• Medientyp: E-Artikel
  • Titel: Mixed responses to targeted therapy driven by chromosomal instability through p53 dysfunction and genome doubling
  • Beteiligte: Hobor, Sebastijan; Al Bakir, Maise; Hiley, Crispin T.; Skrzypski, Marcin; Frankell, Alexander M.; Bakker, Bjorn; Watkins, Thomas B. K.; Markovets, Aleksandra; Dry, Jonathan R.; Brown, Andrew P.; van der Aart, Jasper; van den Bos, Hilda; Spierings, Diana; Oukrif, Dahmane; Novelli, Marco; Chakrabarti, Turja; Rabinowitz, Adam H.; Ait Hassou, Laila; Litière, Saskia; Kerr, D. Lucas; Tan, Lisa; Kelly, Gavin; Moore, David A.; Renshaw, Matthew J.; [...]
  • Erschienen: Springer Science and Business Media LLC, 2024
  • Erschienen in: Nature Communications, 15 (2024) 1
  • Sprache: Englisch
  • DOI: 10.1038/s41467-024-47606-9
  • ISSN: 2041-1723
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  • Anmerkungen:
  • Beschreibung: AbstractThe phenomenon of mixed/heterogenous treatment responses to cancer therapies within an individual patient presents a challenging clinical scenario. Furthermore, the molecular basis of mixed intra-patient tumor responses remains unclear. Here, we show that patients with metastatic lung adenocarcinoma harbouring co-mutations of EGFR and TP53, are more likely to have mixed intra-patient tumor responses to EGFR tyrosine kinase inhibition (TKI), compared to those with an EGFR mutation alone. The combined presence of whole genome doubling (WGD) and TP53 co-mutations leads to increased genome instability and genomic copy number aberrations in genes implicated in EGFR TKI resistance. Using mouse models and an in vitro isogenic p53-mutant model system, we provide evidence that WGD provides diverse routes to drug resistance by increasing the probability of acquiring copy-number gains or losses relative to non-WGD cells. These data provide a molecular basis for mixed tumor responses to targeted therapy, within an individual patient, with implications for therapeutic strategies.
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