[PDF][PDF] Long-term ERK inhibition in KRAS-mutant pancreatic cancer is associated with MYC degradation and senescence-like growth suppression

TK Hayes, NF Neel, C Hu, P Gautam, M Chenard… - Cancer cell, 2016 - cell.com
TK Hayes, NF Neel, C Hu, P Gautam, M Chenard, B Long, M Aziz, M Kassner, KL Bryant
Cancer cell, 2016cell.com
Induction of compensatory mechanisms and ERK reactivation has limited the effectiveness
of Raf and MEK inhibitors in RAS-mutant cancers. We determined that direct pharmacologic
inhibition of ERK suppressed the growth of a subset of KRAS-mutant pancreatic cancer cell
lines and that concurrent phosphatidylinositol 3-kinase (PI3K) inhibition caused synergistic
cell death. Additional combinations that enhanced ERK inhibitor action were also identified.
Unexpectedly, long-term treatment of sensitive cell lines caused senescence, mediated in …
Summary
Induction of compensatory mechanisms and ERK reactivation has limited the effectiveness of Raf and MEK inhibitors in RAS-mutant cancers. We determined that direct pharmacologic inhibition of ERK suppressed the growth of a subset of KRAS-mutant pancreatic cancer cell lines and that concurrent phosphatidylinositol 3-kinase (PI3K) inhibition caused synergistic cell death. Additional combinations that enhanced ERK inhibitor action were also identified. Unexpectedly, long-term treatment of sensitive cell lines caused senescence, mediated in part by MYC degradation and p16 reactivation. Enhanced basal PI3K-AKT-mTOR signaling was associated with de novo resistance to ERK inhibitor, as were other protein kinases identified by kinome-wide siRNA screening and a genetic gain-of-function screen. Our findings reveal distinct consequences of inhibiting this kinase cascade at the level of ERK.
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