[HTML][HTML] Sustained activation of the Aryl hydrocarbon Receptor transcription factor promotes resistance to BRAF-inhibitors in melanoma

S Corre, N Tardif, N Mouchet, HM Leclair… - Nature …, 2018 - nature.com
S Corre, N Tardif, N Mouchet, HM Leclair, L Boussemart, A Gautron, L Bachelot, A Perrot…
Nature communications, 2018nature.com
BRAF inhibitors target the BRAF-V600E/K mutated kinase, the driver mutation found in 50%
of cutaneous melanoma. They give unprecedented anti-tumor responses but acquisition of
resistance ultimately limits their clinical benefit. The master regulators driving the expression
of resistance-genes remain poorly understood. Here, we demonstrate that the Aryl
hydrocarbon Receptor (AhR) transcription factor is constitutively activated in a subset of
melanoma cells, promoting the dedifferentiation of melanoma cells and the expression of …
Abstract
BRAF inhibitors target the BRAF-V600E/K mutated kinase, the driver mutation found in 50% of cutaneous melanoma. They give unprecedented anti-tumor responses but acquisition of resistance ultimately limits their clinical benefit. The master regulators driving the expression of resistance-genes remain poorly understood. Here, we demonstrate that the Aryl hydrocarbon Receptor (AhR) transcription factor is constitutively activated in a subset of melanoma cells, promoting the dedifferentiation of melanoma cells and the expression of BRAFi-resistance genes. Typically, under BRAFi pressure, death of BRAFi-sensitive cells leads to an enrichment of a small subpopulation of AhR-activated and BRAFi-persister cells, responsible for relapse. Also, differentiated and BRAFi-sensitive cells can be redirected towards an AhR-dependent resistant program using AhR agonists. We thus identify Resveratrol, a clinically compatible AhR-antagonist that abrogates deleterious AhR sustained-activation. Combined with BRAFi, Resveratrol reduces the number of BRAFi-resistant cells and delays tumor growth. We thus propose AhR-impairment as a strategy to overcome melanoma resistance.
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