Identification of a targetable KRAS-mutant epithelial population in non-small cell lung cancer

识别非小细胞肺癌中可靶向的 KRAS 突变上皮细胞群

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作者:Giorgia Maroni #, Mahmoud A Bassal #, Indira Krishnan #, Chee Wai Fhu, Virginia Savova, Rapolas Zilionis, Valerie A Maymi, Nicole Pandell, Eva Csizmadia, Junyan Zhang, Barbara Storti, Julio Castaño, Riccardo Panella, Jia Li, Corinne E Gustafson, Sam Fox, Rachel D Levy, Claire V Meyerovitz, Peter J T

Abstract

Lung cancer is the leading cause of cancer deaths. Tumor heterogeneity, which hampers development of targeted therapies, was herein deconvoluted via single cell RNA sequencing in aggressive human adenocarcinomas (carrying Kras-mutations) and comparable murine model. We identified a tumor-specific, mutant-KRAS-associated subpopulation which is conserved in both human and murine lung cancer. We previously reported a key role for the oncogene BMI-1 in adenocarcinomas. We therefore investigated the effects of in vivo PTC596 treatment, which affects BMI-1 activity, in our murine model. Post-treatment, MRI analysis showed decreased tumor size, while single cell transcriptomics concomitantly detected near complete ablation of the mutant-KRAS-associated subpopulation, signifying the presence of a pharmacologically targetable, tumor-associated subpopulation. Our findings therefore hold promise for the development of a targeted therapy for KRAS-mutant adenocarcinomas.

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