Collateral sensitivity networks reveal evolutionary instability and novel treatment strategies in ALK mutated non-small cell lung cancer.

 View ORCID ProfileAndrew Dhawan, Daniel Nichol, Fumi Kinose,  View ORCID ProfileMohamed E. Abazeed,  View ORCID ProfileAndriy Marusyk,  View ORCID ProfileEric B.Haura,  View ORCID ProfileJacob G. Scott

doi: http://dx.doi.org/10.1101/075846

This article is a preprint and has not been peer-reviewed [what does this mean?].

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Abstract

Drug resistance remains an elusive problem in cancer therapy, particularly with novel targeted therapy approaches. Much work is currently focused upon the development of an increasing arsenal of targeted therapies, towards oncogenic driver genes such as ALK-EML4, to overcome the inevitable resistance that develops as therapies are continued over time. The current clinical paradigm after failure of first line ALK TKI is to administer another drug in the same class. As to which drug however, the answer is uncertain, as clinical evidence is lacking. To address this shortcoming, we evolved resistance in an ALK rearranged non-small cell lung cancer line (H3122) to a panel of 4 ALK tyrosine kinase inhibitors used in clinic, and performed a collateral sensitivity analysis to each of the other drugs. We found that all of the ALK inhibitor resistant cell lines displayed a significant cross-resistance to all other ALK inhibitors. To test for the stability of the resistance phenotypes, we evaluated the ALK-inhibitor sensitivities after drug holidays of varying length (1, 3, 7, 14, and 21 days). We found the resistance patterns to be stochastic and dynamic, with few conserved patterns. This unpredictability led us to an expanded search for treatment options for resistant cells. In this expansion, we tested a panel of 6 more anti-cancer agents for collateral sensitivity among the resistant cells, uncovering a multitude of possibilities for further treatment, including cross-sensitivity to several standard cytotoxic therapies as well as the HSP-90 inhibitors. Taken together, these results imply that resistance to targeted therapy in non-small cell lung cancer is truly a moving target; but also one where there are many opportunities to re-establish sensitivities where there was once resistance.

http://biorxiv.org/content/early/2016/09/19/075846

Model for Acid-Mediated Tumour Invasion with Chemotherapy Intervention I: Homogeneous Populations

Andrew B. Holder, Marianito R. Rodrigo

(Submitted on 2 Dec 2014)

The acid-mediation hypothesis, that is, the hypothesis that acid produced by tumours, as a result of aerobic glycolysis, provides a mechanism for invasion, has so far been considered as a relatively closed system. The focus has mainly been on the dynamics of the tumour, normal-tissue, acid and possibly some other bodily components, without considering the effect of an external intervention such as a cytotoxic treatment. This article aims to examine the effect that a cytotoxic treatment has on a tumour growing under the acid-mediation hypothesis by using a simple set of ordinary differential equations that consider the interaction between normal-tissue, tumour-tissue, acid and chemotherapy drug.

link: http://arxiv.org/abs/1412.0748 

Investigating the development of chemotherapeutic drug resistance in cancer: A multiscale computational study

Investigating the development of chemotherapeutic drug resistance in cancer: A multiscale computational study

 By: Gibin G Powathil, Mark AJ Chaplain, Maciej Swat

Chemotherapy is one of the most important therapeutic options used to treat human cancers, either alone or in combination with radiation therapy and surgery. Recent studies have indicated that intra-tumoural heterogeneity has a significant role in driving resistance to chemotherapy in many human malignancies. Multiple factors including the internal cell-cycle dynamics and the external microenvironement contribute to the intra-tumoural heterogeneity. In this paper we present a hybrid, multiscale, individual-based mathematical model, incorporating internal cell-cycle dynamics and changes in oxygen concentration, to study the effects of delivery of several different chemotherapeutic drugs on the heterogeneous subpopulations of cancer cells with varying cell-cycle dynamics. The computational simulation results from the multiscale model are in good agreement with available experimental data and support the hypothesis that slow-cycling sub-populations of tumour cells within a growing tumour mass can induce drug resistance to chemotherapy and thus the use of conventional chemotherapy may actually result in the emergence of dominant, therapy-resistant, slow-cycling subpopulations of tumour cells. Our results indicate that the appearance of this chemotherapeutic resistance is mainly due to the inability of the administered drug to target all cancer cells irrespective of the stage in the cell-cycle they are in i.e. most chemotherapeutic drugs target cells in a particular phase/phases of the cell-cycle, and hence always spare some cancer cells that are not in the targeted cell-cycle phase/phases. The results also suggest that this cell-cycle-mediated drug resistance may be overcome by using multiple doses of cell-cycle, phase-specific chemotherapy that targets cells in all phases and its appropriate sequencing and scheduling.   

http://arxiv.org/abs/1407.0865