Inhibition of ULK1/2 and KRASG12C controls tumor growth in preclinical models of lung cancer

  1. Phaedra C Ghazi
  2. Kayla T O'Toole
  3. Sanjana Srinivas Boggaram
  4. Michael T Scherzer
  5. Mark R Silvis
  6. Yun Zhang
  7. Madhumita Bogdan
  8. Bryan D Smith
  9. Guillermina Lozano
  10. Daniel L Flynn
  11. Eric L Snyder
  12. Conan G Kinsey
  13. Martin McMahon  Is a corresponding author
  1. Department of Oncological Sciences, University of Utah, United States
  2. Huntsman Cancer Institute, University of Utah, United States
  3. Department of Genetics, The University of Texas MD Anderson Cancer Center, United States
  4. Deciphera Pharmaceuticals, United States
  5. Department of Pathology, University of Utah, United States
  6. Department of Internal Medicine, Division of Medical Oncology, University of Utah, United States
  7. Department of Dermatology, University of Utah, United States
9 figures, 1 table and 1 additional file

Figures

Figure 1 with 2 supplements
Human KRASG12C-driven lung cancer cells are sensitive to co-inhibition of KRASG12C and ULK1/2.

(A–C) Human KRASG12C-driven cell lines NCI-H2122 (A), Calu-1 (B), and NCI-H358 (C) increase autophagy as assessed by mCherry-EGFP-LC3 reporter after 48 hr of sotorasib treatment and decrease autophagy after 48 hr of DCC-3116 treatment. Red = high autophagy, yellow = medium autophagy, green = low autophagy. Statistical significance was determined by comparing autophagy levels to DMSO control, and an ordinary one-way ANOVA with Dunnett’s multiple comparisons was used. Ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 9 biological replicates. (D–F) Quantification of percent confluence of human KRASG12C-driven cell lines at 72 hr post-drug treatment. Statistical significance was determined by an ordinary one-way ANOVA. Ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 3 biological replicates. (G–I) In vitro synergy assay of human KRASG12C-driven cell lines using the Loewe method after 72 hr of treatment. N = 3 biological replicates. (J–L) Tumor volume measured over 28 days of treatment in mice inoculated with NCI-H2122 (J), Calu-1 (K), and NCI-H358 (L) cells. Vehicle and sotorasib were administered once daily via oral gavage and DCC-3116 was formulated in the chow. Statistical significance was determined by an ordinary one-way ANOVA compared to vehicle-treated tumors. Ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 4–5 mice per treatment.

Figure 1—figure supplement 1
Human KRAS-driven lung cancer cells increase autophagy after KRASG12C or MEK inhibition.

(A–E) Autophagy levels in human KRASG12C-driven lung cancer cells Calu-1 (A), NCI-H2122 (B), NCI-H23 (C), NCI-H358 (D), and the KRASG12V-driven human lung cancer cell line Cor-L23 (E) after 48 hr of sotorasib at indicated concentrations with the fluorescent autophagy reporter (FAR). Red = high autophagy, yellow = medium autophagy, green = low autophagy. Statistical significance was determined by comparing autophagy levels to DMSO control, and an ordinary one-way ANOVA with Dunnett’s multiple comparisons was used. ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 9. (F–J) Autophagy levels in human KRASG12C-driven lung cancer cells Calu-1 (F), NCI-H2122 (G), NCI-H23 (H), NCI-H358 (I), and the KRASG12V-driven human lung cancer cell line Cor-L23 (J) after 48 hr of trametinib at indicated concentrations with the FAR. Red = high autophagy, yellow = medium autophagy, green = low autophagy. Statistical significance was determined by comparing autophagy levels to DMSO control, and an ordinary one-way ANOVA with Dunnett’s multiple comparisons was used. ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 9.

Figure 1—figure supplement 2
Human KRASG12C-driven lung cancer cell lines increase autophagy and decrease cellular proliferation after sotorasib treatment.

