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CDK2 inhibition produces a persistent population of polyploid cancer cells
Liliya Tyutyunyk-Massey, Zibo Chen, Xiuxia Liu, Masanori Kawakami, Adam Harned, Yeap Ng, Brian Luke, Samuel C. Okpechi, Blessing Ogunlade, Yair Alfaro, Roberto Weigert, Kedar Narayan, Xi Liu, Ethan Dmitrovsky
Liliya Tyutyunyk-Massey, Zibo Chen, Xiuxia Liu, Masanori Kawakami, Adam Harned, Yeap Ng, Brian Luke, Samuel C. Okpechi, Blessing Ogunlade, Yair Alfaro, Roberto Weigert, Kedar Narayan, Xi Liu, Ethan Dmitrovsky
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Research Article Oncology Therapeutics

CDK2 inhibition produces a persistent population of polyploid cancer cells

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Abstract

Aneuploidy, a cancer hallmark, drives chromosomal instability, drug resistance, and clinically aggressive tumors. Cyclin-dependent kinase 2 (CDK2) antagonism with independent inhibitors or CDK2 knockdown triggered anaphase catastrophe. This disrupts supernumerary centrosome clustering, causing multipolar division and apoptosis. Time-lapse fluorescence microscopy of fluorescent ubiquitination-based cell cycle indicator (FUCCI) cell cycle probes transduced into aneuploid lung cancer cells revealed distinct fates of bipolar and polyploid cells after CDK2 inhibition. Apoptosis occurred in multipolar progeny but was repressed in persistent polyploid cancer cells. RNA-Seq analyses after CDK2 inhibition of 4N versus 2N lung cancer cells were enriched for CDK1 pathway and KIF family members. The Cancer Genome Atlas (TCGA) analysis of lung cancers indicated that CDK1 and KIF family member overexpression was associated with an unfavorable survival. Intravital microscopy of transplanted lung cancer cells in mice extended findings from the in vitro to in vivo settings. CDK2 inhibition of tumor-bearing mice produced polyploid cancer cells in vivo. These cancer cells were resistant to apoptosis and proliferated despite CDK2 inhibition. In contrast, polyploid populations were rarely detected in CDK2-inhibited human alveolar epithelial cells. These findings are translationally relevant. Combined targeting of CDK2 with CDK1 or kinesin family member antagonists should eliminate polyploid cancer cells, promote apoptosis, and augment antineoplastic effects.

Authors

Liliya Tyutyunyk-Massey, Zibo Chen, Xiuxia Liu, Masanori Kawakami, Adam Harned, Yeap Ng, Brian Luke, Samuel C. Okpechi, Blessing Ogunlade, Yair Alfaro, Roberto Weigert, Kedar Narayan, Xi Liu, Ethan Dmitrovsky

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Figure 1

Multipolar mitosis, polyploid, and multinucleated cells were detected in human lung cancer PDX treated with vehicle or CYC065.

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Multipolar mitosis, polyploid, and multinucleated cells were detected in...
(A) Representative images are shown following phospho-histone H3 and H&E staining of these different PDXs after 4 weeks of treatment with CYC065 or with vehicle as a control. KRAS WT or KRAS mutant mitotic cancer cells examined in these lung cancer PDXs exhibited bipolar as well as multipolar anaphases. Representative polyploid and multinucleated cancer cells are shown. (B) CYC065-treatment suppressed lung cancer PDX growth as compared with vehicle treatment, but persistent lung tumors were detected. (C) TC524 and TC664 KRAS WT lung cancer PDX models were independently treated with CYC065 versus vehicle controls and persistent in vivo tumors were detected. (D) ED1SQ4 and H1299 lung cancer cells rapidly grew despite CYC065 treatment after an initial phase of repression. Two-tailed Student’s t tests compared differences between study groups with a P value below 0.05 deemed statistically significant. Data are shown as mean ± SD, with the symbols indicating *P < 0.05, **P < 0.01, ***P < 0.001, and ****P < 0.0001, respectively. Scale bars: 5 μm.

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