PMID- 32576270 OWN - NLM STAT- MEDLINE DCOM- 20210811 LR - 20221207 IS - 1478-811X (Electronic) IS - 1478-811X (Linking) VI - 18 IP - 1 DP - 2020 Jun 23 TI - Loss-of-function mutations in KEAP1 drive lung cancer progression via KEAP1/NRF2 pathway activation. PG - 98 LID - 10.1186/s12964-020-00568-z [doi] LID - 98 AB - BACKGROUND AND PURPOSE: Targeted therapy and immunotherapy have led to dramatic change in the treatment of lung cancer, however, the overall 5-year survival rate of lung cancer patients is still suboptimal. It is important to exploit new potential of molecularly targeted therapies. High-frequency somatic mutations in KEAP1/NRF2 (27.9%) have been identified in lung squamous cell carcinoma. In this research, we explored the role of KEAP1 somatic mutations in the development of LSCC and whether a nuclear factor erythroid 2-related factor 2(NRF2) inhibitor be potential to target lung cancer carrying KEAP1/NRF2 mutations. METHODS: Lung cancer cell lines A549 and H460 with loss-of-function mutations in KEAP1 stably transfected with wild-type (WT) KEAP1 or somatic mutations in KEAP1 were used to investigate the functions of somatic mutations in KEAP1. Flow cytometry, plate clone formation experiments, and scratch tests were used to examine reactive oxygen species, proliferation, and migration of these cell lines. RESULTS: The expression of NRF2 and its target genes increased, and tumor cell proliferation, migration, and tumor growth were accelerated in A549 and H460 cells stably transfected with KEAP1 mutants compared to control cells with a loss-of-function KEAP1 mutation and stably transfected with WT KEAP1 in both in vitro and in vivo studies. The proliferation of A549 cell line trasfected with the R320Q KEAP1 mutant was inhibited more apparent than that of the A549 cell line trasfected with WT KEAP1 after treatment with NRF2 inhibitor ML385. CONCLUSION: Somatic mutations of KEAP1 identified from patients with LSCC likely promote tumorigenesis mediated by activation of the KEAP1/NRF2 antioxidant stress response pathway. NRF2 inhibition with ML385 could inhibit the proliferation of tumor cells with KEAP1 mutation. Video abstract. FAU - Gong, Meiling AU - Gong M AD - Department of Respiratory and Critical Care Medicine, Yangpu Hospital, Tongji Universtiy School Of Medicine, Shanghai, China. FAU - Li, Yan AU - Li Y AD - Shanghai Jiaotong University School of Medicine, Shanghai, China. AD - Shanghai Ninth People's Hospital, Shanghai Jiaotong University, Shanghai, China. FAU - Ye, Xiaoping AU - Ye X AD - Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Zhang, Linlin AU - Zhang L AD - Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Wang, Zhifang AU - Wang Z AD - Department of Respiratory and Critical Care Medicine, Yangpu Hospital, Tongji Universtiy School Of Medicine, Shanghai, China. FAU - Xu, Xiaowen AU - Xu X AD - Department of Respiratory and Critical Care Medicine, Yangpu Hospital, Tongji Universtiy School Of Medicine, Shanghai, China. FAU - Shen, Yejing AU - Shen Y AD - Department of Respiratory and Critical Care Medicine, Yangpu Hospital, Tongji Universtiy School Of Medicine, Shanghai, China. FAU - Zheng, Cuixia AU - Zheng C AD - Department of Respiratory and Critical Care Medicine, Yangpu Hospital, Tongji Universtiy School Of Medicine, Shanghai, China. zcx9566@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200623 PL - England TA - Cell Commun Signal JT - Cell communication and signaling : CCS JID - 101170464 RN - 0 (Kelch-Like ECH-Associated Protein 1) RN - 0 (NF-E2-Related Factor 2) SB - IM MH - Animals MH - Asian People/genetics MH - Base Sequence MH - Carcinogenesis/genetics/pathology MH - Cell Line, Tumor MH - Cell Proliferation/genetics MH - *Disease Progression MH - HEK293 Cells MH - Humans MH - Kelch-Like ECH-Associated Protein 1/*genetics MH - Loss of Function Mutation/*genetics MH - Lung Neoplasms/*genetics/*pathology MH - Mice, Inbred BALB C MH - Mice, Nude MH - NF-E2-Related Factor 2/*metabolism MH - *Signal Transduction/drug effects PMC - PMC7310414 OTO - NOTNLM OT - KEAP1/NRF2 OT - Lung carcinoma OT - NRF2 inhibitor OT - Somatic mutation OT - Targeted therapy COIS- The authors declare that they have no competing interests. EDAT- 2020/06/25 06:00 MHDA- 2021/08/12 06:00 PMCR- 2020/06/23 CRDT- 2020/06/25 06:00 PHST- 2019/11/29 00:00 [received] PHST- 2020/03/25 00:00 [accepted] PHST- 2020/06/25 06:00 [entrez] PHST- 2020/06/25 06:00 [pubmed] PHST- 2021/08/12 06:00 [medline] PHST- 2020/06/23 00:00 [pmc-release] AID - 10.1186/s12964-020-00568-z [pii] AID - 568 [pii] AID - 10.1186/s12964-020-00568-z [doi] PST - epublish SO - Cell Commun Signal. 2020 Jun 23;18(1):98. doi: 10.1186/s12964-020-00568-z.