Therapeutic resistance and susceptibility is shaped by cooperative multi-compartment tumor adaptation

التفاصيل البيبلوغرافية
العنوان: Therapeutic resistance and susceptibility is shaped by cooperative multi-compartment tumor adaptation
المؤلفون: Bu-Er Wang, Teemu T. Junttila, Wendy Sandoval, Oded Foreman, Zora Modrusan, Matthew Wongchenko, Jeffrey Eastham-Anderson, Qingling Li, Melissa R. Junttila, Jason E. Long, Ji Li, Richard A.D. Carano, Yibing Yan, Dorothee Nickles, Wei-Jen Chung, Johannes Riegler
المصدر: Cell Death and Differentiation
سنة النشر: 2019
مصطلحات موضوعية: 0301 basic medicine, Male, Proto-Oncogene Proteins B-raf, Cancer microenvironment, DNA Copy Number Variations, Transgene, Antineoplastic Agents, Mice, Transgenic, Drug resistance, Article, Transcriptome, Extracellular matrix, 03 medical and health sciences, Mice, 0302 clinical medicine, Piperidines, Cell Line, Tumor, Exome Sequencing, Biomarkers, Tumor, Medicine, Animals, Humans, Cancer models, Molecular Biology, Melanoma, Cancer genetics, Cellular compartment, business.industry, High-Throughput Nucleotide Sequencing, Cell Biology, Translational research, medicine.disease, Phenotype, Extracellular Matrix, Mice, Inbred C57BL, Experimental models of disease, 030104 developmental biology, Vemurafenib, Drug Resistance, Neoplasm, 030220 oncology & carcinogenesis, Cancer cell, Mutation, Cancer research, Azetidines, Female, business
الوصف: Emerging research suggests that multiple tumor compartments can influence treatment responsiveness and relapse, yet the search for therapeutic resistance mechanisms remains largely focused on acquired genomic alterations in cancer cells. Here we show how treatment-induced changes occur in multiple tumor compartments during tumor relapse and can reduce benefit of follow-on therapies. By using serial biopsies, next-generation sequencing, and single-cell transcriptomics, we tracked the evolution of multiple cellular compartments within individual lesions during first-line treatment response, relapse, and second-line therapeutic interventions in an autochthonous model of melanoma. We discovered that although treatment-relapsed tumors remained genetically stable, they converged on a shared resistance phenotype characterized by dramatic changes in tumor cell differentiation state, immune infiltration, and extracellular matrix (ECM) composition. Similar alterations in tumor cell differentiation were also observed in more than half of our treatment-relapsed patient tumors. Tumor cell-state changes were coincident with ECM remodeling and increased tumor stiffness, which alone was sufficient to alter tumor cell fate and reduce treatment responses in melanoma cell lines in vitro. Despite the absence of acquired mutations in the targeted pathway, resistant tumors showed significantly decreased responsiveness to second-line therapy intervention within the same pathway. The ability to preclinically model relapse and refractory settings—while capturing dynamics within and crosstalk between all relevant tumor compartments—provides a unique opportunity to better design and sequence appropriate clinical interventions.
تدمد: 1476-5403
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b66b1584dd6f2010cde3581866cf8d8f
https://pubmed.ncbi.nlm.nih.gov/30824837
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....b66b1584dd6f2010cde3581866cf8d8f
قاعدة البيانات: OpenAIRE