RT Journal Article SR Electronic T1 A focal adhesion kinase-YAP signaling axis drives drug tolerant persister cells and residual disease in lung cancer JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.10.23.465573 DO 10.1101/2021.10.23.465573 A1 Franziska Haderk A1 Celia Fernández-Méndez A1 Lauren Čech A1 Johnny Yu A1 Ismail M. Meraz A1 Victor Olivas A1 Dora Barbosa Rabago A1 D. Lucas Kerr A1 Carlos Gomez A1 David V. Allegakoen A1 Juan Guan A1 Khyati N. Shah A1 Kari A. Herrington A1 Oghenekevwe M. Gbenedio A1 Shigeki Nanjo A1 Mourad Majidi A1 Whitney Tamaki A1 Julia K. Rotow A1 Caroline E. McCoach A1 Jonathan W. Riess A1 J. Silvio Gutkind A1 Tracy T. Tang A1 Leonard Post A1 Bo Huang A1 Pilar Santisteban A1 Hani Goodarzi A1 Sourav Bandyopadhyay A1 Calvin J. Kuo A1 Jeroen P. Roose A1 Wei Wu A1 Collin M. Blakely A1 Jack A. Roth A1 Trever G. Bivona YR 2021 UL http://biorxiv.org/content/early/2021/10/24/2021.10.23.465573.abstract AB Targeted therapy is effective in many tumor types including lung cancer, the leading cause of cancer mortality. Paradigm defining examples are targeted therapies directed against non-small cell lung cancer (NSCLC) subtypes with oncogenic alterations in EGFR, ALK and KRAS. The success of targeted therapy is limited by drug-tolerant tumor cells which withstand and adapt to treatment and comprise the residual disease state that is typical during treatment with clinical targeted therapies. Here, we integrate studies in patient-derived and immunocompetent lung cancer models and clinical specimens obtained from patients on targeted therapy to uncover a focal adhesion kinase (FAK)-YAP signaling axis that promotes residual disease during oncogenic EGFR-, ALK-, and KRAS-targeted therapies. FAK-YAP signaling inhibition combined with the primary targeted therapy suppressed residual drug-tolerant cells and enhanced tumor responses. This study unveils a FAK-YAP signaling module that promotes residual disease in lung cancer and mechanism-based therapeutic strategies to improve tumor response.Competing Interest StatementT.G.B. is an advisor to Array/Pfizer, Revolution Medicines, Springworks, Jazz Pharmaceuticals, Relay Therapeutics, Rain Therapeutics, Engine Biosciences, and receives research funding from Novartis, Strategia, Kinnate, and Revolution Medicines. J.A.R. is consultant and has equity in Genprex, Inc., patents issued and pending. C.M.B. is a consultant to Amgen, and Blueprint Medicines, and receives research funding from AstraZeneca, Novartis, Takeda, Spectrum, Roche, and Mirati. J.P.R. is a co-founder and scientific advisor of Seal Biosciences, Inc. and advisor for the Mark Foundation for Cancer Research. C.J.K. is an advisor to Surrozen, Inc., Mozart Therapeutics and NextVivo. J.S.G. is a member of the advisory board of Oncoceutics and Domain Therapeutics. J.W.R. is an advisor to Blueprint, Beigene, Daiichi Sankyo, EMD Serano, Turning Point, and Janssen, and is a consultant to Blueprint, Novartis, and Boehringer Ingelheim. J.W.R. receives research funding from Merck, Novartis, Spectrum, Revolution Medicine, AstraZeneca, and GlaxoSmithKline. T.T.T. and L.P. are employees of Vivace Therapeutics and have equity interest in Vivace Therapeutics.