Abstract

Lung adenocarcinomas (LUADs) with somatic mutations in the KRAS oncogene comprise the most common molecular subtype of lung cancer in smokers and present with overall dismal prognosis and resistance to most therapies. Our group recently demonstrated that tobacco carcinogen-exposed mice with knockout of the airway lineage G-protein coupled receptor, Gprc5a, develop LUADs with somatic mutations in Kras. Earlier work has suggested that cancer stem cells (CSCs) play crucial roles in clonal evolution of tumors and in therapy resistance. To date, our understanding of CSCs in LUADs with somatic Kras mutations remains lagging. Here we derived CSCs (as spheres in 3D cultures) with self-renewal properties from a murine Kras-mutant LUAD cell line we previously established from a tobacco carcinogen-exposed Gprc5a−/− mouse. Using syngeneic Gprc5a−/− models, we found that these CSCs, compared to their parental isoforms, exhibited increased tumorigenic potential in vivo, particularly in female animals. Using whole-transcriptome sequencing coupled with pathways analysis and confirmatory PCR, we identified gene features (n = 2,600) differentially expressed in the CSCs compared to parental cells and that were enriched with functional modules associated with an augmented malignant phenotype including stemness, tumor-promoting inflammation and anti-oxidant responses. Further, based on in silico predicted activation of GSK3β in CSCs, we found that tideglusib, an irreversible inhibitor of the kinase, exhibited marked anti-growth effects in the cultured CSCs. Our study underscores molecular cues in the pathogenesis of Kras-mutant LUAD and presents new models to study the evolution, and thus high-potential targets, of this aggressive malignancy.

Highlights

  • Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related deaths worldwide [1]

  • We found that spheres were continuously maintained from G1 to G5 with dynamic sphere forming units (SFUs) ranging from 4.44 to 7.63% for MDA-F471 (Figure 1A)

  • Similar to what we had observed with G1 spheres, female mice injected with dissociated MDA-F471 G5 spheres retained more tumors at the end point than did female mice injected with parental cells, which was significant by Fisher’s exact test for the 1,000 cell dilution (P = 0.0152) (Table S4). These findings suggest that cancer stem cells (CSCs) we had derived from Gprc5a−/− Kras-mutant Lung adenocarcinomas (LUADs) cells exhibit stemness properties exemplified by their increased tumorigenic activity in vivo when compared to parental cells

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Summary

Introduction

Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related deaths worldwide [1]. Lung adenocarcinoma (LUAD), squamous cell carcinoma, and large cell carcinoma constitute the major histological subtypes of NSCLC [2, 3]. LUAD represents the most common subtype of NSCLC and is prevalent in never, former and current smokers [2, 3]. Relative to other NSCLCs, KRAS-mutant LUADs are clinically very aggressive, display dismal prognosis and are resistant to most, if not all, therapies [4, 5]. These data suggest the pressing need for new strategies for the clinical management and treatment of this fatal disease

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