Abstract:
:The principles that govern the evolution of tumors exposed to targeted therapy are poorly understood. Here we modeled the selection and propagation of an amplification in the BRAF oncogene (BRAFamp) in patient-derived tumor xenografts (PDXs) that were treated with a direct inhibitor of the kinase ERK, either alone or in combination with other ERK signaling inhibitors. Single-cell sequencing and multiplex fluorescence in situ hybridization analyses mapped the emergence of extra-chromosomal amplification in parallel evolutionary trajectories that arose in the same tumor shortly after treatment. The evolutionary selection of BRAFamp was determined by the fitness threshold, the barrier that subclonal populations need to overcome to regain fitness in the presence of therapy. This differed for inhibitors of ERK signaling, suggesting that sequential monotherapy is ineffective and selects for a progressively higher BRAF copy number. Concurrent targeting of the RAF, MEK and ERK kinases, however, imposed a sufficiently high fitness threshold to prevent the propagation of subclones with high-level BRAFamp. When administered on an intermittent schedule, this treatment inhibited tumor growth in 11/11 PDXs of lung cancer or melanoma without apparent toxicity in mice. Thus, gene amplification can be acquired and expanded through parallel evolution, enabling tumors to adapt while maintaining their intratumoral heterogeneity. Treatments that impose the highest fitness threshold will likely prevent the evolution of resistance-causing alterations and, thus, merit testing in patients.
journal_name
Nat Medjournal_title
Nature medicineauthors
Xue Y,Martelotto L,Baslan T,Vides A,Solomon M,Mai TT,Chaudhary N,Riely GJ,Li BT,Scott K,Cechhi F,Stierner U,Chadalavada K,de Stanchina E,Schwartz S,Hembrough T,Nanjangud G,Berger MF,Nilsson J,Lowe SW,Reis-Filho JSdoi
10.1038/nm.4369subject
Has Abstractpub_date
2017-08-01 00:00:00pages
929-937issue
8eissn
1078-8956issn
1546-170Xpii
nm.4369journal_volume
23pub_type
杂志文章相关文献
NATURE MEDICINE文献大全abstract::Bone homeostasis is maintained by the balance between osteoblastic bone formation and osteoclastic bone resorption. Osteoclasts are multinucleated cells that are formed by mononuclear preosteoclast fusion. Fat-soluble vitamins such as vitamin D are pivotal in maintaining skeletal integrity. However, the role of vitami...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.2659
更新日期:2012-03-04 00:00:00
abstract::Peripheral nerve injuries represent a significant problem in public health, constituting 2-5% of all trauma cases1. For severe nerve injuries, even advanced forms of clinical intervention often lead to incomplete and unsatisfactory motor and/or sensory function2. Numerous studies report the potential of pharmacologica...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/s41591-018-0196-2
更新日期:2018-12-01 00:00:00
abstract::The mechanism underlying the autoimmune polyglandular syndrome type-1 (APS1) has been attributed to defective T-cell negative selection resulting from reduced expression and presentation of autoantigens in thymic medullary epithelial cells (MECs). It has also been postulated that Aire is involved in development of reg...
journal_title:Nature medicine
pub_type: 杂志文章,收录出版
doi:10.1038/nm1424
更新日期:2006-06-01 00:00:00
abstract::Finding new treatment-shortening antibiotics to improve cure rates and curb the alarming emergence of drug resistance is the major objective of tuberculosis (TB) drug development. Using a matrix-assisted laser desorption/ionization (MALDI) mass spectrometry imaging suite in a biosafety containment facility, we show th...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.3937
更新日期:2015-10-01 00:00:00
abstract::Epigenetic reprogramming is a critical process of pathological gene induction during cardiac hypertrophy and remodeling, but the underlying regulatory mechanisms remain to be elucidated. Here we identified a heart-enriched long noncoding (lnc)RNA, named cardiac-hypertrophy-associated epigenetic regulator (Chaer), whic...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.4179
更新日期:2016-10-01 00:00:00
abstract::Although programmed death-ligand 1-programmed death 1 (PD-L1-PD-1) inhibitors are broadly efficacious, improved outcomes have been observed in patients with high PD-L1 expression or high tumor mutational burden (TMB). PD-L1 testing is required for checkpoint inhibitor monotherapy in front-line non-small-cell lung canc...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/s41591-018-0134-3
更新日期:2018-09-01 00:00:00
abstract::Cytochrome P450 3A4 is an important mediator of drug catabolism that can be regulated by the steroid and xenobiotic receptor (SXR). We show here that SXR also regulates drug efflux by activating expression of the gene MDR1, which encodes the protein P-glycoprotein (ABCB1). Paclitaxel (Taxol), a commonly used chemother...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/87912
更新日期:2001-05-01 00:00:00
abstract::CD4-unhelped CD8(+) T cells are functionally defective T cells primed in the absence of CD4(+) T cell help. Given the co-stimulatory role of natural-killer group 2, member D protein (NKG2D) on CD8(+) T cells, we investigated its ability to rescue these immunologically impotent cells. We demonstrate that augmented co-s...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.2683
更新日期:2012-02-26 00:00:00
abstract:: ...
