RT Journal Article SR Electronic T1 Dynamic analysis of pulsed cisplatin identifies effectors of resistance in lung adenocarcinoma JF bioRxiv FD Cold Spring Harbor Laboratory SP 775924 DO 10.1101/775924 A1 Jordan F. Hastings A1 Alvaro Gonzalez-Rajal A1 Jeremy Z.R. Han A1 Rachael A. McCloy A1 Yolande E.I. O’Donnell A1 Monica Phimmachanh A1 Alexander D. Murphy A1 Adnan Nagrial A1 Dariush Daneshvar A1 Venessa Chin A1 D. Neil Watkins A1 Andrew Burgess A1 David R. Croucher YR 2019 UL http://biorxiv.org/content/early/2019/09/20/775924.abstract AB Identification of clinically viable strategies for overcoming resistance to platinum chemotherapy in lung adenocarcinoma has been hampered by inappropriately tailored in vitro assays of drug response. Therefore, using a pulse model that closely recapitulates the in vivo pharmacokinetics of platinum therapy, we profiled cisplatin-induced signalling, DNA damage and apoptotic responses across a panel of lung adenocarcinoma cell lines. By coupling this data with real-time, single cell imaging of cell cycle and apoptosis, we show that TP53 mutation status influenced the mode of cisplatin induced cell cycle arrest, but could not predict cisplatin sensitivity. In contrast, P70S6K-mediated signalling promoted resistance by increasing p53/p63 and p21 expression, reducing double-stranded DNA breaks and apoptosis. Targeting P70S6K sensitised both TP53 wildtype and null lines to cisplatin, but not TP53 mutant lines. In summary, using in vitro assays that mimic in vivo pharmacokinetics identified P70S6K as a robust mediator of cisplatin resistance and highlighted the importance of considering somatic mutation status when designing patient-specific combination therapies.