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| Open AccessThe PARTNER trial of neoadjuvant olaparib with chemotherapy in triple-negative breast cancer
A study details the results of the PARTNER trial, a prospective, randomized controlled trial of the use of neoadjuvant olaparib with carboplatin–paclitaxel chemotherapy in patients with triple-negative breast cancer who were germline BRCA1 and BRCA2 wild type.
- Jean E. Abraham
- , Karen Pinilla
- & Helena M. Earl
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Article
| Open AccessConcurrent inhibition of oncogenic and wild-type RAS-GTP for cancer therapy
RMC-7977, a compound that exhibits potent inhibition of the active states of mutant and wild-type KRAS, NRAS and HRAS variants has a strong anti-tumour effect on RAS-addicted tumours and is well tolerated in preclinical models.
- Matthew Holderfield
- , Bianca J. Lee
- & Mallika Singh
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Article |
TRBC1-targeting antibody–drug conjugates for the treatment of T cell cancers
Anti-TRBC1 antibody–drug conjugates may offer a more potent T cell cancer therapy by bypassing the fratricide that may be limiting the efficacy of anti-TRBC1 CAR T cells in the clinical trial for patients with T cell cancers.
- Tushar D. Nichakawade
- , Jiaxin Ge
- & Suman Paul
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Article
| Open AccessTranscription–replication conflicts underlie sensitivity to PARP inhibitors
Poly(ADP-ribose) polymerase 1 (PARP1) functions together with TIMELESS and TIPIN to protect the replisome in early S phase from transcription–replication conflicts, and inhibiting PARP1 enzymatic activity may suffice for treatment efficacy in homologous recombination-deficient settings.
- Michalis Petropoulos
- , Angeliki Karamichali
- & Thanos D. Halazonetis
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Article |
Therapy-induced APOBEC3A drives evolution of persistent cancer cells
Induction of APOBEC3A in response to targeted therapies drives evolution of drug-tolerant persister cells, suggesting that its suppression may represent a potential therapeutic strategy in the prevention of acquired resistance to lung cancer targeted therapy.
- Hideko Isozaki
- , Ramin Sakhtemani
- & Aaron N. Hata
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Article
| Open AccessPan-KRAS inhibitor disables oncogenic signalling and tumour growth
A non-covalent inhibitor that binds preferentially to the inactive state of KRAS while sparing NRAS and HRAS is reported, indicating that most KRAS oncoproteins cycle between an active state and an inactive state in cancer cells.
- Dongsung Kim
- , Lorenz Herdeis
- & Piro Lito
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Article
| Open AccessThe menin inhibitor revumenib in KMT2A-rearranged or NPM1-mutant leukaemia
Revumenib, a potent and selective oral inhibitor of the menin–KMT2A interaction, is associated with a low frequency of treatment-related adverse events and promising clinical activity in patients with relapsed or refractory acute leukaemia.
- Ghayas C. Issa
- , Ibrahim Aldoss
- & Eytan M. Stein
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Article |
A vaccine targeting resistant tumours by dual T cell plus NK cell attack
A vaccine targeting stress proteins expressed by many cancers blocks a tumour escape mechanism, enabling protective immunity mediated by diverse T cell and NK cell populations.
- Soumya Badrinath
- , Maxence O. Dellacherie
- & Kai W. Wucherpfennig
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Article |
Silent mutations reveal therapeutic vulnerability in RAS Q61 cancers
A translationally silent KRASG60G mutation, preventing the formation of a cryptic splice donor site and enabling expression of KRAS(Q61K), reveals a vulnerability in RASQ61 cancers that are therapeutically exploitable in a mutant-selective manner.
- Yoshihisa Kobayashi
- , Chhayheng Chhoeu
- & Pasi A. Jänne
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Article
| Open AccessEffective drug combinations in breast, colon and pancreatic cancer cells
A survey of potency and efficacy of 2,025 clinically relevant two-drug combinations against 125 molecularly characterized breast, colorectal and pancreatic cancer cell lines identifies rare synergistic effects of anticancer drugs, informing rational combination treatments for specific cancer subtypes.
- Patricia Jaaks
- , Elizabeth A. Coker
- & Mathew J. Garnett
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Article
| Open AccessTargeting SWI/SNF ATPases in enhancer-addicted prostate cancer
PROTAC degrader–induced SWI/SNF inactivation abolishes DNA accessibility at enhancer elements of oncogenes and also tempers supra-physiologic expression of driver transcription factors, resulting in potent inhibition of tumour growth in mouse models.
