[HTML][HTML] Distinct initiating events underpin the immune and metabolic heterogeneity of KRAS-mutant lung adenocarcinoma

SA Best, S Ding, A Kersbergen, X Dong… - Nature …, 2019 - nature.com
SA Best, S Ding, A Kersbergen, X Dong, JY Song, Y Xie, B Reljic, K Li, JE Vince, V Rathi…
Nature communications, 2019nature.com
The KRAS oncoprotein, a critical driver in 33% of lung adenocarcinoma (LUAD), has
remained an elusive clinical target due to its perceived undruggable nature. The
identification of dependencies borne through common co-occurring mutations are sought to
more effectively target KRAS-mutant lung cancer. Approximately 20% of KRAS-mutant
LUAD carry loss-of-function mutations in KEAP1, a negative regulator of the antioxidant
response transcription factor NFE2L2/NRF2. We demonstrate that Keap1-deficient Kras …
Abstract
The KRAS oncoprotein, a critical driver in 33% of lung adenocarcinoma (LUAD), has remained an elusive clinical target due to its perceived undruggable nature. The identification of dependencies borne through common co-occurring mutations are sought to more effectively target KRAS-mutant lung cancer. Approximately 20% of KRAS-mutant LUAD carry loss-of-function mutations in KEAP1, a negative regulator of the antioxidant response transcription factor NFE2L2/NRF2. We demonstrate that Keap1-deficient KrasG12D lung tumors arise from a bronchiolar cell-of-origin, lacking pro-tumorigenic macrophages observed in tumors originating from alveolar cells. Keap1 loss activates the pentose phosphate pathway, inhibition of which, using 6-AN, abrogated tumor growth. These studies highlight alternative therapeutic approaches to specifically target this unique subset of KRAS-mutant LUAD cancers.
nature.com