APC/PIK3CA mutations and β-catenin status predict tankyrase inhibitor sensitivity of patient-derived colorectal cancer cells
- Br J Cancer. 2024 Jan;130(1):151-162. doi: 10.1038/s41416-023-02484-8.
- 1. Division of Molecular Biotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research (JFCR), Tokyo, Japan.
- 2. Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan.
- 3. Division of Experimental Chemotherapy, Cancer Chemotherapy Center, JFCR, Tokyo, Japan.
- 4. Division of Pathology, The Cancer Institute, JFCR, Tokyo, Japan.
- 5. Gastroenterological Chemotherapy, Cancer Institute Hospital, JFCR, Tokyo, Japan.
- 6. Graduate School of Pharmaceutical Sciences, Meiji Pharmaceutical University, Tokyo, Japan.
- 7. Drug Discovery Chemistry Platform Unit, RIKEN Center for Sustainable Resource Science, Saitama, Japan.
- 8. Gastroenterological Surgery, Cancer Institute Hospital, JFCR, Tokyo, Japan.
- 9. Department of Surgery, Uji-Tokushukai Medical Center, Kyoto, Japan.
- 10. Division of Molecular Biotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research (JFCR), Tokyo, Japan. [email protected].
- 11. Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan. [email protected].
- 12. Graduate School of Pharmaceutical Sciences, Meiji Pharmaceutical University, Tokyo, Japan. [email protected].
- # Contributed equally.
Background: Aberrant Wnt/β-catenin signaling drives carcinogenesis. Tankyrases poly(ADP-ribosyl)ate and destabilize AXINs, β-catenin repressors. Tankyrase inhibitors block Wnt/β-catenin signaling and colorectal Cancer (CRC) growth. We previously reported that 'short' APC mutations, lacking all seven β-catenin-binding 20-amino acid repeats (20-AARs), are potential predictive biomarkers for CRC cell sensitivity to tankyrase inhibitors. Meanwhile, 'Long' APC mutations, which possess more than one 20-AAR, do not predict inhibitor-resistant cells. Thus, additional biomarkers are needed to precisely predict the inhibitor sensitivity.
Methods: Using 47 CRC patient-derived cells (PDCs), we examined correlations between the sensitivity to tankyrase inhibitors (G007-LK and RK-582), driver mutations, and the expressions of signaling factors. NOD.CB17-Prkdcscid/J and BALB/c-nu/nu xenograft mice were treated with RK-582.
Results: Short APC mutant CRC cells exhibited high/intermediate sensitivities to tankyrase inhibitors in vitro and in vivo. Active β-catenin levels correlated with inhibitor sensitivity in both short and long APC mutant PDCs. PIK3CA mutations, but not KRAS/BRAF mutations, were more frequent in inhibitor-resistant PDCs. Some wild-type APC PDCs showed inhibitor sensitivity in a β-catenin-independent manner.
Conclusions: APC/PIK3CA mutations and β-catenin predict the sensitivity of APC-mutated CRC PDCs to tankyrase inhibitors. These observations may help inform the strategy of patient selection in future clinical trials of tankyrase inhibitors.