Abstract
Uveal melanoma (UM) is the most prevalent cancer of the eye in adults, driven by activating mutation of GNAQ/GNA11; however, there are limited therapies against UM and metastatic UM (mUM). Here, we perform a high-throughput chemogenetic drug screen in GNAQ-mutant UM contrasted with BRAF-mutant cutaneous melanoma, defining the druggable landscape of these distinct melanoma subtypes. Across all compounds, darovasertib demonstrates the highest preferential activity against UM. Our investigation reveals that darovasertib potently inhibits PKC as well as PKN/PRK, an AGC kinase family that is part of the "dark kinome." We find that downstream of the Gαq-RhoA signaling axis, PKN converges with ROCK to control FAK, a mediator of non-canonical Gαq-driven signaling. Strikingly, darovasertib synergizes with FAK inhibitors to halt UM growth and promote cytotoxic cell death in vitro and in preclinical metastatic mouse models, thus exposing a signaling vulnerability that can be exploited as a multimodal precision therapy against mUM.
| Original language | English |
|---|---|
| Article number | 101244 |
| Number of pages | 24 |
| Journal | Cell Reports Medicine |
| Volume | 4 |
| Issue number | 11 |
| Early online date | 18 Oct 2023 |
| DOIs | |
| Publication status | Published - 21 Nov 2023 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- melanoma
- GNAQ
- chemogenetic drug screening
- PKC
- PKN/PRK
- FAK
- synthetic lethality
- combination therapy
- precision medicine
ASJC Scopus subject areas
- General Biochemistry,Genetics and Molecular Biology
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