- Lanbo Xiao
- , Abhijit Parolia
- & Arul M. Chinnaiyan
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Article |
The KEYNOTE-811 trial of dual PD-1 and HER2 blockade in HER2-positive gastric cancer
Interim analysis of a phase III clinical trial of HER2-positive gastric adenocarinoma shows pembrolizumab plus trastuzumab and chemotherapy improves response rates compared with trastuzumab and chemotherapy alone.
- Yelena Y. Janjigian
- , Akihito Kawazoe
- & Hyun Cheol Chung
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Article |
Diverse alterations associated with resistance to KRAS(G12C) inhibition
Multiple treatment-emergent alterations appear in patients with advanced-stage cancer who were treated with a KRAS inhibitor.
- Yulei Zhao
- , Yonina R. Murciano-Goroff
- & Piro Lito
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Article
| Open AccessStructure-based classification predicts drug response in EGFR-mutant NSCLC
Structural classification of mutations in the epidermal growth factor receptor causing non-small cell lung cancer is a better predictor of patient outcomes following drug treatment than traditional exon-based classification.
- Jacqulyne P. Robichaux
- , Xiuning Le
- & John V. Heymach
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Article |
Cycling cancer persister cells arise from lineages with distinct programs
Lineage tracing by barcoding of individual cells using a lentivirus library shows that cycling and non-cycling drug-tolerant persister cells in cancer arise from different lineages with distinct transcriptional and metabolic programs.
- Yaara Oren
- , Michael Tsabar
- & Aviv Regev
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Article |
TRIM37 controls cancer-specific vulnerability to PLK4 inhibition
Acentrosomal assembly of the mitotic spindle upon inhibition of the PLK4 protein is shown to depend on the ubiquitin ligase TRIM37, with implications for the use of PLK4 inhibitors to treat neuroblastoma and breast cancer.
- Franz Meitinger
- , Midori Ohta
- & Karen Oegema
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Article |
Serine restriction alters sphingolipid diversity to constrain tumour growth
In xenograft tumour models in mice, modulation of dietary serine, serine palmitoyltransferase or phosphoglycerate dehydrogenase activity enables control of the endogenous synthesis of deoxysphingolipids, sensitizing the tumours to metabolic stress and slowing their progression.
- Thangaselvam Muthusamy
- , Thekla Cordes
- & Christian M. Metallo
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Article |
Rapid non-uniform adaptation to conformation-specific KRAS(G12C) inhibition
Populations of KRAS(G12C)-mutant cancer cells can rapidly bypass the effects of treatment with KRAS(G12C) inhibitors because a subset of cells escapes drug-induced quiescence by producing new KRAS(G12C) that is maintained in its active, drug-insensitive state.
- Jenny Y. Xue
- , Yulei Zhao
- & Piro Lito
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Letter |
Inducing and exploiting vulnerabilities for the treatment of liver cancer
CDC7 inhibition selectively induces senescence in hepatocellular carcinoma cells with TP53 mutations, which enables the selective apoptotic cell death of these senescent cells using inhibitors of mTOR signalling.
- Cun Wang
- , Serena Vegna
- & René Bernards
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Letter |
The Drug Rediscovery protocol facilitates the expanded use of existing anticancer drugs
Clinical benefit was observed in 34% of a cohort of 215 patients with cancer who received treatment with anticancer drugs outside of their approved label, in the Drug Rediscovery protocol trial.
- D. L. van der Velden
- , L. R. Hoes
- & E. E. Voest
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Article |
Glutamatergic synaptic input to glioma cells drives brain tumour progression
Neurons form glutamatergic synapses with glioma cells in mice and humans, and inhibition of AMPA receptors reduces glioma cell invasion and growth.
- Varun Venkataramani
- , Dimitar Ivanov Tanev
- & Thomas Kuner
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Letter |
Tumour lineage shapes BRCA-mediated phenotypes
Analysis of more than 17,000 tumours suggests that the contribution of germline and somatic mutations in the BRCA1 and BRCA2 genes to oncogenesis depends on tumour lineage.
- Philip Jonsson
- , Chaitanya Bandlamudi
- & Barry S. Taylor
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Letter |
Targeting LIF-mediated paracrine interaction for pancreatic cancer therapy and monitoring
A systematic proteomic investigation of disease mediators secreted by pancreatic stellate cells identifies leukaemia inhibitory factor (LIF) as a key factor that acts on cancer cells, promoting tumour progression and chemoresistance.
- Yu Shi
- , Weina Gao
- & Tony Hunter
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Letter |
p38γ is essential for cell cycle progression and liver tumorigenesis
The stress-activated kinase p38γ has a role in regulating entry into the cell cycle; in the liver, it can induce cellular proliferation during regeneration and promote the development of hepatocellular carcinoma.
