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A Chromatin-mediated Reversible Drug-tolerant State in Cancer Cell Subpopulations

Abstract

Accumulating evidence implicates heterogeneity within cancer cell populations in the response to stressful exposures, including drug treatments. While modeling the acute response to various anticancer agents in drug-sensitive human tumor cell lines, we consistently detected a small subpopulation of reversibly "drug-tolerant" cells. These cells demonstrate >100-fold reduced drug sensitivity and maintain viability via engagement of IGF-1 receptor signaling and an altered chromatin state that requires the histone demethylase RBP2/KDM5A/Jarid1A. This drug-tolerant phenotype is transiently acquired and relinquished at low frequency by individual cells within the population, implicating the dynamic regulation of phenotypic heterogeneity in drug tolerance. The drug-tolerant subpopulation can be selectively ablated by treatment with IGF-1 receptor inhibitors or chromatin-modifying agents, potentially yielding a therapeutic opportunity. Together, these findings suggest that cancer cell populations employ a dynamic survival strategy in which individual cells transiently assume a reversibly drug-tolerant state to protect the population from eradication by potentially lethal exposures.

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References
1.
Kurata T, Tamura K, Kaneda H, Nogami T, Uejima H, Asai Go G . Effect of re-treatment with gefitinib ('Iressa', ZD1839) after acquisition of resistance. Ann Oncol. 2003; 15(1):173-4. DOI: 10.1093/annonc/mdh006. View

2.
Yano S, Nakataki E, Ohtsuka S, Inayama M, Tomimoto H, Edakuni N . Retreatment of lung adenocarcinoma patients with gefitinib who had experienced favorable results from their initial treatment with this selective epidermal growth factor receptor inhibitor: a report of three cases. Oncol Res. 2005; 15(2):107-11. View

3.
Chakravarti A, Loeffler J, Dyson N . Insulin-like growth factor receptor I mediates resistance to anti-epidermal growth factor receptor therapy in primary human glioblastoma cells through continued activation of phosphoinositide 3-kinase signaling. Cancer Res. 2002; 62(1):200-7. View

4.
Christensen J, Agger K, Cloos P, Pasini D, Rose S, Sennels L . RBP2 belongs to a family of demethylases, specific for tri-and dimethylated lysine 4 on histone 3. Cell. 2007; 128(6):1063-76. DOI: 10.1016/j.cell.2007.02.003. View

5.
Fattaey A, Helin K, Dembski M, Dyson N, Harlow E, Vuocolo G . Characterization of the retinoblastoma binding proteins RBP1 and RBP2. Oncogene. 1993; 8(11):3149-56. View