A common BIM deletion polymorphism mediates intrinsic resistance and inferior responses to tyrosine kinase inhibitors in cancer

被引:478
作者
Ng, King Pan [2 ]
Hillmer, Axel M. [1 ]
Chuah, Charles T. H. [2 ,3 ]
Juan, Wen Chun [2 ]
Ko, Tun Kiat [2 ]
Teo, Audrey S. M. [1 ]
Ariyaratne, Pramila N. [1 ]
Takahashi, Naoto [4 ]
Sawada, Kenichi [4 ]
Fei, Yao [1 ,5 ]
Soh, Sheila [2 ]
Lee, Wah Heng [1 ]
Huang, John W. J. [2 ]
Allen, John C., Jr. [6 ]
Woo, Xing Yi [1 ]
Nagarajan, Niranjan [1 ]
Kumar, Vikrant [1 ]
Thalamuthu, Anbupalam [1 ]
Poh, Wan Ting [1 ]
Ang, Ai Leen [3 ]
Mya, Hae Tha [3 ]
How, Gee Fung [3 ]
Yang, Li Yi [3 ]
Koh, Liang Piu [7 ]
Chowbay, Balram [8 ]
Chang, Chia-Tien [2 ]
Nadarajan, Veera S. [9 ]
Chng, Wee Joo [7 ,10 ,11 ]
Than, Hein [3 ]
Lim, Lay Cheng [3 ]
Goh, Yeow Tee [3 ]
Zhang, Shenli [2 ]
Poh, Dianne [2 ]
Tan, Patrick [1 ,2 ,11 ]
Seet, Ju-Ee [12 ]
Ang, Mei-Kim [13 ]
Chau, Noan-Minh [13 ]
Ng, Quan-Sing [13 ]
Tan, Daniel S. W. [13 ]
Soda, Manabu
Isobe, Kazutoshi [14 ]
Noethen, Markus M. [15 ]
Wong, Tien Y. [16 ]
Shahab, Atif [1 ]
Ruan, Xiaoan [1 ]
Cacheux-Rataboul, Valere [1 ]
Sung, Wing-Kin [1 ]
Tan, Eng Huat [13 ]
Yatabe, Yasushi
Mano, Hiroyuki [17 ]
机构
[1] Genome Inst Singapore, Singapore, Singapore
[2] Duke Natl Univ Singapore NUS Grad Med Sch, Canc & Stem Cell Biol Signature Res Programme, Singapore, Singapore
[3] Singapore Gen Hosp, Dept Haematol, Singapore 0316, Singapore
[4] Akita Univ Grad Sch Med, Dept Hematol Nephrol & Rheumatol, Akita, Japan
[5] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Epidemiol & Publ Hlth, Singapore 117595, Singapore
[6] Duke NUS Grad Med Sch, Ctr Quantitat Med, Singapore, Singapore
[7] Natl Univ Hlth Syst, Natl Univ Canc Inst Singapore, Dept Hematol Oncol, Singapore, Singapore
[8] Natl Canc Ctr, Clin Pharmacol Lab, Singapore, Singapore
[9] Univ Malaya, Kuala Lumpur, Malaysia
[10] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Med, Singapore 117595, Singapore
[11] Natl Univ Singapore, Canc Sci Inst Singapore, Singapore 117548, Singapore
[12] Natl Univ Hlth Syst, Dept Pathol, Singapore, Singapore
[13] Natl Canc Ctr, Dept Med Oncol, Singapore, Singapore
[14] Toho Univ Omori Med Ctr, Dept Resp Med, Tokyo, Japan
[15] Univ Bonn, Inst Human Genet, Bonn, Germany
[16] Singapore Natl Eye Ctr, Singapore Eye Res Inst, Singapore, Singapore
[17] Univ Tokyo, Grad Sch Med, Dept Med Genom, Tokyo, Japan
[18] Duke NUS Grad Med Sch, Off Clin Sci, Singapore, Singapore
[19] Natl Univ Singapore, Dept Biochem, Singapore 117548, Singapore
[20] Duke Univ Med Ctr, Div Med Oncol, Dept Med, Durham, NC USA
基金
英国医学研究理事会;
关键词
CHRONIC MYELOID-LEUKEMIA; CELL LUNG-CANCER; FACTOR RECEPTOR EGFR; EYE DISEASES; GROWTH; MUTATIONS; GEFITINIB; APOPTOSIS; RESPONSIVENESS; IDENTIFICATION;
D O I
10.1038/nm.2713
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Tyrosine kinase inhibitors (TKIs) elicit high response rates among individuals with kinase-driven malignancies, including chronic myeloid leukemia (CML) and epidermal growth factor receptor-mutated non-small-cell lung cancer (EGFR NSCLC). However, the extent and duration of these responses are heterogeneous, suggesting the existence of genetic modifiers affecting an individual's response to TKIs. Using paired-end DNA sequencing, we discovered a common intronic deletion polymorphism in the gene encoding BCL2-like 11 (BIM). BIM is a pro-apoptotic member of the B-cell CLL/lymphoma 2 (BCL2) family of proteins, and its upregulation is required for TKIs to induce apoptosis in kinase-driven cancers. The polymorphism switched BIM splicing from exon 4 to exon 3, which resulted in expression of BIM isoforms lacking the pro-apoptotic BCL2-homology domain 3 (BH3). The polymorphism was sufficient to confer intrinsic TKI resistance in CML and EGFR NSCLC cell lines, but this resistance could be overcome with BH3-mimetic drugs. Notably, individuals with CML and EGFR NSCLC harboring the polymorphism experienced significantly inferior responses to TKIs than did individuals without the polymorphism (P = 0.02 for CML and P = 0.027 for EGFR NSCLC). Our results offer an explanation for the heterogeneity of TKI responses across individuals and suggest the possibility of personalizing therapy with BH3 mimetics to overcome BIM-polymorphism-associated TKI resistance.
引用
收藏
页码:521 / 528
页数:8
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