(A–C) ELISA measurement of pS318-ATG13 signal after 16 hr of drug treatment in NCI-H2122 (A), Calu-1 (B), and NCI-H358 cell lines (C). N = 3. Statistical analysis was performed using an ordinary one-way ANOVA with Tukey’s multiple comparisons test. ns = not significant, *p<0.05, ****p<0.0001. (D–F) Percent confluence over time of NCI-H2122 (D), Calu-1 (E), and NCI-H358 (F) cell lines treated with indicated compounds over time. Statistical analysis was performed using an ordinary one-way ANOVA with Tukey’s multiple comparisons test. ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 3–5. (G–I) Immunoblotting analysis of NCI- H2122 (G), Calu-1 (H), and NCI-H358 (I) cell lines after 100 nM sotorasib treatment over 24 hr.

Genetic inhibition of ULK1 decreases autophagy and cooperates with sotorasib to reduce cell viability.

(A) Immunoblot of NCI-H2122:ULK1K46N cells after 24 hr of doxycycline treatment. (B) Immunoblot of NCI-H2122:ULK1K46N cells treated with 1 ug/mL doxycycline over time (hours). (C) ELISA of pS318-ATG13 expression after 16 hr of doxycycline treatment. Statistical significance was determined by an ordinary one-way ANOVA. Ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 3 biological replicates. (D) NCI-H2122:ULK1K46N cells were engineered to express the mCherry-EGFP-LC3 reporter, and a decrease in autophagy was demonstrated after 48 hr of doxycycline treatment. N = 3. All statistical significance was measured using an ordinary one-way ANOVA with Dunnett’s multiple comparisons test. *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. (E) In vitro synergy assay of NCI-H2122:ULK1K46N cells treated with DMSO control, sotorasib, and/or doxycycline over 48 hr using the Loewe method. N = 3 biological replicates.

© 2024, BioRender Inc. Figure 2C was created using BioRender, and is published under a CC BY-NC-ND 4.0. Further reproductions must adhere to the terms of this license

Figure 3 with 1 supplement
Either LKB1 silencing or expression of dominant-negative TP53R172H cooperates with KRASG12C in genetically engineered mouse (GEM) models of lung cancer.

(A) Schematic of genotypes of GEM models and abbreviations. Panel (A) was created with BioRender.com and published using a CC BY-NC-ND license with permission. (B) Representative images of lung lobes from GEM models at indicated time points post-initiation of lung tumorigenesis. (C) Quantification of lung tumor burdens from GEM models 14 weeks post-initiation of tumorigenesis. Statistical analysis was performed using an ordinary one-way ANOVA. Ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 4 mice. (D) Hematoxylin and eosin (H&E) and immunohistochemical analysis of representative lung sections from GEM models 14 weeks post-initiation of tumorigenesis. p.i. = post-initiation.

© 2024, BioRender Inc. Figure 3 panel A - created with BioRender.com, and published using a CC BY-NC-ND license with permission

Figure 3—figure supplement 1
Loss of LKB1 expression leads to mixed adenosquamous cell carcinoma (ASC) and mucinous adenocarcinoma (ADC) lung tumors in KRASG12C-driven genetically engineered mouse (GEM) models.

(A) Schematic of allele, structure, and protein changes in GEM models used. (B) Representative hematoxylin and eosin (H&E) stains of K, KL, and KP GEM models 14 weeks post-initiation. N.O. = not observed, AAH = atypical adenomatous hyperplasia, mucinous ADC = mucinous adenocarcinoma. (C, D) Representative immunohistochemical stains of pERK1/2 (C) and pAKT1-3 (D) signal in K, KL, and KP GEM models. (E) Representative images of staining and immunohistochemistry of indicated proteins in KL mice.

Figure 4 with 1 supplement
Combined inhibition of KRASG12C and ULK1/2 decreases tumor initiation and increases survival in KL genetically engineered mouse (GEM) models.

