Single-cell transcriptomics of NRAS-mutated melanoma transitioning to drug resistance reveals P2RX7 as an indicator of early drug response

  • Tijana Randic
  • , Stefano Magni
  • , Demetra Philippidou
  • , Christiane Margue
  • , Kamil Grzyb
  • , Jasmin Renate Preis
  • , Joanna Patrycja Wroblewska
  • , Petr V. Nazarov
  • , Michel Mittelbronn
  • , Katrin B.M. Frauenknecht
  • , Alexander Skupin
  • , Stephanie Kreis*
  • *Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

16 Citations (Scopus)

Abstract

Treatment options for patients with NRAS-mutant melanoma are limited and lack an efficient targeted drug combination that significantly increases overall and progression-free survival. In addition, targeted therapy success is hampered by the inevitable emergence of drug resistance. A thorough understanding of the molecular processes driving cancer cells’ escape mechanisms is crucial to tailor more efficient follow-up therapies. We performed single-cell RNA sequencing of NRAS-mutant melanoma treated with MEK1/2 plus CDK4/6 inhibitors to decipher transcriptional transitions during the development of drug resistance. Cell lines resuming full proliferation (FACs [fast-adapting cells]) and cells that became senescent (SACs [slow-adapting cells]) over prolonged treatment were identified. The early drug response was characterized by transitional states involving increased ion signaling, driven by upregulation of the ATP-gated ion channel P2RX7. P2RX7 activation was associated with improved therapy responses and, in combination with targeted drugs, could contribute to the delayed onset of acquired resistance in NRAS-mutant melanoma.

Original languageEnglish
Article number112696
JournalCell Reports
Volume42
Issue number7
Early online date27 Jun 2023
DOIs
Publication statusPublished - 25 Jul 2023

Keywords

  • CP: Cancer
  • drug resistance
  • MEK/CDK4/6 co-inhibition
  • NRAS-mutant melanoma
  • P2RX7
  • single-cell RNA-sequencing

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