Codon bias imposes a targetable limitation on KRAS-driven therapeutic resistance

Nat Commun. 2017 Jun 8:8:15617. doi: 10.1038/ncomms15617.

Abstract

KRAS mutations drive resistance to targeted therapies, including EGFR inhibitors in colorectal cancer (CRC). Through genetic screens, we unexpectedly find that mutant HRAS, which is rarely found in CRC, is a stronger driver of resistance than mutant KRAS. This difference is ascribed to common codon bias in HRAS, which leads to much higher protein expression, and implies that the inherent poor expression of KRAS due to rare codons must be surmounted during drug resistance. In agreement, we demonstrate that primary resistance to cetuximab is dependent upon both KRAS mutational status and protein expression level, and acquired resistance is often associated with KRASQ61 mutations that function even when protein expression is low. Finally, cancer cells upregulate translation to facilitate KRASG12-driven acquired resistance, resulting in hypersensitivity to translational inhibitors. These findings demonstrate that codon bias plays a critical role in KRAS-driven resistance and provide a rationale for targeting translation to overcome resistance.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Monoclonal / pharmacology
  • Antineoplastic Agents, Immunological / pharmacology*
  • Cell Line, Tumor
  • Cell Proliferation
  • Cetuximab / pharmacology*
  • Codon / genetics
  • Colorectal Neoplasms / drug therapy*
  • Colorectal Neoplasms / genetics*
  • Drug Resistance, Neoplasm / genetics*
  • ErbB Receptors / antagonists & inhibitors
  • ErbB Receptors / genetics
  • Humans
  • Lung Neoplasms / drug therapy
  • Lung Neoplasms / genetics
  • Pancreatic Neoplasms / drug therapy
  • Pancreatic Neoplasms / genetics
  • Panitumumab
  • Proto-Oncogene Proteins p21(ras) / genetics*
  • RNA Interference
  • RNA, Small Interfering / genetics

Substances

  • Antibodies, Monoclonal
  • Antineoplastic Agents, Immunological
  • Codon
  • KRAS protein, human
  • RNA, Small Interfering
  • Panitumumab
  • EGFR protein, human
  • ErbB Receptors
  • HRAS protein, human
  • Proto-Oncogene Proteins p21(ras)
  • Cetuximab