journal_title:Nature medicine
pub_type: 评论,杂志文章
doi:10.1038/s41591-019-0362-1
更新日期:2019-02-01 00:00:00
abstract::Excitotoxic neuronal damage caused by overactivation of N-methyl-D-aspartate glutamate receptors (NMDARs) is thought to be a principal cause of neuronal loss after stroke and brain trauma. Here we report that activation of sterol regulatory element binding protein-1 (SREBP-1) transcription factor in affected neurons i...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.2064
更新日期:2009-12-01 00:00:00
abstract::Much effort has been devoted to the design of vaccines that induce adaptive cellular immunity, in particular CD8+ T cells, which have a central role in the host response to viral infections and cancers. To date, however, the development of effective T cell vaccines remains elusive. This is due, in part, to the lack of...
journal_title:Nature medicine
pub_type: 杂志文章,评审
doi:10.1038/nm.f.1774
更新日期:2008-06-01 00:00:00
abstract::High blood pressure, or hypertension, is a very common disorder with a substantial impact on public health because of its associated complications. Despite the high prevalence of essential hypertension and years of research, the basic causes remain obscure. Here I review recent advances in understanding the pathophysi...
journal_title:Nature medicine
pub_type: 杂志文章,评审
doi:10.1038/nm.2541
更新日期:2011-11-07 00:00:00
abstract::Period (Per) genes are involved in regulation of the circadian clock and are thought to modulate several brain functions. We demonstrate that Per2(Brdm1) mutant mice, which have a deletion in the PAS domain of the Per2 protein, show alterations in the glutamatergic system. Lowered expression of the glutamate transport...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1163
更新日期:2005-01-01 00:00:00
abstract::The ability of the human immune system to respond to vaccination declines with age. We identified an age-associated defect in T cell receptor (TCR)-induced extracellular signal-regulated kinase (ERK) phosphorylation in naive CD4(+) T cells, whereas other signals, such as ζ chain-associated protein kinase 70 (ZAP70) an...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.2963
更新日期:2012-10-01 00:00:00
abstract::The 55-kilodalton (kDa) protein from the E1B-region of adenovirus binds to and inactivates the p53 gene, which is mutated in half of human cancers. We have previously shown that the replication and cytopathogenicity of an E1B, 55-kDa gene-attenuated adenovirus, ONYX-015, is blocked by functional p53 in RKO and U20S ca...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm0697-639
更新日期:1997-06-01 00:00:00
abstract::The balance between detrimental, pro-aging, often stochastic processes and counteracting homeostatic mechanisms largely determines the progression of aging. There is substantial evidence suggesting that the endocannabinoid system (ECS) is part of the latter system because it modulates the physiological processes under...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.4311
更新日期:2017-06-01 00:00:00
abstract::Huntington's disease (HD) is a fatal dominantly inherited neurodegenerative disorder caused by a CAG repeat expansion leading to an elongated polyglutamine stretch in huntingtin. Mutant huntingtin (mHTT) is ubiquitously expressed in all cells but elicits selective cortical and striatal neurodegeneration in HD. The mec...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.3514
更新日期:2014-05-01 00:00:00
abstract::An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...
