To identify essential genes in human malignant and non-transformed cell lines, we performed arrayed format RNAi screens in 19 cell lines using a short hairpin RNA (shRNA) library targeting kinases and phosphatases
3 (
Supplementary Fig. 1 and
Table 1). We then used two methods to find genes that were selectively required in cells expressing oncogenic
KRAS. First, we employed a class-discrimination feature selection method () in which normalized B-scores
4 for each cell line were analyzed using a t-test statistic
5 to identify the top 250 (5%) shRNAs that distinguished the cell lines that harbored mutant or wild-type (WT)
KRAS. We focused on genes whose suppression by at least 2 shRNAs selectively impaired the proliferation/viability of
KRAS mutant cells and identified
KRAS itself (
Supplementary Tables 2, 3;
Supplementary Figs. 2a, b).
In parallel, we used RNAi Gene Enrichment Ranking (RIGER)
6, a statistical approach that does not rely on arbitrary thresholds, to rank-order candidate
KRAS synthetic lethal genes (). RIGER considers all shRNAs for a gene as a “hairpin set”, similar to “gene sets” in gene set enrichment analysis (GSEA)
7, and provides a normalized enrichment score (NES) for each gene with respect to a specific classification. Using the mutant versus WT
KRAS class distinction as the classification feature, we ranked candidate
KRAS synthetic lethal partners by NES and selected the top 40 genes, which included 12 of the 17 candidates identified by the individual shRNA-based analysis (,
Supplementary Tables 2, 4).
To validate the 45 candidates identified by these two approaches, we performed a secondary screen on an independent panel of mutant or WT
KRAS lung adenocarcinoma cell lines (
Supplementary Figs. 3a, b; 4a, b). Proliferation/viability data for each shRNA was normalized to the median value of 20 control shRNAs. Using the t-test statistic to rank shRNAs that selectively impaired proliferation/viability in mutant
KRAS cells, we identified a significantly enriched subset of candidate shRNAs (p≤0.0002) (
Supplementary Fig. 5a). Three
KRAS-specific shRNAs were among the top four shRNAs that distinguished
KRAS mutant and WT cell lines (
Supplementary Figs. 3a, c; 5b). Using RIGER to rank candidate genes with respect to
KRAS-selective lethality, we identified
KRAS and
TBK1 as the most significant genes (FDR, 0.04 and 0.18, respectively) (). Although the secondary screen identified other potential
KRAS synthetic lethal genes, we focused on
TBK1 because it represented the top candidate after
KRAS. Indeed, we found that the two top-scoring shRNAs induced
TBK1 suppression and substantial cell death in NCI-H23 cells (mutant
KRAS) (). To confirm these findings, we introduced
KRAS- or
TBK1-specific shRNAs into a third set of lung cancer cell lines () and observed a strong correlation between
KRAS and
TBK1 dependence, even in cell lines in which
KRAS mutation status and dependence were decoupled. We also used an isogenic experimental model to isolate the genetic interaction between oncogenic
KRAS and
TBK1. Specifically, expression of oncogenic
KRAS in immortalized human lung epithelial cells (AALE-K cells)
8 rendered them dependent on both
KRAS and
TBK1 for survival, as compared to cells expressing a control vector (AALE-V cells) (). When we suppressed
TBK1 in A549 or NCI-H2009 cells (mutant
KRAS), tumor formation was inhibited, while suppression of
TBK1 had no effect on the tumorigenicity of NCI-H1437 or NCI-H1568 cells (WT
KRAS) (). These observations confirm that cancer cell lines that depend on oncogenic
KRAS require
TBK1 expression.
