Abstract

During this last decade, the development of prosenescence therapies has become an attractive strategy as cellular senescence acts as a barrier against tumour progression. In this context, CDK4/6 inhibitors induce senescence and reduce tumour growth in breast cancer patients. However, even though cancer cells are arrested after CDK4/6 inhibitor treatment, genes regulating senescence in this context are still unknown limiting their antitumour activity. Here, using a functional genome-wide CRISPR/Cas9 genetic screen we found several genes that participate in the proliferation arrest induced by CDK4/6 inhibitors. We find that downregulation of the coagulation factor IX (F9) using sgRNA and shRNA prevents the cell cycle arrest and senescent-like phenotype induced in MCF7 breast tumour cells upon Palbociclib treatment. These results were confirmed using another breast cancer cell line, T47D, and with an alternative CDK4/6 inhibitor, Abemaciclib, and further tested in a panel of 22 cancer cells. While F9 knockout prevents the induction of senescence, treatment with a recombinant F9 protein was sufficient to induce a cell cycle arrest and senescence-like state in MCF7 tumour cells. Besides, endogenous F9 is upregulated in different human primary cells cultures undergoing senescence. Importantly, bioinformatics analysis of cancer datasets suggest a role for F9 in human tumours. Altogether, these data collectively propose key genes involved in CDK4/6 inhibitor response that will be useful to design new therapeutic strategies in personalised medicine in order to increase their efficiency, stratify patients and avoid drug resistance.

Highlights

  • A key characteristic of cancer cells is the deregulation of cyclindependent kinases (CDKs) leading to uncontrolled cell proliferation

  • We ability of sgF9, sgRNA targeting PROZ (sgPROZ) and sgRNA targeting RB1 (sgRB) to prevent the proliferation arrest screened a panel of 22 cancer cell lines for their response to induced by Palbo was confirmed by performing proliferation different CDK4/6 inhibitors and we show that F9 loss-of-function curves at different days after treatment (Fig. 2B, C)

  • A better understanding of the mechanisms regulating senescence induced by CDK4/6 inhibitors is needed in order to increase therapy efficacy and patient stratification in cancer

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Summary

INTRODUCTION

A key characteristic of cancer cells is the deregulation of cyclindependent kinases (CDKs) leading to uncontrolled cell proliferation. The molecular mechanisms by which CDK4/ 6 inhibitors induce senescence in cancer cells and the genes involved in conferring drug resistance or lack of response to these inhibitors are unknown, preventing patient stratification prior to Palbociclib treatment [18]. In this study, using a human genome-wide CRISPR/Cas library we identified genes whose loss-of-function prevent the proliferative arrest induced by Palbociclib in MCF7 breast cancer cells. We ability of sgF9, sgPROZ and sgRB to prevent the proliferation arrest screened a panel of 22 cancer cell lines for their response to induced by Palbo was confirmed by performing proliferation different CDK4/6 inhibitors and we show that F9 loss-of-function curves at different days after treatment (Fig. 2B, C). We could observe an increase in the mRNA expression levels of F9

RESULTS
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DISCUSSION
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