PMID- 37071495 OWN - NLM STAT- MEDLINE DCOM- 20231003 LR - 20240129 IS - 1538-7445 (Electronic) IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 83 IP - 19 DP - 2023 Oct 2 TI - Kinome Reprogramming Is a Targetable Vulnerability in ESR1 Fusion-Driven Breast Cancer. PG - 3237-3251 LID - 10.1158/0008-5472.CAN-22-3484 [doi] AB - Transcriptionally active ESR1 fusions (ESR1-TAF) are a potent cause of breast cancer endocrine therapy (ET) resistance. ESR1-TAFs are not directly druggable because the C-terminal estrogen/anti-estrogen-binding domain is replaced with translocated in-frame partner gene sequences that confer constitutive transactivation. To discover alternative treatments, a mass spectrometry (MS)-based kinase inhibitor pulldown assay (KIPA) was deployed to identify druggable kinases that are upregulated by diverse ESR1-TAFs. Subsequent explorations of drug sensitivity validated RET kinase as a common therapeutic vulnerability despite remarkable ESR1-TAF C-terminal sequence and structural diversity. Organoids and xenografts from a pan-ET-resistant patient-derived xenograft model that harbors the ESR1-e6>YAP1 TAF were concordantly inhibited by the selective RET inhibitor pralsetinib to a similar extent as the CDK4/6 inhibitor palbociclib. Together, these findings provide preclinical rationale for clinical evaluation of RET inhibition for the treatment of ESR1-TAF-driven ET-resistant breast cancer. SIGNIFICANCE: Kinome analysis of ESR1 translocated and mutated breast tumors using drug bead-based mass spectrometry followed by drug-sensitivity studies nominates RET as a therapeutic target. See related commentary by Wu and Subbiah, p. 3159. CI - (c)2023 The Authors; Published by the American Association for Cancer Research. FAU - Gou, Xuxu AU - Gou X AUID- ORCID: 0000-0003-2318-778X AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. AD - Graduate Program in Translational Biology and Molecular Medicine, Baylor College of Medicine, Houston Texas. AD - UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California. FAU - Kim, Beom-Jun AU - Kim BJ AUID- ORCID: 0000-0003-3109-8170 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. AD - Department of Medicine, Baylor College of Medicine, Houston, Texas. FAU - Anurag, Meenakshi AU - Anurag M AUID- ORCID: 0000-0003-4379-5192 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. AD - Department of Medicine, Baylor College of Medicine, Houston, Texas. FAU - Lei, Jonathan T AU - Lei JT AUID- ORCID: 0000-0002-0209-8051 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. AD - Department of Human and Molecular Genetics, Baylor College of Medicine, Houston, Texas. FAU - Young, Meggie N AU - Young MN AUID- ORCID: 0000-0003-2684-7317 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. AD - Department of Biochemistry and Molecular Biology, Baylor College of Medicine, Houston, Texas. FAU - Holt, Matthew V AU - Holt MV AUID- ORCID: 0000-0002-1418-6139 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. FAU - Fandino, Diana AU - Fandino D AUID- ORCID: 0009-0006-3815-8585 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. FAU - Vollert, Craig T AU - Vollert CT AUID- ORCID: 0000-0002-3769-0805 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. AD - Employee of Adrienne Helis Malvin Medical Research Foundation, New Orleans, Los Angeles. FAU - Singh, Purba AU - Singh P AUID- ORCID: 0009-0005-0341-1061 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. FAU - Alzubi, Mohammad A AU - Alzubi MA AUID- ORCID: 0000-0002-3953-8436 AD - Employee of Adrienne Helis Malvin Medical Research Foundation, New Orleans, Los Angeles. FAU - Malovannaya, Anna AU - Malovannaya A AUID- ORCID: 0000-0003-2953-6485 AD - Department of Biochemistry and Molecular Biology, Baylor College of Medicine, Houston, Texas. FAU - Dobrolecki, Lacey E AU - Dobrolecki LE AUID- ORCID: 0000-0001-6839-629X AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. FAU - Lewis, Michael T AU - Lewis MT AUID- ORCID: 0000-0002-6330-4007 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. AD - Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, Texas. AD - Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, Texas. AD - Department of Radiology, Baylor College of Medicine, Houston, Texas. FAU - Li, Shunqiang AU - Li S AUID- ORCID: 0000-0001-9508-7249 AD - Division of Oncology, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri. FAU - Foulds, Charles E AU - Foulds CE AUID- ORCID: 0000-0003-4908-1473 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. AD - Department of Medicine, Baylor College of Medicine, Houston, Texas. AD - Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, Texas. FAU - Ellis, Matthew J AU - Ellis MJ AUID- ORCID: 0000-0002-8467-8534 AD - Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas. AD - Graduate Program in Translational Biology and Molecular Medicine, Baylor College of Medicine, Houston Texas. AD - Department of Medicine, Baylor College of Medicine, Houston, Texas. AD - Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, Texas. AD - Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, Texas. LA - eng GR - U54 CA224076/CA/NCI NIH HHS/United States GR - U54 CA233223/CA/NCI NIH HHS/United States GR - S10 OD026804/OD/NIH HHS/United States GR - U54 CA224083/CA/NCI NIH HHS/United States GR - P30 CA125123/CA/NCI NIH HHS/United States GR - U01 CA214125/CA/NCI NIH HHS/United States GR - T32 CA203690/CA/NCI NIH HHS/United States GR - P50 CA186784/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Estrogen Receptor alpha) RN - 0 (Antineoplastic Agents) SB - IM CIN - Cancer Res. 2023 Oct 2;83(19):3159-3161. PMID: 37779428 MH - Animals MH - Humans MH - Female MH - *Breast Neoplasms/drug therapy/genetics/pathology MH - Estrogen Receptor alpha/genetics MH - *Antineoplastic Agents/therapeutic use MH - Disease Models, Animal MH - Mutation PMC - PMC10543968 EDAT- 2023/04/19 06:00 MHDA- 2023/10/03 06:47 PMCR- 2023/10/02 CRDT- 2023/04/18 12:12 PHST- 2022/11/04 00:00 [received] PHST- 2023/02/20 00:00 [revised] PHST- 2023/04/12 00:00 [accepted] PHST- 2023/10/03 06:47 [medline] PHST- 2023/04/19 06:00 [pubmed] PHST- 2023/04/18 12:12 [entrez] PHST- 2023/10/02 00:00 [pmc-release] AID - 725885 [pii] AID - CAN-22-3484 [pii] AID - 10.1158/0008-5472.CAN-22-3484 [doi] PST - ppublish SO - Cancer Res. 2023 Oct 2;83(19):3237-3251. doi: 10.1158/0008-5472.CAN-22-3484.