PMID- 34298159 OWN - NLM STAT- MEDLINE DCOM- 20220324 LR - 20240226 IS - 1535-9484 (Electronic) IS - 1535-9476 (Print) IS - 1535-9476 (Linking) VI - 20 DP - 2021 TI - Unbiased Proteomic and Phosphoproteomic Analysis Identifies Response Signatures and Novel Susceptibilities After Combined MEK and mTOR Inhibition in BRAF(V600E) Mutant Glioma. PG - 100123 LID - S1535-9476(21)00095-5 [pii] LID - 10.1016/j.mcpro.2021.100123 [doi] LID - 100123 AB - The mitogen-activated protein kinase pathway is one of the most frequently altered pathways in cancer. It is involved in the control of cell proliferation, invasion, and metabolism, and can cause resistance to therapy. A number of aggressive malignancies, including melanoma, colon cancer, and glioma, are driven by a constitutively activating missense mutation (V600E) in the v-Raf murine sarcoma viral oncogene homolog B (BRAF) component of the pathway. Mitogen-activated protein kinase kinase (MEK) inhibition is initially effective in targeting these cancers, but reflexive activation of mammalian target of rapamycin (mTOR) signaling contributes to frequent therapy resistance. We have previously demonstrated that combination treatment with the MEK inhibitor trametinib and the dual mammalian target of rapamycin complex 1/2 inhibitor TAK228 improves survival and decreases vascularization in a BRAF(V600E) mutant glioma model. To elucidate the mechanism of action of this combination therapy and understand the ensuing tumor response, we performed comprehensive unbiased proteomic and phosphoproteomic characterization of BRAF(V600E) mutant glioma xenografts after short-course treatment with trametinib and TAK228. We identified 13,313 proteins and 30,928 localized phosphosites, of which 12,526 proteins and 17,444 phosphosites were quantified across all samples (data available via ProteomeXchange; identifier PXD022329). We identified distinct response signatures for each monotherapy and combination therapy and validated that combination treatment inhibited activation of the mitogen-activated protein kinase and mTOR pathways. Combination therapy also increased apoptotic signaling, suppressed angiogenesis signaling, and broadly suppressed the activity of the cyclin-dependent kinases. In response to combination therapy, both epidermal growth factor receptor and class 1 histone deacetylase proteins were activated. This study reports a detailed (phospho)proteomic analysis of the response of BRAF(V600E) mutant glioma to combined MEK and mTOR pathway inhibition and identifies new targets for the development of rational combination therapies for BRAF-driven tumors. CI - Copyright (c) 2021 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Maxwell, Micah J AU - Maxwell MJ AD - Division of Pediatric Oncology, Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: mmaxwel1@jhmi.edu. FAU - Arnold, Antje AU - Arnold A AD - Division of Neuropathology, Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Sweeney, Heather AU - Sweeney H AD - Division of Pediatric Oncology, Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Chen, Lijun AU - Chen L AD - Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Lih, Tung-Shing M AU - Lih TM AD - Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Schnaubelt, Michael AU - Schnaubelt M AD - Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Eberhart, Charles G AU - Eberhart CG AD - Division of Neuropathology, Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Rubens, Jeffrey A AU - Rubens JA AD - Division of Pediatric Oncology, Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Zhang, Hui AU - Zhang H AD - Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Clark, David J AU - Clark DJ AD - Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Raabe, Eric H AU - Raabe EH AD - Division of Pediatric Oncology, Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Division of Neuropathology, Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: eraabe2@jhmi.edu. LA - eng GR - L40 CA242540/CA/NCI NIH HHS/United States GR - P30 CA006973/CA/NCI NIH HHS/United States GR - U24 CA210985/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20210721 PL - United States TA - Mol Cell Proteomics JT - Molecular & cellular proteomics : MCP JID - 101125647 RN - 0 (Benzoxazoles) RN - 0 (Phosphoproteins) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyridones) RN - 0 (Pyrimidines) RN - 0 (Pyrimidinones) RN - 33E86K87QN (trametinib) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.12.2 (Mitogen-Activated Protein Kinase Kinases) RN - JGH0DF1U03 (sapanisertib) SB - IM MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/pharmacology/therapeutic use MH - Benzoxazoles/pharmacology/*therapeutic use MH - Brain Neoplasms/*drug therapy/genetics/metabolism MH - Cell Line, Tumor MH - Female MH - Glioma/*drug therapy/genetics/metabolism MH - Humans MH - Mice, Nude MH - Mitogen-Activated Protein Kinase Kinases/*antagonists & inhibitors MH - Phosphoproteins/*metabolism MH - Protein Kinase Inhibitors/pharmacology/*therapeutic use MH - Proteomics MH - Proto-Oncogene Proteins B-raf/genetics MH - Pyridones/pharmacology/*therapeutic use MH - Pyrimidines/pharmacology/*therapeutic use MH - Pyrimidinones/pharmacology/*therapeutic use MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors MH - Mice PMC - PMC8363840 OTO - NOTNLM OT - TAK228 OT - angiogenesis OT - apoptosis OT - drug targets OT - glioma OT - mouse models OT - phosphoproteome OT - sapanisertib OT - signal transduction OT - tandem MS OT - trametinib COIS- Conflict of interest The authors declare no competing interests. EDAT- 2021/07/24 06:00 MHDA- 2022/03/25 06:00 PMCR- 2021/07/21 CRDT- 2021/07/23 20:14 PHST- 2021/04/30 00:00 [received] PHST- 2021/07/01 00:00 [revised] PHST- 2021/07/16 00:00 [accepted] PHST- 2021/07/24 06:00 [pubmed] PHST- 2022/03/25 06:00 [medline] PHST- 2021/07/23 20:14 [entrez] PHST- 2021/07/21 00:00 [pmc-release] AID - S1535-9476(21)00095-5 [pii] AID - 100123 [pii] AID - 10.1016/j.mcpro.2021.100123 [doi] PST - ppublish SO - Mol Cell Proteomics. 2021;20:100123. doi: 10.1016/j.mcpro.2021.100123. Epub 2021 Jul 21.