To determine whether suppression of
TBK1 in
KRAS-dependent cells induced apoptosis, we found that, similar to shRNAs targeting
KRAS itself (
Supplementary Fig. 4b),
TBK-specific shRNAs provoked an increase in PARP cleavage () and TUNEL-positive nuclei (p<0.01) (,
Supplementary Fig. 6a) in NCI-H23 cells (mutant
KRAS) but not in NCI-H1437 cells (WT
KRAS). Suppression of
Tbk1 in cells derived from a
KRAS-driven murine model of lung cancer (LKR-13 cells)
9 also induced apoptosis (
Supplementary Fig. 6b).
KRAS activates several signaling pathways including those regulated by RAF, PI3K, and RAL. We found that suppression of
CRAF,
BRAF or
AKT1 failed to kill
KRAS-dependent lung cancer cell lines selectively (,
Supplementary Fig. 6c).
TBK1 suppression also failed to alter phospho-ERK or phospho-AKT levels (
Supplementary Fig. 6d). In contrast, suppression of
RALB resulted in significant selective lethality in
KRAS-dependent cell lines (p<0.01, ). Consistent with prior work linking RALB with TBK1 activation in the setting of tumor cell survival
10, this observation suggested that RALB-TBK1 signaling was required in cells that depend on oncogenic
KRAS.
TBK1 is a non-canonical IκB kinase that regulates innate immunity through the interferon and NF-κB pathways
11 and is also a component of the exocyst complex
10. To examine how TBK1 contributes to survival in
KRAS-dependent cell lines, we performed transcriptional profiling on AALE cells expressing a control vector (AALE-V), oncogenic
KRAS (AALE-K) or WT
KRAS (AALE-K WT). Using GSEA to identify gene sets from the Molecular Signatures Database (MSigDB-C2 v2)
7 that were enriched in AALE-K cells, we identified a previously described oncogenic RAS signature
12 as well as several NF-κB pathway activation signatures
13,14 among the most significantly enriched gene sets (p≤4.5 × 10
−7, hypergeometric test) (,
Supplementary Fig. 7a). In contrast, we failed to detect enrichment of oncogenic RAS or NF-κB signatures in AALE-K WT cells (), indicating that expression of oncogenic but not WT
KRAS correlated with NF-κB signaling.
To extend these observations to patient-derived tumors, we analyzed expression profiles from 128 lung adenocarcinomas
15,16 for expression of the oncogenic RAS
12, NF-κB
13,14, and IRF3
17 signatures as well as a
KRAS-specific signature (AALE-K) composed of the genes most significantly induced in AALE-K relative to AALE-V cells. We found that the majority of mutant
KRAS tumors (14/19) showed RAS signature activation and co-expression of the NF-κB signature (p≤1.3 × 10
−15, Spearman correlation test with Bonferroni adjustment) or the IKKε-regulated NF-κB gene subset (p≤0.008), but not the IRF3-regulated gene set (p≤0.18) (). These observations confirm that the majority of lung cancers that harbor mutant
KRAS show evidence of RAS and NF-κB pathway activation and suggest that a substantial fraction of
KRAS mutant primary lung cancers may depend on
TBK1 and NF-κB signaling for survival.
Consistent with recent work
18, we also identified RAS and NF-κB signature co-activation in 30/109
KRAS WT tumors (). These RAS and NF-κB signatures identified some but not all of the
KRAS WT cell lines that exhibited
KRAS dependence (
Supplementary Table 1, ), suggesting that a subset of
KRAS WT tumors depend on TBK1 and NF-κB signaling for survival. Further work will be necessary to determine whether such signatures will prove useful in predicting responsiveness to
TBK1 inhibition.
