Single-cell transcriptional changes associated with drug tolerance and response to combination therapies in cancer

Nat Commun. 2021 Mar 12;12(1):1628. doi: 10.1038/s41467-021-21884-z.

Abstract

Tyrosine kinase inhibitors were found to be clinically effective for treatment of patients with certain subsets of cancers carrying somatic mutations in receptor tyrosine kinases. However, the duration of clinical response is often limited, and patients ultimately develop drug resistance. Here, we use single-cell RNA sequencing to demonstrate the existence of multiple cancer cell subpopulations within cell lines, xenograft tumors and patient tumors. These subpopulations exhibit epigenetic changes and differential therapeutic sensitivity. Recurrently overrepresented ontologies in genes that are differentially expressed between drug tolerant cell populations and drug sensitive cells include epithelial-to-mesenchymal transition, epithelium development, vesicle mediated transport, drug metabolism and cholesterol homeostasis. We show analysis of identified markers using the LINCS database to predict and functionally validate small molecules that target selected drug tolerant cell populations. In combination with EGFR inhibitors, crizotinib inhibits the emergence of a defined subset of EGFR inhibitor-tolerant clones. In this study, we describe the spectrum of changes associated with drug tolerance and inhibition of specific tolerant cell subpopulations with combination agents.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Antineoplastic Agents / pharmacology
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Cholesterol / metabolism
  • Drug Combinations
  • Drug Discovery
  • Drug Resistance, Neoplasm / genetics*
  • Drug Tolerance / genetics*
  • Drug Tolerance / physiology*
  • Epithelial-Mesenchymal Transition / genetics
  • ErbB Receptors / drug effects
  • ErbB Receptors / genetics
  • Gene Expression Regulation, Neoplastic
  • Heterografts
  • Humans
  • Mutation
  • Neoplasms / drug therapy
  • Neoplasms / genetics*
  • Neoplasms / metabolism*
  • Protein Kinase Inhibitors / pharmacology
  • Receptor Protein-Tyrosine Kinases / metabolism
  • U937 Cells

Substances

  • Antineoplastic Agents
  • Drug Combinations
  • Protein Kinase Inhibitors
  • Cholesterol
  • EGFR protein, human
  • ErbB Receptors
  • Receptor Protein-Tyrosine Kinases