Drug-resilient Cancer Cell Phenotype Is Acquired via Polyploidization Associated with Early Stress Response Coupled to HIF2α Transcriptional Regulation

Carroll, Christopher; Manaprasertsak, Auraya; Castro, Arthur Boffelli; Van den Bos, Hilda, et al. (2024-03). Drug-resilient Cancer Cell Phenotype Is Acquired via Polyploidization Associated with Early Stress Response Coupled to HIF2α Transcriptional Regulation. Cancer Research Communications, 4, (3), 691 - 705
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DOI:
| Published | English
Authors:
Carroll, Christopher ; Manaprasertsak, Auraya ; Castro, Arthur Boffelli ; Van den Bos, Hilda , et al.
Department:
StemTherapy: National Initiative on Stem Cells for Regenerative Therapy
Molecular Evolution
LUCC: Lund University Cancer Centre
Childhood Cancer Research Unit
Paediatrics (Lund)
Division of Translational Cancer Research
Aneuploidy in cancer
Division of Clinical Genetics
Genetic and epigenetic studies of pediatric leukemia
Functional Ecology
Molecular Ecology and Evolution Lab
EpiHealth: Epidemiology for Health
Lithosphere and Biosphere Science
Research Group:
Molecular Evolution
Childhood Cancer Research Unit
Aneuploidy in cancer
Genetic and epigenetic studies of pediatric leukemia
Molecular Ecology and Evolution Lab
Abstract:

Therapeutic resistance and recurrence remain core challenges in cancer therapy. How therapy resistance arises is currently not fully understood with tumors surviving via multiple alternative routes. Here, we demonstrate that a subset of cancer cells survives therapeutic stress by entering a transient state characterized by whole-genome doubling. At the onset of the polyploidization program, we identified an upregulation of key transcriptional regulators, including the early stress-response protein AP-1 and normoxic stabilization of HIF2α. We found altered chromatin accessibility, ablated expression of retinoblastoma protein (RB1), and enrichment of AP-1 motif accessibility. We demonstrate that AP-1 and HIF2α regulate a therapy resilient and survivor phenotype in cancer cells. Consistent with this, genetic or pharmacologic targeting of AP-1 and HIF2α reduced the number of surviving cells following chemotherapy treatment. The role of AP-1 and HIF2α in stress response by polyploidy suggests a novel avenue for tackling chemotherapy-induced resistance in cancer. Significance: In response to cisplatin treatment, some surviving cancer cells undergo whole-genome duplications without mitosis, which represents a mechanism of drug resistance. This study presents mechanistic data to implicate AP-1 and HIF2α signaling in the formation of this surviving cell phenotype. The results open a new avenue for targeting drug-resistant cells.

ISSN:
2767-9764
LUP-ID:
b4b607d1-06a2-4a91-92ac-7acb481d3b2d | Link: https://lup.lub.lu.se/record/b4b607d1-06a2-4a91-92ac-7acb481d3b2d | Statistics

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