[HTML][HTML] YAP1 mediates survival of ALK-rearranged lung cancer cells treated with alectinib via pro-apoptotic protein regulation

T Tsuji, H Ozasa, W Aoki, S Aburaya… - Nature …, 2020 - nature.com
T Tsuji, H Ozasa, W Aoki, S Aburaya, T Yamamoto Funazo, K Furugaki, Y Yoshimura…
Nature communications, 2020nature.com
Despite the promising clinical efficacy of the second-generation anaplastic lymphoma
kinase (ALK) inhibitor alectinib in patients with ALK-rearranged lung cancer, some tumor
cells survive and eventually relapse, which may be an obstacle to achieving a cure. Limited
information is currently available on the mechanisms underlying the initial survival of tumor
cells against alectinib. Using patient-derived cell line models, we herein demonstrate that
cancer cells survive a treatment with alectinib by activating Yes-associated protein 1 (YAP1) …
Abstract
Despite the promising clinical efficacy of the second-generation anaplastic lymphoma kinase (ALK) inhibitor alectinib in patients with ALK-rearranged lung cancer, some tumor cells survive and eventually relapse, which may be an obstacle to achieving a cure. Limited information is currently available on the mechanisms underlying the initial survival of tumor cells against alectinib. Using patient-derived cell line models, we herein demonstrate that cancer cells survive a treatment with alectinib by activating Yes-associated protein 1 (YAP1), which mediates the expression of the anti-apoptosis factors Mcl-1 and Bcl-xL, and combinatorial inhibition against both YAP1 and ALK provides a longer tumor remission in ALK-rearranged xenografts when compared with alectinib monotherapy. These results suggest that the inhibition of YAP1 is a candidate for combinatorial therapy with ALK inhibitors to achieve complete remission in patients with ALK-rearranged lung cancer.
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