- Antonia Tomás-Loba
- , Elisa Manieri
- & Guadalupe Sabio
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Article |
Prioritization of cancer therapeutic targets using CRISPR–Cas9 screens
In a screen of 324 human cancer cell lines and utilising a systematic target prioritization framework, the Werner syndrome ATP-dependent helicase is shown to be a synthetic lethal target in tumours from multiple cancer types with microsatellite instability, providing a new target for cancer drug development.
- Fiona M. Behan
- , Francesco Iorio
- & Mathew J. Garnett
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Letter |
WRN helicase is a synthetic lethal target in microsatellite unstable cancers
Depletion of the DNA helicase WRN induced double-stranded DNA breaks, and promoted apoptosis and cell cycle arrest selectively in cancers with microsatellite instability, indicating that WRN is a promising drug target for the treatment of these cancers.
- Edmond M. Chan
- , Tsukasa Shibue
- & Adam J. Bass
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Letter |
Efficacy of MEK inhibition in patients with histiocytic neoplasms
A proof-of-concept clinical trial of patients with histiocytoses with MAPK-pathway mutations showed durable responses to treatment with the MEK1 and MEK2 inhibitor cobimetinib, which indicates that histiocytic neoplasms are dependent on MAPK signalling.
- Eli L. Diamond
- , Benjamin H. Durham
- & David M. Hyman
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Letter |
Suppression of insulin feedback enhances the efficacy of PI3K inhibitors
Glucose–insulin feedback can reactivate PI3K in tumours treated with PI3K inhibitors, reducing therapeutic efficacy, but this effect can be reduced by using drugs or diet to suppress the insulin response.
- Benjamin D. Hopkins
- , Chantal Pauli
- & Lewis C. Cantley
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Letter |
CRISPR screens identify genomic ribonucleotides as a source of PARP-trapping lesions
Mutations in all three genes encoding ribonuclease H2 sensitize cells to poly(ADP–ribose) polymerase inhibitors by compromising ribonucleotide excision repair.
- Michal Zimmermann
- , Olga Murina
- & Daniel Durocher
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Article |
HER kinase inhibition in patients with HER2- and HER3-mutant cancers
In a basket trial design, the efficacy of the pan-HER kinase inhibitor neratinib is tested in patients with 21 different tumour types, and responses are determined by mutation and tissue type, and are restricted to HER2-mutant cancers.
- David M. Hyman
- , Sarina A. Piha-Paul
- & David B. Solit
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Letter |
Cancer drug addiction is relayed by an ERK2-dependent phenotype switch
The identification of an ERK2–JUNB–FRA1 signalling pathway that drives addiction to therapeutic drugs in cancer cells, and an ERK2-dependent phenotype switch that precedes cell death after drug withdrawal, may help to guide therapies that exploit the addiction phenotype.
- Xiangjun Kong
- , Thomas Kuilman
- & Daniel S. Peeper
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Letter |
Tumours with class 3 BRAF mutants are sensitive to the inhibition of activated RAS
Hypoactive BRAF mutants bind more tightly than wild type to the upstream regulator RAS, thus amplifying to amplify ERK signalling; tumours expressing these mutants require coexistent mechanisms for RAS activation to grow and are sensitive to their inhibition.
- Zhan Yao
- , Rona Yaeger
- & Neal Rosen
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Letter |
A Wnt-producing niche drives proliferative potential and progression in lung adenocarcinoma
A subset of Kras and p53 mutant cancer cells acts as a Wnt-producing niche for another cancer cell subset, and porcupine inhibition disrupts Wnt secretion in this niche, thereby suppressing proliferative potential and leading to therapeutic benefit.
- Tuomas Tammela
- , Francisco J. Sanchez-Rivera
- & Tyler Jacks
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Letter |
Phosphatidylinositol 3-kinase δ blockade increases genomic instability in B cells
PI3Kδ controls the expression of the recombinogenic enzyme AID; excessive AID activity caused by PI3Kδ inhibition can induce genomic instability in leukaemia and lymphoma cells, as well as in patients with chronic lymphocytic leukaemia treated with PI3Kδ inhibitors.
- Mara Compagno
- , Qi Wang
- & Roberto Chiarle
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Brief Communications Arising |
Consistency in drug response profiling
- John Patrick Mpindi
- , Bhagwan Yadav
- & Tero Aittokallio
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Brief Communications Arising |
Drug response consistency in CCLE and CGP
- Mehdi Bouhaddou
- , Matthew S. DiStefano
- & Marc R. Birtwistle
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Brief Communications Arising |
Safikhani et al. reply
- Zhaleh Safikhani
- , Nehme El-Hachem
- & Benjamin Haibe-Kains
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Brief Communications Arising |
Safikhani et al. reply
- Zhaleh Safikhani
- , Nehme El-Hachem
- & Benjamin Haibe-Kains
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Letter |
The epichaperome is an integrated chaperome network that facilitates tumour survival
Chaperomes are dynamic assemblies of proteins that regulate cellular homeostasis but specific cellular stresses remodel chaperome components into a stable chaperome network called the epichaperome, which might offer a new cancer target.
