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FGFR4 signaling couples to Bim and not Bmf to discriminate subsets of alveolar rhabdomyosarcoma cells
Authors:Marco Wachtel  Jelena Rakic  Michal Okoniewski  Peter Bode  Felix Niggli  Beat W. Schäfer
Affiliation:1. Department of Oncology and Children's Research Center, University Children's Hospital, , Zurich, Switzerland;2. Functional Genomics Center Zurich, UNI ETH Zurich, , Zurich, Switzerland;3. Institute of Surgical Pathology, University Hospital Zurich, , Zurich, Switzerland
Abstract:Biological heterogeneity represents a major obstacle for cancer treatment. Therefore, characterization of treatment‐relevant tumor heterogeneity is necessary to develop more effective therapies in the future. Here, we uncovered population heterogeneity among PAX/FOXO1‐positive alveolar rhabdomyosarcoma by characterizing prosurvival networks initiated by FGFR4 signaling. We found that FGFR4 signaling rescues only subgroups of alveolar rhabdomyosarcoma cells from apoptosis induced by compounds targeting the IGF1R‐PI3K‐mTOR pathway. Differences in both proapoptotic machinery and FGFR4‐activated signaling are involved in the different behavior of the phenotypes. Proapoptotic stress induced by the kinase inhibitors is sensed by Bim/Bad in rescue cells and by Bmf in nonrescue cells. Anti‐apoptotic ERK1/2 signaling downstream of FGFR4 is long‐lasting in rescue and short‐termed in most non‐rescue cells. Gene expression analysis detected signatures specific for these two groups also in biopsy samples. The different cell phenotypes are present in different ratios in alveolar rhabdomyosarcoma tumors and can be identified by AP2β expression levels. Hence, inhibiting FGFR signaling might represent an important strategy to enhance efficacy of current RMS treatments.
Keywords:FGFR4  BH3‐only proteins  alveolar rhabdomyosarcoma  tumor heterogeneity
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