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Cancer’s ability to resist therapy that is blocked

Cancer’s ability to resist therapy that is blocked

 


Cancers develop astute survival mechanisms that often defeat therapeutic strategies aimed at reversing acquired therapeutic resistance. Blocking genomic instability in aggressive cancers (metastatic cutaneous melanoma) could prevent tumors from acquiring genetic diversity that allows them to escape treatment, new research shows There is a nature.

Findings published in the journal cancer detection January 26th”Blocking genomic instability prevents acquired resistance to MAPK inhibitor therapy in melanoma‘ may open new avenues for treating currently treatment-resistant melanoma.

“We are taking a novel approach to combat ‘acquired therapeutic resistance’, the ability of cancers to undergo molecular evolution to escape targeted therapies. Intensive research has focused on treating cancer that has recurred, trying to intervene after tumor cells have become more complex and potent. We thought that prevention, rather than trying, might improve patient survival.” UCLA’s David Geffen School of Medicine and co-lead author of the study.

Patients with metastatic cutaneous melanoma are treated with MAPK inhibitors (MAPKi) and can quickly develop resistance to treatment. The root of resistance to therapy lies in the ability of melanoma to evolve extrachromosomal circular DNA (ecDNA) and complex genomic rearrangements (CGR). The resulting genetic diversity gives melanoma the ability to escape treatment.

“By blocking the means by which melanoma creates genetic diversity, we hope that we can prevent the myriad ways cancer escapes targeted therapy,” Lo said.

The researchers analyzed patient tumor biopsies taken before MAPKi treatment and at clinical relapse and found that the melanoma genome undergoes extensive “shatter and resuture” in response to treatment. Reconnects chromosomes so that they are circular extrachromosomal DNA (ecDNA). They found that cancer cells can produce and retain up to 100 copies of ecDNA. These amplify key genes that promote resistance to therapy. ecDNA can also reintegrate into chromosomes to generate complex genomic rearrangements (CGRs) and provide a stable source of gene amplification.

“We analyzed how the recombination of shattered genomic DNA occurs in resistant melanoma and found that a protein called DNA-PK may be of particular importance.” Dr. Prashanthi Dharanipragada, a postdoctoral researcher and collaborator on the Lo team, said: Dr. Xiao Zhang, a postdoctoral researcher, and lead author.

“We tested a novel combinatorial approach to block genomic instability and prevent acquired resistance in mouse-implanted model cell lines and patient tumor cells,” said Associate Professor of Medicine and co-senior author. said Dr. Gatien Moriceau, “This approach may be applicable to multiple subtypes of melanoma and several other types of aggressive cancers, such as pancreatic and lung cancer.”

Lo and co-author Stergios Moschos, M.D., PhD, are clinical professors and melanoma researchers at the University of North Carolina at Chapel Hill, and based on the results reported in this study, we are evaluating the potential of patients with melanoma subtypes. We are planning a clinical trial for

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