BCL6 is regulated by the MAPK/ELK1 axis and promotes KRAS-driven lung cancer
Open accessAbstract
Mutational activation of KRAS is a common oncogenic event in lung cancer, yet effective therapies are still lacking. Here, we identify B cell lymphoma 6 (BCL6) as a lynchpin in KRAS-driven lung cancer. BCL6 expression was increased upon KRAS activation in lung tumor tissue in mice and was positively correlated with the expression of KRAS-GTP, the active form of KRAS, in various human cancer cell lines. Moreover, BCL6 was highly expressed in human KRAS-mutant lung adenocarcinomas and was associated with poor patient survival. Mechanistically, the MAPK/ERK/ELK1 signaling axis downstream of mutant KRAS directly regulated BCL6 expression. BCL6 maintained the global expression of prereplication complex components; therefore, BCL6 inhibition induced stalling of the replication fork, leading to DNA damage and growth arrest in KRAS-mutant lung cancer cells. Importantly, BCL6-specific knockout in lungs significantly reduced the tumor burden and mortality in the LSL-KrasG12D/+ lung cancer mouse model. Likewise, pharmacological inhibition of BCL6 significantly impeded the growth of KRAS-mutant lung cancer cells both in vitro and in vivo. In summary, our findings reveal a crucial role of BCL6 in promoting KRAS-addicted lung cancer and suggest BCL6 as a therapeutic target for the treatment of this intractable disease.
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Upregulation of pioneer developmental organizers such as SOX2, KLF4, β-catenin, SNAIL-1, c-MYC, TBX3, and BCL6 is reported downstream of BRAF/MAPK-driven tumor.
“Even upregulation of pioneer developmental organizers, such as SOX2, KLF4, β-catenin, SNAIL-1, c-MYC, TBX3, BCL6, et al., are reported downstream of BRAF/MAPK-driven tumor, the pathways causing lineage reprogramming are not clear12,15,30–36.”
From Proteostatic reactivation of the developmental transcription factor TBX3 drives BRAF/MAPK-mediated tumorigenesis (2024) · cites this paper as [32]
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The Clinical KRAS(G12C) Inhibitor AMG 510 Drives Anti-Tumour Immunity
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Zhang, Z., Wu, Y., Fu, J., Yu, X., Su, Y., Jia, S., Cheng, H., Shen, Y., He, X., Ren, K., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-48173-9 · Cited by 14 · see citing works
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- Authors
- Li, K., Liu, Y., Ding, Y., Zhang, Z., Feng, J., Hu, J., Chen, J., Lian, Z., Chen, Y., Hu, K., Chen, Z., Cai, Z., Liu, M., & Pang, X.
- Affiliations
- Shanghai Medical College of Fudan University (CN)
- Shanghai Changning Maternity and Infant Health Hospital (CN)
- Tongji University (CN)
- Wuhan University (CN)
- Corresponding author
- Pang, Xiufeng
- ORCID
- Venue
- Journal of Clinical Investigation
- Published
- 2022-11-15
- Volume
- 132
- Issue
- 22
- ISSN
- 0021-9738 (ISSN-L)
- 1558-8238
- PMC
- PMC9663163
- OpenAlex
- W4308992133
- Cited by
- 37
- References
- 10
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 17 · 2023: 4
- FWCI
- 2.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Clinical Investigation (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Natural Science Foundation of China (82073073,82122045,81874207,81830083)
- Innovative Research Team of High-level Local Universities in Shanghai (SHSMU-ZDCX20210802)
- Jointed PI Program from Shanghai Changning Maternity and Infant Health Hospital (11300-412311-20033)
- ECNU Construction Fund of Innovation and Entrepreneurship Laboratory (44400-20201-532300/021)
- ECNU multifunctional platform for innovation (011)
- MOE Key Laboratory of Biosystems Homeostasis & Protection (Zhejiang University)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Oncology › Lung Cancer Research Studies
- Keywords
- BCL6, KRAS mutation, lung cancer, lung adenocarcinoma, ERK signaling, Elk-1, pre-replication complex, replication fork stalling, DNA damage, tumor growth arrest, therapeutic target
- MeSH terms
- Adenocarcinoma of Lung, Animals, Disease Models, Animal, Humans, Lung Neoplasms, Mutation, Proto-Oncogene Proteins p21(ras), Cell Line, Tumor, ets-Domain Protein Elk-1, Mice, Proto-Oncogene Proteins c-bcl-6
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