(A) Schematic of lung tumor prevention dosing strategy of KL GEMs. Panel (A) was created with BioRender.com and published using a CC BY-NC-ND license with permission. DCC-3116 was administered in drug-formulated chow. N = 4–6 mice. (B) Representative images of lung lobes from GEM models 12 weeks post-initiation of tumorigenesis and DCC-3116 treatment. (C) Quantification of tumor burden of (B). Statistical analysis was measured by an unpaired Student’s t-test. Ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 4 mice. (D) Schematic of treating tumor-bearing KL mice with vehicle control, 30 mg/kg sotorasib, chow containing DCC-3116 or the combination. Panel (D) was created with BioRender.com and published using a CC BY-NC-ND license with permission. DCC-3116 was administered in drug-formulated chow (Key resources table). Mice were treated daily for 56 days or until termination criteria were reached, whichever was reached first. N = 4–6 mice. (E) Kaplan–Meier survival curve of survival on treatment of KL mice treated as indicated. Statistical analysis was performed using a log-rank test. **p<0.01, N = 4–6 mice. (F) Quantification of tumor burden of (E). (G) H&E analysis of representative lung sections from KL mice after treatment. AB/PAS = Alcian Blue Periodic Acid Schiff, for staining mucins. (H, I) Quantification of immunohistochemical staining of treated mice pERK (H) and pAKT (I) as described in ‘Materials and methods’. Statistical analysis was measured with an ordinary one-way ANOVA. *p<0.05, **p<0.01, ns = not significant. N = 4–5 mice.

© 2024, BioRender Inc. Figure 4 panel A and D- created with BioRender.com, and published using a CC BY-NC-ND license with permission

Figure 4—figure supplement 1
MicroCT, body weight, and pathological analysis of treated KL mice.

(A) Representative microCT images of KL mice pre-treatment (day 0) and 14 days, 28 days, and 56 days post-treatment. Vehicle-treated mice and most DCC-3116-treated mice reached termination criteria before the 56-day endpoint. Red arrows indicate lung tumors. (B) Percent change in the body weight of mice over the course of the treatment period. Each line depicts an individual mouse. (C) Representative images of hematoxylin and eosin staining of lung sections of KL mice at the end of treatment. N.O. = not observed, AH = alveolar hyperplasia, ADC = adenocarcinoma, ASC = adenosquamous cell carcinoma, mucinous ADC = mucinous adenocarcinoma.

Figure 5 with 1 supplement
Inhibition of KRASG12C and ULK1/2 reduces tumor burden in a KP genetically engineered mouse (GEM) model.

(A) Schematic of the treatment of KP GEM models. Panel (A) was created with BioRender.com and published using a CC BY-NC-ND license with permission. Mice were administered vehicle control or 30 mg/kg sotorasib once daily via oral gavage. DCC-3116 was administered in drug-formulated chow. N = 4–5 mice. (B) Quantification of tumor burden of mice after 4 weeks of treatment. Statistical analysis was performed using an ordinary one-way ANOVA. *p<0.05, ns = not significant. N = 4–5 mice. (C) Percent change in the body weight of mice on treatment over 4 weeks. Each line depicts an individual mouse. (D) Representative images of histological analysis of lung lobes from KP mice 4 weeks after treatment. (E, F) Quantification of immunohistochemical staining of treated mice pERK1/2 (E) and pAKT1-3 (F) as described in ‘Materials and methods’. Statistical analysis was performed using an ordinary one-way ANOVA. *p<0.05, **p<0.01. ns = not significant. N = 4–5 mice.

© 2024, BioRender Inc. Figure 5 panel A - created with BioRender.com, and published using a CC BY-NC-ND license with permission

Figure 5—figure supplement 1
MicroCT images of KP mice on treatment.

