한빛사논문, 상위피인용논문
Xin Hong1, Whijae Roh2, Ryan J. Sullivan1,3, Keith H.K. Wong4,5, Ben S. Wittner1, Hongshan Guo1, Taronish D. Dubash1, Moshe Sade-Feldman1,2, Benjamin Wesley1, Elad Horwitz1, Genevieve M. Boland1,6, Dieuwke L. Marvin1, Todd Bonesteel1, Chenyue Lu1, François Aguet2, Risa Burr1, Samuel S. Freeman2, Laxmi Parida9, Katherine Calhoun1,4, Michelle K. Jewett1,4, Linda T. Nieman1, Nir Hacohen1,2, Anders M. Näär1, David T. Ting1,3, Mehmet Toner4,5,6, Shannon L. Stott1,3, Gad Getz1,2,7, Shyamala Maheswaran1,6, and Daniel A. Haber1,3,8
1Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, Massachusetts. 2Broad Institute of Harvard and MIT, Cambridge, Massachusetts. 3Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. 4Center for Engineering in Medicine, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. 5Shriners Hospitals for Children, Boston, Massachusetts. 6Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. 7Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. 8Howard Hughes Medical Institute, Bethesda, Maryland. 9IBM Research, Yorktown Heights, New York.
X. Hong and W. Roh contributed equally to this article.
Corresponding Authors: Daniel A. Haber
Abstract
Circulating tumor cells (CTC) are shed by cancer into the bloodstream, where a viable subset overcomes oxidative stress to initiate metastasis. We show that single CTCs from patients with melanoma coordinately upregulate lipogenesis and iron homeostasis pathways. These are correlated with both intrinsic and acquired resistance to BRAF inhibitors across clonal cultures of BRAF-mutant CTCs. The lipogenesis regulator SREBP2 directly induces transcription of the iron carrier Transferrin (TF), reducing intracellular iron pools, reactive oxygen species, and lipid peroxidation, thereby conferring resistance to inducers of ferroptosis. Knockdown of endogenous TF impairs tumor formation by melanoma CTCs, and their tumorigenic defects are partially rescued by the lipophilic antioxidants ferrostatin-1 and vitamin E. In a prospective melanoma cohort, presence of CTCs with high lipogenic and iron metabolic RNA signatures is correlated with adverse clinical outcome, irrespective of treatment regimen. Thus, SREBP2-driven iron homeostatic pathways contribute to cancer progression, drug resistance, and metastasis.
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