Functional Genomics Identify Distinct and Overlapping Genes Mediating Resistance to Different Classes of Heterobifunctional Degraders of Oncoproteins

Cell Rep. 2021 Jan 5;34(1):108532. doi: 10.1016/j.celrep.2020.108532.

Abstract

Heterobifunctional proteolysis-targeting chimeric compounds leverage the activity of E3 ligases to induce degradation of target oncoproteins and exhibit potent preclinical antitumor activity. To dissect the mechanisms regulating tumor cell sensitivity to different classes of pharmacological "degraders" of oncoproteins, we performed genome-scale CRISPR-Cas9-based gene editing studies. We observed that myeloma cell resistance to degraders of different targets (BET bromodomain proteins, CDK9) and operating through CRBN (degronimids) or VHL is primarily mediated by prevention of, rather than adaptation to, breakdown of the target oncoprotein; and this involves loss of function of the cognate E3 ligase or interactors/regulators of the respective cullin-RING ligase (CRL) complex. The substantial gene-level differences for resistance mechanisms to CRBN- versus VHL-based degraders explains mechanistically the lack of cross-resistance with sequential administration of these two degrader classes. Development of degraders leveraging more diverse E3 ligases/CRLs may facilitate sequential/alternating versus combined uses of these agents toward potentially delaying or preventing resistance.

Keywords: CRBN; CRISPR; CRISPR activation; E3 ligase; PROTAC; VHL; heterobifunctional proteolysis-targeting chimeric compounds; myeloma; pharmacological degraders; resistance.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adaptor Proteins, Signal Transducing / metabolism*
  • Animals
  • Antineoplastic Agents / pharmacology*
  • CRISPR-Cas Systems
  • Cell Line, Tumor
  • Cyclin-Dependent Kinase 9 / metabolism
  • Drug Resistance, Neoplasm
  • Gene Editing
  • Gene Expression Regulation, Neoplastic
  • Genes, Overlapping
  • Genome-Wide Association Study
  • Genomics / methods
  • Humans
  • Mice
  • Multiple Myeloma / drug therapy
  • Multiple Myeloma / genetics*
  • Multiple Myeloma / metabolism*
  • Oncogene Proteins / metabolism
  • Proteins / antagonists & inhibitors
  • Proteins / metabolism
  • Proteolysis
  • Tumor Cells, Cultured
  • Ubiquitin-Protein Ligases / metabolism*
  • Von Hippel-Lindau Tumor Suppressor Protein / metabolism*

Substances

  • Adaptor Proteins, Signal Transducing
  • Antineoplastic Agents
  • CRBN protein, human
  • Oncogene Proteins
  • Proteins
  • bromodomain and extra-terminal domain protein, human
  • CULL-RING ligase, human
  • Ubiquitin-Protein Ligases
  • Von Hippel-Lindau Tumor Suppressor Protein
  • CDK9 protein, human
  • Cyclin-Dependent Kinase 9