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Non-Darwinian dynamics in therapy-induced cancer drug resistance.

Angela Oliveira Pisco | Amy Brock | Joseph Zhou | Andreas Moor | Mitra Mojtahedi | Dean Jackson | Sui Huang
Nature communications | 2013

The development of drug resistance, the prime cause of failure in cancer therapy, is commonly explained by the selection of resistant mutant cancer cells. However, dynamic non-genetic heterogeneity of clonal cell populations continuously produces metastable phenotypic variants (persisters), some of which represent stem-like states that confer resistance. Even without genetic mutations, Darwinian selection can expand these resistant variants, which would explain the invariably rapid emergence of stem-like resistant cells. Here, by using quantitative measurements and modelling, we show that appearance of multidrug resistance in HL60 leukemic cells following treatment with vincristine is not explained by Darwinian selection but by Lamarckian induction. Single-cell longitudinal monitoring confirms the induction of multidrug resistance in individual cells. Associated transcriptome changes indicate a lasting stress response consistent with a drug-induced switch between high-dimensional cancer attractors. Resistance induction correlates with Wnt pathway upregulation and is suppressed by β-catenin knockdown, revealing a new opportunity for early therapeutic intervention against the development of drug resistance.

Pubmed ID: 24045430

Research resources used in this publication

None found

Antibodies used in this publication

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Associated grants

  • Agency: NCI NIH HHS, United States
    Id: CA123284
  • Agency: Biotechnology and Biological Sciences Research Council, United Kingdom
  • Agency: NICHD NIH HHS, United States
    Id: P30 HD018655
  • Agency: NCI NIH HHS, United States
    Id: R21 CA123284
  • Agency: NICHD NIH HHS, United States
    Id: P30-HD18655

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GraphPad Prism (tool)

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