Simvastatin Induced Translocation of Mutant KRAS in Colorectal Cancer Cells L.L. Krens, C.M.C. Pullen, R.F. Baak-Pablo, H.J. Guchelaar, R.J.H.M. van der Straaten Department of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands Introduction Conclusions Results KRAS mutation status in colorectal cancer is leading for the use of EGFR antibodies, such as cetuximab. KRAS is activated by posttranslational modification (prenylation) by binding C15 and C17 fatty acid chains. As a consequence KRAS becomes more lipophilic and associates with the membrane to exert its function. Statins inhibit the synthesis of these C15 and C17 chains. Statins may therefore have the potential to influence the KRAS mutant phenotype. Previous experiments have shown that KRAS mutant cells could be sensitized to anti-EGFR therapy using simvastatin This study sought to determine the mechanism of sensitisation by simvastatin in KRAS mutant CRC cells. We hypothesise that by inhibiting the prenylation, KRAS will not associate with the inner-membrane and KRAS will be less active, making KRAS mutant cells more susceptible to anti-EGFR therapy § KRAS is localized both in the cytoplasm and in the plasma membrane of KRAS wild type cells, the localization, however, in the plasma membrane was much more abundant in KRAS mutant cells. In SW48, KRAS is localized in plasma membrane and also distributed through cytoplasm. Simvastatin does not affect the KRAS localization. KRAS expression is abundant in plasma membrane of KRAS mutant cell lines SW480 and LoVo. It is evident that KRAS detaches from plasma membrane and translocates to the cytoplasm when treated with simvastatin. KRAS expression in HCT116 is comparable with SW48 and no effect of simvastatin on KRAS localization was observed. SW48 § For KRAS wild type cells, no effect of simvastatin on the amount of KRAS in plasma membrane was observed § For KRAS mutant cells SW480 and LoVo, a clear effect of simvastatin on translocation of KRAS from plasma membrane to the cytoplasm was observed. Nevertheless, this effect was not observed in HCT116. Method Discussion LoVo (KRAS G13D), HCT116 (KRAS G13D), SW480 (KRAS G12V) and SW48 (KRAS wildtype) CRC cells were seeded in NuncTM glass 8-chamber slides at density of 20,000 cells/well and cultured for 24 hours. After 24 hours, medium was replaced with medium with or without simvastatin (2µM) and cultured for another 24 hours. Cells were fixated with 2% PFA, permeabilized using 0.1% Saponin + 2% PFA, incubated with KRAS mouse anti-human antibody and incubated with Alexa 488 goat anti-mouse antibody. Vectashield-Dapi was used to stain the nucleus. Previous studies showed that activating mutations in KRAS can predict resistance to EGFR-targeted therapy.2 Circumventing this activation by preventing the production of farnesyl groups, may render these cells EGFR dependent and consequently susceptible for anti-EGFR therapy. This study shows that mutant KRAS is abundant in the plasma membrane of CRC cells LoVo and SW480, but not in HCT116. Incubation with simvastatin induces translocation of KRAS from plasma membrane to cytoplasm in LoVo and SW480. Whether this is due to decreased amount of farnesyl groups, has not been tested. However, because no translocation in HCT116 cells was observed, other mechanisms could be involved in the detachment of KRAS by simvastatin. For instance the effect of statins on bone morphogenetic protein 1 , PKC activation caused by statins3, or PI3K/AKT downregulation4. [email protected] LoVo SW480 Simvastatin HCT116 + Figure 1: Confocal pictures of cells incubated with or without simvastatin and stained for KRAS. Experiments are performed three times and representative pictures are depicted. Upper panel show control cells (no simvastatin) and lower panel show cells incubated with simvastatin. References: 1: Kodach L.L. et al. Gastroenterology 113, 1272-1281 (2007). 2: Van Houdt W.J. et al. Neoplasia 12, 443-452 (2010). 3: Manson J.C. et al. Circ. Res. 91, 696-703 (2002). 4: Bivona T.G. et al. Mol. Cell 21, 481-493 (2006). # 2.191
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