & Harvard, Cambridge, MA 02142 USA
[3] Harvard Med Sch, Dept Pediat, Boston, MA 02115 USA
[4] Fred Hutchinson Canc Res Ctr, Div Clin Res, 1124 Columbia St, Seattle, WA 98104 USA
[5] Dana Farber Canc Inst, Div Canc Biol, Boston, MA 02115 USA
[6] Brigham & Womens Hosp, Dept Neurosurg, 75 Francis St, Boston, MA 02115 USA
[7] Dana Farber Canc Inst, Div Med Oncol, Boston, MA 02115 USA
[8] Univ Parma, Dept Med & Surg Hematol & BMT, Parma, Italy
[9] Expt Therapeut Core, Boston, MA USA
[10] Belfer Ctr Appl Canc Sci, Boston, MA USA
[11] Brigham & Womens Hosp, Dept Pathol, 75 Francis St, Boston, MA 02115 USA
[12] Harvard Med Sch, Dept Biomed Informat, Boston, MA 02115 USA
[13] Harvard Med Sch, Lab Syst Pharmacol, Boston, MA 02115 USA
[14] Harvard Med Sch, Ludwig Ctr Canc Res Harvard, Boston, MA 02115 USA
[15] Johnson & Johnson, Janssen Res & Dev, Discovery Sci, Spring House, PA USA
[16] MIT, Koch Inst Integrat Canc Res, Cambridge, MA 02139 USA
[17] Harvard Med Sch, Dept Med, Boston, MA 02115 USA
[18] Novartis Inst Biomed Res, Basel, Switzerland
[19] Hopp Childrens Canc Ctr Heidelberg KiTZ, Heidelberg, Germany
[20] German Canc Res Ctr, CCU Pediat Oncol, Heidelberg, Germany
[21] Heidelberg Univ Hosp, Ctr Child & Adolescent Med, Dept Pediat Oncol Hematol & Immunol, Heidelberg, Germany
[22] German Canc Consortium DKTK, Div Pediat Neurooncol, Heidelberg, Germany
[23] German Canc Res Ctr, Heidelberg, Germany
[24] Heidelberg Univ Hosp, Dept Pediat Hematol & Oncol, Heidelberg, Germany
[25] Dana Farber Canc Inst, Dept Oncol Pathol, Boston, MA 02115 USA
[26] Boston Childrens Hosp, Dept Pathol, Boston, MA USA
关键词
CANCER-CELLS; SENSITIVITY; TRANSCRIPTION; RESISTANCE; TUMORS; NEUROBLASTOMA; PROLIFERATION; CONNECTIVITY; PLASTICITY; STATE;
D O I
10.1038/s41467-019-10307-9
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
BET-bromodomain inhibition (BETi) has shown pre-clinical promise for MYC-amplified medulloblastoma. However, the mechanisms for its action, and ultimately for resistance, have not been fully defined. Here, using a combination of expression profiling, genome-scale CRISPR/Cas9-mediated loss of function and ORF/cDNA driven rescue screens, and cell-based models of spontaneous resistance, we identify bHLH/homeobox transcription factors and cell-cycle regulators as key genes mediating BETi's response and resistance. Cells that acquire drug tolerance exhibit a more neuronally differentiated cell-state and expression of lineage-specific bHLH/homeobox transcription factors. However, they do not terminally differentiate, maintain expression of CCND2, and continue to cycle through S-phase. Moreover, CDK4/CDK6 inhibition delays acquisition of resistance. Therefore, our data provide insights about the mechanisms underlying BETi effects and the appearance of resistance and support the therapeutic use of combined cell-cycle inhibitors with BETi in MYC-amplified medulloblastoma.
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页数:16
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