TY - JOUR A1 - Jenks, Andrew A1 - Vyse, Simon A1 - Wong, Jocelyn P. A1 - Kostaras, Eleftherios A1 - Keller, Deborah A1 - Burgoyne, Thomas A1 - Shoemark, Amelia A1 - Tsalikis, Athanasios A1 - Roche, Maike de la A1 - Michaelis, Martin A1 - Cinatl, Jindrich A1 - Huang, Paul H. A1 - Tanos, Barbara E. T1 - Primary cilia mediate diverse kinase inhibitor resistance mechanisms in cancer T2 - Cell reports N2 - Primary cilia are microtubule-based organelles that detect mechanical and chemical stimuli. Although cilia house a number of oncogenic molecules (including Smoothened, KRAS, EGFR, and PDGFR), their precise role in cancer remains unclear. We have interrogated the role of cilia in acquired and de novo resistance to a variety of kinase inhibitors, and found that, in several examples, resistant cells are distinctly characterized by an increase in the number and/or length of cilia with altered structural features. Changes in ciliation seem to be linked to differences in the molecular composition of cilia and result in enhanced Hedgehog pathway activation. Notably, manipulating cilia length via Kif7 knockdown is sufficient to confer drug resistance in drug-sensitive cells. Conversely, targeting of cilia length or integrity through genetic and pharmacological approaches overcomes kinase inhibitor resistance. Our work establishes a role for ciliogenesis and cilia length in promoting cancer drug resistance and has significant translational implications. KW - FGFR KW - Hedgehog pathway KW - cilia KW - kinase inhibitor KW - resistance Y1 - 2018 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/46748 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-467486 SN - 2211-1247 N1 - This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). VL - 23 IS - 10 SP - 3042 EP - 3055 PB - Cell Press ; Elsevier CY - Maryland Heights, MO ; [New York, NY] ER -