Abstract
Evasion of programmed cell death represents a critical form of oncogene addiction in cancer cells. Understanding the molecular mechanisms underpinning cancer cell survival despite the oncogenic stress could provide a molecular basis for potential therapeutic interventions. Here we explore the role of pro-survival genes in cancer cell integrity during clonal evolution in non-small cell lung cancer (NSCLC). We identify gains of MCL-1 at high frequency in multiple independent NSCLC cohorts, occurring both clonally and subclonally. Clonal loss of functional TP53 is significantly associated with subclonal gains of MCL-1. In mice, tumour progression is delayed upon pharmacologic or genetic inhibition of MCL-1. These findings reveal that MCL-1 gains occur with high frequency in lung adenocarcinoma and can be targeted therapeutically.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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Antineoplastic Agents / pharmacology*
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Antineoplastic Agents / therapeutic use
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Apoptosis / drug effects
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Apoptosis / genetics
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Carcinoma, Non-Small-Cell Lung / diagnostic imaging
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Carcinoma, Non-Small-Cell Lung / drug therapy
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Carcinoma, Non-Small-Cell Lung / genetics*
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Carcinoma, Non-Small-Cell Lung / pathology
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Cell Line, Tumor
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Cell Survival / drug effects
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Cell Survival / genetics
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Clonal Evolution
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DNA Copy Number Variations
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Datasets as Topic
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Disease Models, Animal
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Disease Progression
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Humans
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Lung / diagnostic imaging
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Lung / pathology
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Lung Neoplasms / diagnostic imaging
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Lung Neoplasms / drug therapy
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Lung Neoplasms / genetics*
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Lung Neoplasms / pathology
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Mice
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Mice, Transgenic
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Mutation
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Myeloid Cell Leukemia Sequence 1 Protein / antagonists & inhibitors
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Myeloid Cell Leukemia Sequence 1 Protein / genetics*
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Primary Cell Culture
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Prospective Studies
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Proto-Oncogene Proteins p21(ras) / genetics
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Pyrimidines / pharmacology
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Pyrimidines / therapeutic use
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RNA-Seq
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Retrospective Studies
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Spheroids, Cellular
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Thiophenes / pharmacology
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Thiophenes / therapeutic use
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Tumor Burden / drug effects
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Tumor Burden / genetics
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Tumor Suppressor Protein p53 / genetics
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X-Ray Microtomography
Substances
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Antineoplastic Agents
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MCL1 protein, human
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Mcl1 protein, mouse
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Myeloid Cell Leukemia Sequence 1 Protein
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Pyrimidines
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S63845
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TP53 protein, human
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Thiophenes
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Trp53 protein, mouse
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Tumor Suppressor Protein p53
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Hras protein, mouse
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Proto-Oncogene Proteins p21(ras)