Although TBK1 activates the interferon pathway through regulation of IRF3 and IRF7
10,11, we failed to observe increased expression of IRF3 target genes
17 (
Supplementary Fig. 7b) or increased IRF3 nuclear translocation (
Supplementary Fig. 8a) in AALE-K cells. In addition, suppression of
KRAS or
TBK1 in
KRAS mutant cancer cells down-regulated specific genes within the NF-κB subset, including
CCND1,
BCL2 and
IL8, but failed to alter the expression of known interferon-responsive genes such as
IFN-β1 and
RANTES (
Supplementary Fig. 7c). When we suppressed
TBK1 in AALE-K cells, we observed that NF-κB signature components and several NF-κB targets, including the anti-apoptotic gene
BCL-XL, were among the most significantly down-regulated genes (). These findings confirm the importance of the NF-κB pathway in promoting survival in the setting of oncogenic
RAS19 and suggest that, distinct from its role in innate immunity, TBK1 preferentially activates NF-κB signaling in tumors dependent on oncogenic
KRAS.
TBK1 has been reported to regulate the stability of IκB proteins
11. When we examined cytoplasmic levels of IκB family members in AALE-K cells, we found reduced levels of IκBα and p105 as compared to AALE-V cells (,
Supplementary Fig. 8a, b). Moreover, suppression of
TBK1 in AALE-K cells or
KRAS mutant NCI-H23 cells () returned levels to that observed in WT
KRAS cells. Expression of the IκBα super-repressor (IKB-SR)
20, which inhibits NF-κB activity, in AALE-K, AALE-V, or cancer cell lines expressing mutant or WT
KRAS induced cell death specifically in cells harboring mutant
KRAS (,
Supplementary Fig. 9). These findings confirm that TBK1-driven NF-κB activity promotes survival of cells that depend on mutant
KRAS.
In the primary shRNA screen, we noted that one shRNA targeting the NF-κB family member
c-REL scored as selectively lethal in
KRAS mutant cells, albeit just below our pre-determined threshold. Suppression of
c-REL but not
IRF3 selectively induced apoptosis in
KRAS mutant cells (p≤0.001) (,
Supplementary Fig. 10a). Moreover, we found that suppression of
TBK1 in
KRAS mutant cancer cells reduced total and nuclear c-REL levels (,
Supplementary Fig. 10b). Although TBK1 can phosphorylate c-REL when over-expressed
21, we failed to detect an interaction between TBK1 and c-REL but confirmed that endogenous c-REL and p105 interact (
Supplementary Fig. 10c)
22.
Since
BCL-XL, a known c-REL target
23, was identified as a TBK1-regulated gene in AALE-K cells (), we examined the expression of several anti-apoptotic genes following
TBK1 suppression in
KRAS mutant cancer cells and observed specific down-regulation of
BCL-XL following
TBK1 suppression in multiple cell lines (,
Supplementary Fig. 10d). Moreover, overexpression of BCL-XL rescued apoptosis induced by
KRAS or
TBK1 suppression in NCI-H23 cells () but did not significantly affect cell death induced by the suppression of
survivin (
Supplementary Fig. 11), confirming p105, c-REL and BCL-XL as mediators of NF-κB survival signaling downstream of TBK1 and KRAS.
In summary, we have identified
TBK1 as a synthetic lethal partner of oncogenic
KRAS. These findings link RALB-mediated activation of TBK1
10 to the generation of specific NF-κB-regulated survival signals downstream of oncogenic
KRAS. Furthermore, although studies testing the effects of inhibiting TBK1 or NF-κB signaling in established tumors are necessary,
TBK1 and more generally NF-κB signaling may represent an alternative method of targeting oncogenic
KRAS-driven cancers. Recently,
STK33 and
PLK1 were identified as
KRAS synthetic lethal partners through the application of RNAi screening in paired
KRAS mutant and WT cell lines
24,25. Both genes were also identified in our computational analyses (
Supplementary Tables 3, 4), but like
cREL, they fell below our initial threshold for secondary screening. We anticipate that the development of fully validated shRNA libraries coupled with the interrogation of larger numbers of cell lines will permit saturating genetic screens to identify synthetic lethal partners of
KRAS as well as other oncogenes and tumor suppressor genes. More generally, this and other studies
6,24–28 indicate that application of these functional and analytical approaches will facilitate the comprehensive identification of functional co-dependencies in cancer.