Cell Reports (Feb 2017)

ATXN1L, CIC, and ETS Transcription Factors Modulate Sensitivity to MAPK Pathway Inhibition

  • Belinda Wang,
  • Elsa Beyer Krall,
  • Andrew James Aguirre,
  • Miju Kim,
  • Hans Ragnar Widlund,
  • Mihir Bhavik Doshi,
  • Ewa Sicinska,
  • Rita Sulahian,
  • Amy Goodale,
  • Glenn Spencer Cowley,
  • Federica Piccioni,
  • John Gerard Doench,
  • David Edward Root,
  • William Chun Hahn

DOI
https://doi.org/10.1016/j.celrep.2017.01.031
Journal volume & issue
Vol. 18, no. 6
pp. 1543 – 1557

Abstract

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Intrinsic resistance and RTK-RAS-MAPK pathway reactivation has limited the effectiveness of MEK and RAF inhibitors (MAPKi) in RAS- and RAF-mutant cancers. To identify genes that modulate sensitivity to MAPKi, we performed genome-scale CRISPR-Cas9 loss-of-function screens in two KRAS mutant pancreatic cancer cell lines treated with the MEK1/2 inhibitor trametinib. Loss of CIC, a transcriptional repressor of ETV1, ETV4, and ETV5, promoted survival in the setting of MAPKi in cancer cells derived from several lineages. ATXN1L deletion, which reduces CIC protein, or ectopic expression of ETV1, ETV4, or ETV5 also modulated sensitivity to trametinib. ATXN1L expression inversely correlates with response to MAPKi inhibition in clinical studies. These observations identify the ATXN1L-CIC-ETS transcription factor axis as a mediator of resistance to MAPKi.

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