|
KMID : 0620920220540081236
|
|
Experimental & Molecular Medicine
2022 Volume.54 No. 8 p.1236 ~ p.1249
|
|
|
DNA methylome and single-cell transcriptome analyses reveal CDA as a potential druggable target for ALK inhibitor?resistant lung cancer therapy
|
|
Heo Hae-Jeong
Kim Jong-Hwan
Lim Hyun-Jung
Kim Jeong-Hwan
Kim Mi-So
Koh Jae-Moon
Im Joo-Young
Kim Bo-Kyung
Won Mi-Sun
Park Ji-Hwan
Shin Yang-Ji
Yun Mi-Ran
Cho Byoung-Chul
Kim Yong-Sung
Kim Seon-Young
Kim Mi-Rang
|
|
|
Abstract
|
|
|
|
Acquired resistance to inhibitors of anaplastic lymphoma kinase (ALK) is a major clinical challenge for ALK fusion-positive non-small-cell lung cancer (NSCLC). In the absence of secondary ALK mutations, epigenetic reprogramming is one of the main mechanisms of drug resistance, as it leads to phenotype switching that occurs during the epithelial-to-mesenchymal transition (EMT). Although drug-induced epigenetic reprogramming is believed to alter the sensitivity of cancer cells to anticancer treatments, there is still much to learn about overcoming drug resistance. In this study, we used an in vitro model of ceritinib-resistant NSCLC and employed genome-wide DNA methylation analysis in combination with single-cell (sc) RNA-seq to identify cytidine deaminase (CDA), a pyrimidine salvage pathway enzyme, as a candidate drug target. CDA was hypomethylated and upregulated in ceritinib-resistant cells. CDA-overexpressing cells were rarely but definitively detected in the naive cell population by scRNA-seq, and their abundance was increased in the acquired-resistance population. Knockdown of CDA had antiproliferative effects on resistant cells and reversed the EMT phenotype. Treatment with epigenome-related nucleosides such as 5-formyl-2′-deoxycytidine selectively ablated CDA-overexpressing resistant cells via accumulation of DNA damage. Collectively, our data suggest that targeting CDA metabolism using epigenome-related nucleosides represents a potential new therapeutic strategy for overcoming ALK inhibitor resistance in NSCLC.
|
|
|
KEYWORD
|
|
|
Epigenomics, Gene expression, Non-small-cell lung cancer
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
    
|