- Anna Rodina
- , Tai Wang
- & Gabriela Chiosis
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Letter |
Small molecule stabilization of the KSR inactive state antagonizes oncogenic Ras signalling
A class of small molecules that stabilize a previously unrecognized inactive state of KSR is reported; the agonists synergize with MEK inhibitors to prevent growth of Ras mutant cell lines.
- Neil S. Dhawan
- , Alex P. Scopton
- & Arvin C. Dar
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Letter |
Allosteric inhibition of SHP2 phosphatase inhibits cancers driven by receptor tyrosine kinases
SHP099, a selective inhibitor of signalling meditator SHP2 with drug-like properties, has an allosteric mechanism of action whereby it stabilizes SHP2 in an auto-inhibited conformation, and suppresses RAS–ERK signalling and proliferation in receptor-tyrosine-kinase-driven cancer cell lines and mouse tumour xenograft models.
- Ying-Nan P. Chen
- , Matthew J. LaMarche
- & Pascal D. Fortin
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Letter |
Melanoma addiction to the long non-coding RNA SAMMSON
A known oncogene, MITF, resides in a region of chromosome 3 that is amplified in melanomas and associated with poor prognosis; now, a long non-coding RNA gene, SAMMSON, is shown to also lie in this region, to also act as a melanoma-specific survival oncogene, and to be a promising therapeutic target for anti-melanoma therapy.
- Eleonora Leucci
- , Roberto Vendramin
- & Jean-Christophe Marine
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Letter |
Targeting PTPRK-RSPO3 colon tumours promotes differentiation and loss of stem-cell function
Antibody-mediated inhibition of R-spondin-3 in colorectal tumours decreases tumour growth and promotes differentiation—these effects are associated with a decrease in expression of genes associated with stem-cell function.
- Elaine E. Storm
- , Steffen Durinck
- & Frederic J. de Sauvage
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Letter |
Microenvironment-induced PTEN loss by exosomal microRNA primes brain metastasis outgrowth
Expression of the tumour suppressor PTEN in disseminated primary tumour cells is lost after tumour cells metastasize to the brain, with downregulation instigated by microRNAs from astrocytes, which are transferred from cell to cell by exosomes; these findings reveal the dynamic nature of metastatic cancer cells when adapting to a new tissue environment.
- Lin Zhang
- , Siyuan Zhang
- & Dihua Yu
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Letter |
Improving survival by exploiting tumour dependence on stabilized mutant p53 for treatment
Novel hotspot mutant p53 gain-of-function mouse model shows that tumours depend on its sustained expression, and genetic and pharmacological approaches reveal mutant p53 as an actionable cancer drug target.
- E. M. Alexandrova
- , A. R. Yallowitz
- & U. M. Moll
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Letter |
Homologous-recombination-deficient tumours are dependent on Polθ-mediated repair
In studies in mammalian cells, polymerase theta (Polθ, also known as POLQ) is identified as the polymerase responsible for non-homologous end joining DNA repair; this DNA repair pathway acts in many tumours when homologous recombination is inactivated and the identification of the polymerase responsible may aid the development of new therapeutic approaches.
- Raphael Ceccaldi
- , Jessica C. Liu
- & Alan D. D’Andrea
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Letter |
MicroRNA silencing for cancer therapy targeted to the tumour microenvironment
A novel anti-microRNA delivery platform that targets the acidic tumour microenvironment, in which a chosen anti-miRNA is coupled to a peptide that can transport the anti-miRNA across cell membranes specifically in an acidic environment.
- Christopher J. Cheng
- , Raman Bahal
- & Frank J. Slack
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Letter |
Discovery and characterization of small molecules that target the GTPase Ral
Using a structure-based approach, small molecule inhibitors that selectively target the GTPase Ral are identified and characterized; these first-generation inhibitors will be valuable tools for elucidating the Ral signalling pathway and constitute a step towards developing Ral-specific agents for cancer therapy.
- Chao Yan
- , Degang Liu
- & Dan Theodorescu
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Letter |
PRC2 loss amplifies Ras-driven transcription and confers sensitivity to BRD4-based therapies
SUZ12, a component of the PRC2 complex, can also function as a tumour suppressor in certain tumours of the nervous system and melanomas.
- Thomas De Raedt
- , Eline Beert
- & Karen Cichowski