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Temporally sequenced anticancer drugs overcome adaptive resistance by targeting a vulnerable chemotherapy-induced phenotypic transition

Author

Listed:
  • Aaron Goldman

    (Harvard Medical School
    Harvard-MIT Division of Health Sciences and Technology
    Brigham and Women’s Hospital)

  • Biswanath Majumder

    (India Innovation Research Center
    Mitra Biotech Pvt Ltd, Narayana Nethrayala)

  • Andrew Dhawan

    (School of Medicine, Queen’s University)

  • Sudharshan Ravi

    (Brigham and Women’s Hospital)

  • David Goldman

    (7730E BlackCrest Pl.)

  • Mohammad Kohandel

    (University of Waterloo)

  • Pradip K. Majumder

    (India Innovation Research Center
    Mitra Biotech Pvt Ltd, Narayana Nethrayala)

  • Shiladitya Sengupta

    (Harvard Medical School
    Harvard-MIT Division of Health Sciences and Technology
    Brigham and Women’s Hospital
    Dana Farber Cancer Institute)

Abstract

Understanding the emerging models of adaptive resistance is key to overcoming cancer chemotherapy failure. Using human breast cancer explants, in vitro cell lines, mouse in vivo studies and mathematical modelling, here we show that exposure to a taxane induces phenotypic cell state transition towards a favoured transient CD44HiCD24Hi chemotherapy-tolerant state. This state is associated with a clustering of CD44 and CD24 in membrane lipid rafts, leading to the activation of Src Family Kinase (SFK)/hemopoietic cell kinase (Hck) and suppression of apoptosis. The use of pharmacological inhibitors of SFK/Hck in combination with taxanes in a temporally constrained manner, where the kinase inhibitor is administered post taxane treatment, but not when co-administered, markedly sensitizes the chemotolerant cells to the chemotherapy. This approach of harnessing chemotherapy-induced phenotypic cell state transition for improving antitumour outcome could emerge as a translational strategy for the management of cancer.

Suggested Citation

  • Aaron Goldman & Biswanath Majumder & Andrew Dhawan & Sudharshan Ravi & David Goldman & Mohammad Kohandel & Pradip K. Majumder & Shiladitya Sengupta, 2015. "Temporally sequenced anticancer drugs overcome adaptive resistance by targeting a vulnerable chemotherapy-induced phenotypic transition," Nature Communications, Nature, vol. 6(1), pages 1-13, May.
  • Handle: RePEc:nat:natcom:v:6:y:2015:i:1:d:10.1038_ncomms7139
    DOI: 10.1038/ncomms7139
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    Cited by:

    1. Nikolay Bessonov & Guillaume Pinna & Andrey Minarsky & Annick Harel-Bellan & Nadya Morozova, 2019. "Mathematical modeling reveals the factors involved in the phenomena of cancer stem cells stabilization," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-24, November.

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