Representative microCT images of KP mice pre-treatment (day 0) and 7 days, 14 days, and 28 days post-treatment. Red arrows indicate lung tumors.

KL lung-cancer-derived cells that acquire resistance to sotorasib increase RAS and pERK1/2 expression and do not increase autophagy after sotorasib treatment.

(A) Immunoblot analysis of KL.70 and KL.70R cells treated with 100 nM sotorasib or 100 nM trametinib after 48 hr of treatment. (B, C) Quantification of signal from A normalized to b-actin. (D) Live-cell imaging of percent confluence of KL.70 cells over time treated with DMSO, 100 nm sotorasib of 100 nM trametinib. N = 3 biological replicates. (E) Autophagy measurement with fluorescent autophagy reporter (FAR) in cells assessed by mCherry-eGFP-LC3 reporter after 48 hr of 100 nM sotorasib or 100 nM trametinib treatment. Red = high autophagy, yellow = medium autophagy, green = low autophagy. Statistical significance was determined by comparing autophagy levels to DMSO control, and an ordinary one-way ANOVA with Dunnett’s multiple comparisons was used. Ns = not significant, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. N = 9 biological replicates. (F, G) In vitro synergy assay of KL70 cells treated with indicated doses of sotorasib and/or DCC-3116 using the Loewe method after 72 hr of treatment. N = 3 biological replicates. (H, I) In vitro synergy assay of KL70SR cells treated with indicated doses of sotorasib and/or DCC-3116 using the Loewe method after 72 hr of treatment. N = 3 biological replicates.

