AI Article Synopsis

  • Researchers are developing covalent inhibitors targeting the KRAS oncoprotein and testing them in clinical trials, but resistance to these treatments can limit their long-term effectiveness.
  • By utilizing mass-spectrometry-based quantitative temporal proteomics, they profiled the response to KRAS inhibitors in various cancer cell models, identifying over 10,000 proteins involved.
  • The study found that combining KRAS inhibitors with other drugs like PI3K and HSP90 inhibitors can shift treatment responses from being merely halting (cytostatic) to actively killing cancer cells (cytotoxic), suggesting effective treatment strategies against resistant tumors.

Article Abstract

Covalent inhibitors of the KRAS oncoprotein have recently been developed and are being evaluated in clinical trials. Resistance to targeted therapies is common and may limit long-term efficacy of KRAS inhibitors (KRASi). To identify pathways of adaptation to KRASi and predict drug combinations that circumvent resistance, we use mass-spectrometry-based quantitative temporal proteomics to profile the proteomic response to KRASi in pancreatic and lung cancer 2D and 3D cellular models. We quantify 10,805 proteins, representing the most comprehensive KRASi proteome (https://manciaslab.shinyapps.io/KRASi/). Our data reveal common mechanisms of acute and long-term response between KRAS-driven tumors. Based on these proteomic data, we identify potent combinations of KRASi with phosphatidylinositol 3-kinase (PI3K), HSP90, CDK4/6, and SHP2 inhibitors, in some instances converting a cytostatic response to KRASi monotherapy to a cytotoxic response to combination treatment. Overall, using quantitative temporal proteomics, we comprehensively characterize adaptations to KRASi and identify combinatorial regimens with potential therapeutic utility.

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http://dx.doi.org/10.1016/j.celrep.2020.03.021DOI Listing

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