Reactivation of MAPK-SOX2 pathway confers ferroptosis sensitivity in KRAS G12C inhibitor resistant tumors

The clinical success of KRAS inhibitors (G12Ci) including AMG510 and MRTX849 is limited by the eventual development of acquired resistance. A novel and effective treatment to revert or target this resistance is urgent. To this end, we established G12Ci (AMG510 and MRTX849) resistant KRAS mutant canc...

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Veröffentlicht in:Redox biology 2024-12, Vol.78, p.103419
Hauptverfasser: Wang, Kai, Zhang, Xin, Fan, Yufei, Zhou, Liang, Duan, Yajun, Li, Su, Sun, Zhongkan, Zhang, Chunqian, Yang, Haoyu, Yuan, Wenxiu, Peng, Linyuan, Ma, Xiaoyu, Xiang, Siliang, Wang, Tianzhi, Yang, Mei, Zhang, Zhenyuan, Wang, Jiaxuan, Wang, Zhongyuan, Qian, Minxian
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container_issue
container_start_page 103419
container_title Redox biology
container_volume 78
creator Wang, Kai
Zhang, Xin
Fan, Yufei
Zhou, Liang
Duan, Yajun
Li, Su
Sun, Zhongkan
Zhang, Chunqian
Yang, Haoyu
Yuan, Wenxiu
Peng, Linyuan
Ma, Xiaoyu
Xiang, Siliang
Wang, Tianzhi
Yang, Mei
Zhang, Zhenyuan
Wang, Jiaxuan
Wang, Zhongyuan
Qian, Minxian
description The clinical success of KRAS inhibitors (G12Ci) including AMG510 and MRTX849 is limited by the eventual development of acquired resistance. A novel and effective treatment to revert or target this resistance is urgent. To this end, we established G12Ci (AMG510 and MRTX849) resistant KRAS mutant cancer cell lines and screened with an FDA-approved drug library. We found the ferroptosis inducers including sorafenib and lapatinib stood out with an obvious growth inhibition in the G12Ci resistant cells. Mechanistically, the G12Ci resistant cells exhibited reactivation of MAPK signaling, which repressed SOX2-mediated expression of cystine transporter SLC7A11 and iron exporter SLC40A1. Consequently, the low intracellular GSH level but high iron content engendered hypersensitivity of these resistant tumors to ferroptosis inducers. Ectopic overexpression of SOX2 or SLC7A11 and SLC40A1 conferred resistance to ferroptosis in the G12Ci resistant cells. Ferroptosis induced by sulfasalazine (SAS) achieved obvious inhibition on the tumor growth of xenografts derived from AMG510-resistant KRAS -mutant cells. Collectively, our results suggest a novel therapeutic strategy to treat patients bearing G12Ci resistant cancers with ferroptosis inducers.
doi_str_mv 10.1016/j.redox.2024.103419
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A novel and effective treatment to revert or target this resistance is urgent. To this end, we established G12Ci (AMG510 and MRTX849) resistant KRAS mutant cancer cell lines and screened with an FDA-approved drug library. We found the ferroptosis inducers including sorafenib and lapatinib stood out with an obvious growth inhibition in the G12Ci resistant cells. Mechanistically, the G12Ci resistant cells exhibited reactivation of MAPK signaling, which repressed SOX2-mediated expression of cystine transporter SLC7A11 and iron exporter SLC40A1. Consequently, the low intracellular GSH level but high iron content engendered hypersensitivity of these resistant tumors to ferroptosis inducers. Ectopic overexpression of SOX2 or SLC7A11 and SLC40A1 conferred resistance to ferroptosis in the G12Ci resistant cells. Ferroptosis induced by sulfasalazine (SAS) achieved obvious inhibition on the tumor growth of xenografts derived from AMG510-resistant KRAS -mutant cells. Collectively, our results suggest a novel therapeutic strategy to treat patients bearing G12Ci resistant cancers with ferroptosis inducers.</description><identifier>EISSN: 2213-2317</identifier><identifier>DOI: 10.1016/j.redox.2024.103419</identifier><identifier>PMID: 39527862</identifier><language>eng</language><publisher>Netherlands</publisher><subject>Amino Acid Transport System y+ - genetics ; Amino Acid Transport System y+ - metabolism ; Animals ; Antineoplastic Agents - pharmacology ; Cell Line, Tumor ; Drug Resistance, Neoplasm - genetics ; Ferroptosis - drug effects ; Ferroptosis - genetics ; Humans ; MAP Kinase Signaling System - drug effects ; Mice ; Neoplasms - drug therapy ; Neoplasms - genetics ; Neoplasms - metabolism ; Neoplasms - pathology ; Proto-Oncogene Proteins p21(ras) - genetics ; Proto-Oncogene Proteins p21(ras) - metabolism ; SOXB1 Transcription Factors - genetics ; SOXB1 Transcription Factors - metabolism ; Xenograft Model Antitumor Assays</subject><ispartof>Redox biology, 2024-12, Vol.78, p.103419</ispartof><rights>Copyright © 2024 The Authors. 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Collectively, our results suggest a novel therapeutic strategy to treat patients bearing G12Ci resistant cancers with ferroptosis inducers.</abstract><cop>Netherlands</cop><pmid>39527862</pmid><doi>10.1016/j.redox.2024.103419</doi></addata></record>
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subjects Amino Acid Transport System y+ - genetics
Amino Acid Transport System y+ - metabolism
Animals
Antineoplastic Agents - pharmacology
Cell Line, Tumor
Drug Resistance, Neoplasm - genetics
Ferroptosis - drug effects
Ferroptosis - genetics
Humans
MAP Kinase Signaling System - drug effects
Mice
Neoplasms - drug therapy
Neoplasms - genetics
Neoplasms - metabolism
Neoplasms - pathology
Proto-Oncogene Proteins p21(ras) - genetics
Proto-Oncogene Proteins p21(ras) - metabolism
SOXB1 Transcription Factors - genetics
SOXB1 Transcription Factors - metabolism
Xenograft Model Antitumor Assays
title Reactivation of MAPK-SOX2 pathway confers ferroptosis sensitivity in KRAS G12C inhibitor resistant tumors
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