Abstract
Molecular mechanisms underlying adaptive targeted therapy resistance in pancreatic ductal adenocarcinoma (PDAC) are poorly understood. Here, we identify SETD5 as a major driver of PDAC resistance to MEK1/2 inhibition (MEKi). SETD5 is induced by MEKi resistance and its deletion restores refractory PDAC vulnerability to MEKi therapy in mouse models and patient-derived xenografts. SETD5 lacks histone methyltransferase activity but scaffolds a co-repressor complex, including HDAC3 and G9a. Gene silencing by the SETD5 complex regulates known drug resistance pathways to reprogram cellular responses to MEKi. Pharmacological co-targeting of MEK1/2, HDAC3, and G9a sustains PDAC tumor growth inhibition in vivo. Our work uncovers SETD5 as a key mediator of acquired MEKi therapy resistance in PDAC and suggests a context for advancing MEKi use in the clinic.
Original language | English (US) |
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Pages (from-to) | 834-849.e13 |
Journal | Cancer cell |
Volume | 37 |
Issue number | 6 |
DOIs | |
State | Published - Jun 8 2020 |
Keywords
- KRAS
- MEK inhibition
- RAS signaling
- SETD5
- lysine methylation
- pancreatic cancer
- protein methylation
ASJC Scopus subject areas
- Oncology
- Cell Biology
- Cancer Research
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