Abstract

Platinum-based chemotherapy remains the cornerstone of treatment for most non-small cell lung cancer (NSCLC) cases either as maintenance therapy or in combination with immunotherapy. However, resistance remains a primary issue. Our findings point to the possibility of exploiting levels of cell division cycle associated protein-3 (CDCA3) to improve response of NSCLC tumours to therapy. We demonstrate that in patients and in vitro analyses, CDCA3 levels correlate with measures of genome instability and platinum sensitivity, whereby CDCA3high tumours are sensitive to cisplatin and carboplatin. In NSCLC, CDCA3 protein levels are regulated by the ubiquitin ligase APC/C and cofactor Cdh1. Here, we identified that the degradation of CDCA3 is modulated by activity of casein kinase 2 (CK2) which promotes an interaction between CDCA3 and Cdh1. Supporting this, pharmacological inhibition of CK2 with CX-4945 disrupts CDCA3 degradation, elevating CDCA3 levels and increasing sensitivity to platinum agents. We propose that combining CK2 inhibitors with platinum-based chemotherapy could enhance platinum efficacy in CDCA3low NSCLC tumours and benefit patients.

Highlights

  • Platinum-based chemotherapy remains the cornerstone of treatment for most non-small cell lung cancer (NSCLC) cases either as maintenance therapy or in combination with immunotherapy

  • This is in line with our observation that cisplatininduced DNA damage causes an upregulation of cell division cycle associated protein-3 (CDCA3) protein via evasion of APC/CCdh1-mediated degradation (Figs. 2 and 3), suggesting that upregulation of CDCA3 expression is symptomatic of, and not causal of genome instability

  • Upregulation of CDCA3 levels by ectopic expression resulted in enhanced sensitivity to cisplatin and carboplatin (Fig. 6a, b)

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Summary

Introduction

Platinum-based chemotherapy remains the cornerstone of treatment for most non-small cell lung cancer (NSCLC) cases either as maintenance therapy or in combination with immunotherapy. Our findings point to the possibility of exploiting levels of cell division cycle associated protein-3 (CDCA3) to improve response of NSCLC tumours to therapy. In the search for novel biomarkers or therapeutic targets, we have studied the protein cell division cycle associated protein-3 (CDCA3), known as trigger of mitosis entry 1 (TOME-1). This protein primarily modulates cell cycle progression from the G2 phase to mitosis. We demonstrate that while CDCA3 protein levels are regulated by the anaphase-promoting complex/cyclosome (APC/C) in NSCLC, pharmacological strategies to block this protein–protein interaction enhance sensitivity to platinum agents

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