In vivo RNAi screening identifies a mechanism of sorafenib resistance in liver cancer Journal Article


Authors: Rudalska, R.; Dauch, D.; Longerich, T.; McJunkin, K.; Wuestefeld, T.; Kang, T. W.; Hohmeyer, A.; Pesic, M.; Leibold, J.; von Thun, A.; Schirmacher, P.; Zuber, J.; Weiss, K. H.; Powers, S.; Malek, N. P.; Eilers, M.; Sipos, B.; Lowe, S. W.; Geffers, R.; Laufer, S.; Zender, L.
Article Title: In vivo RNAi screening identifies a mechanism of sorafenib resistance in liver cancer
Abstract: In solid tumors, resistance to therapy inevitably develops upon treatment with cytotoxic drugs or molecularly targeted therapies. Here, we describe a system that enables pooled shRNA screening directly in mouse hepatocellular carcinomas (HCC) in vivo to identify genes likely to be involved in therapy resistance. Using a focused shRNA library targeting genes located within focal genomic amplifications of human HCC, we screened for genes whose inhibition increased the therapeutic efficacy of the multikinase inhibitor sorafenib. Both shRNA-mediated and pharmacological silencing of Mapk14 (p38α) were found to sensitize mouse HCC to sorafenib therapy and prolong survival by abrogating Mapk14-dependent activation of Mek-Erk and Atf2 signaling. Elevated Mapk14-Atf2 signaling predicted poor response to sorafenib therapy in human HCC, and sorafenib resistance of p-Mapk14-expressing HCC cells could be reverted by silencing Mapk14. Our results suggest that a combination of sorafenib and Mapk14 blockade is a promising approach to overcoming therapy resistance of human HCC.
Keywords: signal transduction; genetics; sorafenib; antineoplastic agents; carcinoma, hepatocellular; liver neoplasms; antineoplastic agent; mouse; animal; metabolism; animals; mice; map kinase signaling system; protein kinase inhibitor; small interfering rna; rna, small interfering; rna interference; drug resistance; drug screening; drug resistance, neoplasm; xenograft model antitumor assays; mice, inbred c57bl; c57bl mouse; protein kinase inhibitors; nicotinamide; activating transcription factor 2; mitogen activated protein kinase 14; liver neoplasms, experimental; niacinamide; drug effects; phenylurea compounds; carbanilamide derivative; humans; human; male; female; atf2 protein, mouse; analogs and derivatives; antagonists and inhibitors; mitogen-activated protein kinase 14
Journal Title: Nature Medicine
Volume: 20
Issue: 10
ISSN: 1078-8956
Publisher: Nature Publishing Group  
Date Published: 2014-10-01
Start Page: 1138
End Page: 1146
Language: English
DOI: 10.1038/nm.3679
PUBMED: 25216638
PROVIDER: scopus
PMCID: PMC4587571
DOI/URL:
Notes: Export Date: 2 March 2015 -- Source: Scopus
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  1. Scott W Lowe
    249 Lowe