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Tables

Key resources table
Reagent type (species) or resourceDesignationSource or referenceIdentifiersAdditional information
Genetic reagent (Mus musculus)KrasLSL-G12CThe Jackson Laboratory;
PMID:32792368
Strain #:033068Dow Lab
Genetic reagent (M. musculus)Stk11fl/fl (mouse gene is Stk11 and protein is referred to as LKB1)The Jackson Laboratory;
PMID:21124450
Strain #:014143Morrison Lab
Genetic reagent (M. musculus)Trp53wm-R172HPMID:30262850Lozano Lab
Genetic reagent (M. musculus)Nod.Cg-Prkdcscid/JThe Jackson LaboratoryStrain #:001303
Strain (adenovirus)Ad5-CMV-CREUniversity of Iowa Viral Vector CoreVVC-U of Iowa-5
Cell line (Homo sapiens)293TATCCCRL-3216
Cell line (H. sapiens)NCI-H2122ATCCCRL-5985
Cell line (H. sapiens)Calu-1ATCCHTB-54
Cell line (H. sapiens)NCI-H358ATCCCRL-5807
Cell line (H. sapiens)NCI-H23ATCCCRL-5800
Cell line (H. sapiens)Cor-L23Sigma-Aldrich92031919
Cell line (M. musculus)KL70Tumor-derived cell line
AntibodyAnti-β-actin (mouse monoclonal)Cell Signaling TechnologyCat# 3700WB (1:10,000)
AntibodyAnti-phospho-AKT S473 (rabbit monoclonal)Cell Signaling TechnologyCat# 4060WB (1:1000)
IHC (1:100)
AntibodyAnti-Akt (mouse monoclonal)Cell Signaling TechnologyCat# 2920WB (1:1000)
AntibodyAnti-phospho AMPKa S485 (rabbit monoclonal)Cell Signaling TechnologyCat# 2537WB (1:1000)
AntibodyAnti-phospho AMPKa T172 (rabbit monoclonal)Cell Signaling TechnologyCat# 2535WB (1:1000)
AntibodyAnti-AMPK (rabbit monoclonal)Cell Signaling TechnologyCat# 5831WB (1:1000)
AntibodyAnti-phospho-ATG13 S318 (rabbit polyclonal)Rockland ImmunochemicalsCat# 600-401C49ELISA (1:500)
AntibodyAnti-ATG13 (rabbit monoclonal)Cell Signaling TechnologyCat# 13272ELISA (1:500)
AntibodyAnti-HNF4α (rabbit monoclonal)Cell Signaling TechnologyCat# 3113IHC (1:500)
AntibodyAnti-LKB1 (IHC formulated) (rabbit monoclonal)Cell Signaling TechnologyCat# 13031IHC (1:250)
AntibodyAnti-LKB1 (rabbit monoclonal)Cell Signaling TechnologyCat# 3050WB (1:1000)
AntibodyAnti-NKX2.1 (rabbit monoclonal)AbcamCat# ab76013IHC (1:2000)
AntibodyAnti-p44/p42 ERK1/2 (mouse monoclonal)Cell Signaling TechnologyCat# 4696WB (1:1000)
AntibodyAnti-phospho-p44/42 Thr202/Tyr204 ERK1/2 (rabbit monoclonal)Cell Signaling TechnologyCat# 4377WB (1:1000)
IHC (1:600)
AntibodyAnti-TP53 (rabbit polyclonal)Leica BiosystemsNCL-L-p53-CM5pIHC (1:1000)
WB (1:2,000)
AntibodyAnti-Pro-Surfactant Protein C (pSPC) (rabbit monoclonal)MilliporeSigmaCat# AB3786IHC (1:2000)
AntibodyAnti-RAS (rabbit monoclonal)Cell Signaling TechnologyCat#3965WB (1:1000)
AntibodyStreptavidin-Poly-HRP antibodyThermo FisherCat# 21140ELISA (1:4000)
AntibodyAnti-phospho-ULK1 S555 (rabbit monoclonal)Cell Signaling TechnologyCat# 5869WB (1:500)
AntibodyPhospho-ULK1 S757 (rabbit monoclonal)Cell Signaling TechnologyCat# 14202WB (1:500)
AntibodyULK1 (rabbit monoclonal)Cell Signaling TechnologyCat# 8054WB (1:500)
AntibodyIRDye 800 CW Goat anti-Rabbit IgGLI-CORCat# 926-32211WB (1:20,000)
AntibodyIRDye 680LT Donkey anti-Mouse IgGLI-CORCat# 926-68022WB (1:20,000)
Recombinant DNA reagentpCW57-MCS1-P2A-MSC2 (Blast)AddgenePlasmid # 80921
Recombinant DNA reagentpsPAX2AddgenePlasmid # 12260
Recombinant DNA reagentpMD2.GAddgenePlasmid # 12259
Recombinant DNA reagentpLV-ULK1K46NVector Builder
Recombinant DNA reagentpBabePuro:mCherry-GFP-LC3AddgenePlasmid # 22418
Recombinant DNA reagentpUltra-HotAddgenePlasmid # 24130
Chemical compound, drugSotorasibDeciphera Pharmaceuticals
Chemical compound, drugDCC-3116Deciphera Pharmaceuticals
Chemical compound, drugDCC-3116 formulated chowDeciphera Pharmaceuticals, Research Diets
Chemical compound, drugTrametinibShanghai Biochem PartnerCat# BCP02307
Chemical compound, drugCorn oilSigma-AldrichCat# C8267
Chemical compound, drugDMSOSigma-AldrichCat# D8418

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  1. Phaedra C Ghazi
  2. Kayla T O'Toole
  3. Sanjana Srinivas Boggaram
  4. Michael T Scherzer
  5. Mark R Silvis
  6. Yun Zhang
  7. Madhumita Bogdan
  8. Bryan D Smith
  9. Guillermina Lozano
  10. Daniel L Flynn
  11. Eric L Snyder
  12. Conan G Kinsey
  13. Martin McMahon
(2024)
Inhibition of ULK1/2 and KRASG12C controls tumor growth in preclinical models of lung cancer
eLife 13:RP96992.
https://doi.org/10.7554/eLife.96992.3