Induction of MNK Kinase–dependent eIF4E Phosphorylation by Inhibitors Targeting BET Proteins Limits Efficacy of BET Inhibitors

TND Pham, K Kumar, BT DeCant, M Shang… - Molecular cancer …, 2019 - AACR
TND Pham, K Kumar, BT DeCant, M Shang, SZ Munshi, M Matsangou, K Ebine, HG Munshi
Molecular cancer therapeutics, 2019AACR
BET inhibitors (BETi), which target transcription of key oncogenic genes, are currently being
evaluated in early-phase clinical trials. However, because BETis show limited single-agent
activity, there is increasing interest in identifying signaling pathways to enhance the efficacy
of BETis. Here, we demonstrate increased MNK kinase–dependent eIF4E phosphorylation
following treatment with BETis, indicating activation of a prosurvival feedback mechanism in
response to BETis. BET PROTACs, which promote degradation of BET proteins, also …
Abstract
BET inhibitors (BETi), which target transcription of key oncogenic genes, are currently being evaluated in early-phase clinical trials. However, because BETis show limited single-agent activity, there is increasing interest in identifying signaling pathways to enhance the efficacy of BETis. Here, we demonstrate increased MNK kinase–dependent eIF4E phosphorylation following treatment with BETis, indicating activation of a prosurvival feedback mechanism in response to BETis. BET PROTACs, which promote degradation of BET proteins, also induced eIF4E phosphorylation in cancer cells. Mechanistically, we show that the effect of BETis on MNK-eIF4E phosphorylation was mediated by p38 MAPKs. We also show that BETis suppressed RacGAP1 to induce Rac signaling–mediated eIF4E phosphorylation. Significantly, MNK inhibitors and MNK1/2 knockdown enhanced the efficacy of BETis in suppressing proliferation of cancer cells in vitro and in a syngeneic mouse model. Together, these results demonstrate a novel prosurvival feedback signaling induced by BETis, providing a mechanistic rationale for combination therapy with BET and MNK inhibitors for synergistic inhibition of cancer cells.
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