Abstract Our knowledge of small cell lung cancer (SCLC) genetics is still very limited, amplification of L-MYC , N-MYC , and C-MYC being some of the well-established genealterations. Here, we report our discovery of tumor-specifi c inactivation of the MYC-associated factorX gene, MAX , in SCLC. MAX inactivation is mutually exclusive with alterations of MYC and BRG1 , thelatter coding for an ATPase of the switch/sucrose nonfermentable (SWI/SNF) complex. We demonstratethat BRG1 regulates the expression of MAX through direct recruitment to the MAX promoter, and thatdepletion of BRG1 strongly hinders cell growth, specifi cally in MAX-defi cient cells, heralding a syntheticlethal interaction. Furthermore, MAX requires BRG1 to activate neuroendocrine transcriptional programsand to upregulate MYC targets, such as glycolysis-related genes. Finally, inactivation of the MAXdimerization protein, MGA, was also observed in both non–small cell lung cancer and SCLC. Our resultsprovide evidence that an aberrant SWI/SNF–MYC network is essential for lung cancer development. SIGNIFICANCE: We discovered that the MYC-associated factor X gene, MAX , is inactivated in SCLCs.Furthermore, we revealed a preferential toxicity of the inactivation of the chromatin remodeler BRG1in MAX-defi cient lung cancer cells, which opens novel therapeutic possibilities for the treatment ofpatients with SCLC with MAX-defi cient tumors. Citation Format: Manuel Torres-Diz, Octavio A. Romero, Eva Pros, Suvi Savola, Antonio Gomez, Sebastian Moran, Luis M. Montuenga, Jun Yokota, Montse Sanchez-Cespedes. MAX inactivation in small cell lung cancer disrupts the MYC-SWI/SNF programs and is synthetic lethal with BRG1. [abstract]. In: Proceedings of the AACR Special Conference on Myc: From Biology to Therapy; Jan 7-10, 2015; La Jolla, CA. Philadelphia (PA): AACR; Mol Cancer Res 2015;13(10 Suppl):Abstract nr A35.
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