journal_title:Nature medicine
pub_type: 杂志文章,已发布勘误
doi:10.1038/s41591-020-1057-3
更新日期:2020-09-01 00:00:00
abstract::CD23 is a low-affinity receptor for immunoglobulin E (IgE) expressed by a variety of haematopoietic cells. Proteolytic cleavage of the transmembrane receptor generates soluble forms, which can be detected in biological fluids. CD23 regulates many functional aspects of immune cells, both in its cell-associated and solu...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm0895-781
更新日期:1995-08-01 00:00:00
abstract::It begins as a slowly expanding spot of light or similar visual disturbance, often accompanied by phantom noises and other sensory distortions. People who experience such 'auras' know all too well that these early warning signs will culminate in a head-splitting migraine, yet scientists have little idea what causes th...
journal_title:Nature medicine
pub_type: 新闻
doi:10.1038/nm0913-1083
更新日期:2013-09-01 00:00:00
abstract::The ubiquitin-proteasome pathway is the central mediator of regulated proteolysis in cells, and defects in this pathway are associated with cancer and neurodegenerative diseases. To assess 26S proteasome function in living animals, we developed a ubiquitin-luciferase reporter for bioluminescence imaging. The reporter ...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm894
更新日期:2003-07-01 00:00:00
abstract::The pathogenic bacterium Neisseria meningitidis is an important cause of septicemia and meningitis, especially in childhood. The establishment and maintenance of bacteremic infection is a pre-requisite for all the pathological sequelae of meningococcal infection. To further understand the genetic basis of this essenti...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/81380
更新日期:2000-11-01 00:00:00
abstract::The dorsomedial hypothalamic nucleus harbors leptin sensitive neurons and is intrinsically connected to hypothalamic nuclei involved in feeding behavior. However, it also receives ascending input from the visceroceptive neurons of the brainstem. We have identified a unique glucagon-like-peptide-2 containing neuronal p...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/77535
更新日期:2000-07-01 00:00:00
abstract::Endogenous mechanisms leading to host protection and resolution of infections without immunosuppression are of wide interest. Here we elucidate the structures of four new host-protective molecules produced in neutrophil-endothelial cocultures and present in human and mouse tissues after sterile inflammation or infecti...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.3911
更新日期:2015-09-01 00:00:00
abstract::Mice transgenic for antisense Notch and normal mice treated with inhibitors of the Notch-activating enzyme gamma-secretase showed reduced damage to brain cells and improved functional outcome in a model of focal ischemic stroke. Notch endangers neurons by modulating pathways that increase their vulnerability to apopto...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1403
更新日期:2006-06-01 00:00:00
abstract::Animal allergens are an important cause of asthma and allergic rhinitis. We designed and tested a chimeric human-cat fusion protein composed of a truncated human IgG Fcgamma1 and the major cat allergen Fel d1, as a proof of concept for a new approach to allergy immunotherapy. This Fcgamma-Fel d1 protein induced dose-d...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1219
更新日期:2005-04-01 00:00:00
abstract::Human liver cancer research currently lacks in vitro models that can faithfully recapitulate the pathophysiology of the original tumor. We recently described a novel, near-physiological organoid culture system, wherein primary human healthy liver cells form long-term expanding organoids that retain liver tissue functi...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.4438
更新日期:2017-12-01 00:00:00
abstract::It has long been assumed that p53 suppresses tumor development through induction of apoptosis, possibly with contributions by cell cycle arrest and cell senescence1,2. However, combined deficiency in these three processes does not result in spontaneous tumor formation as observed upon loss of p53, suggesting the exist...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/s41591-018-0043-5
更新日期:2018-07-01 00:00:00
abstract::We have studied the effects of amyloid beta-peptide analogues on the activity of tissue-type plasminogen activator (t-PA) in vitro. We have found that these peptides have a marked stimulatory effect upon plasminogen activation by t-PA, comparable to that of known stimulators of t-PA. This stimulatory activity appears ...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm0295-138
更新日期:1995-02-01 00:00:00
abstract::To explore the mechanism by which herpes simplex virus (HSV)-2 infection is related to HIV-1 acquisition, we conducted in situ analysis of the cellular infiltrate from sequential biopsies of HSV-2 lesions from patients on and off antiviral therapy. CD4(+) and CD8(+) T cells and a mixed population of plasmacytoid and m...
journal_title:Nature medicine
pub_type: 临床试验,杂志文章
doi:10.1038/nm.2006
更新日期:2009-08-01 00:00:00