Journal: bioRxiv
Article Title: ATM functions as a rheostat of metabolic stress in small-cell lung cancer
doi: 10.64898/2026.03.13.711672
Figure Lengend Snippet: (A) Boxplot representing SLC7A11 mRNA expression from the Jiang et al. microarray dataset of SCLC compared to normal lung tissue (TPM-normalized RNA-seq, Wilcoxon rank-sum test, ** P < 0.01). (B-C) Boxplot representing SLC7A11 (B) and TFRC (C) expression in SCLC clinical samples relative to normal controls in the GSE43346 microarray dataset using globally normalized counts (*** P < 0.001). (D) Nine-square plot comparing gene-level beta scores at timepoint T1 versus T0. The x -axis represents gene enrichment or depletion in the control condition, while the y -axis shows the same for the treatment condition. Genes in the top-center quadrant (deep-red, n = 35) exhibit strong enrichment under treatment but not control, whereas genes in the bottom-center quadrant (blue, n = 160) show strong depletion under treatment but not control. Genes in gray represent non-significant hits. Top candidate genes are labeled, including positive hits such as ZNF345, ACS1 and VDAC3, and negative hits such as ATG16L2, EIF4, and ZNF66 . (E) Functional enrichment analysis of top-ranked genes identified from the CRISPR screen. Genes selected from the upper end (n=35 genes) of the sigmoid-ranked essentiality curve were analyzed for pathway enrichment. Lollipop plot displays the top depleted biological processes at T1, with statistical significance indicated by -log₁₀( P -value) (color scale) and gene ratio (dot size). Enriched terms reflect biological processes preferentially required under ATM inhibition (AZD0156). (F) Western blot of top ferroptosis markers SLC7A11, TFRC, and GPX4 in whole-cell lysates from H446 and H196 +/- ATMi. Vinculin was visualized as a loading control. (G) Boxplots showing ferroptosis gene signature scores in SCLC cells treated with ATMi AZD0156 (red) compared to DMSO controls (gray) across 3 SCLC cell lines: DMS114, H196, and H446. P -values were calculated using a 2-sample t -test and were adjusted using the BH method ( P -adj: DMS114 - 0.000199, H196 - 0.00217, and H446 - 0.0149). (H) Bar plot representing relative MDA content in whole-cell lysates of H446 and H196 treated with ATMi (AZD0156). (I) Bar plot representing relative lipid peroxidation at 24 h measured by BODIPY/C11 positive staining in FACS +/- ATMi (AZD0156) in SCLC models. Ferroptosis inducers (RSL3, iFSP1, erastin) or ferroptosis inhibitors (Fer-1) were used alone or in combination with AZD0156. (J) Lipid peroxidation measurement by BODIPY/C11 in H446 and H196 treated with ATMi (AZD0156) with or without stable overexpression of MYC in complete media. Data represent mean ± SEM of n = 3 biological replicates. Statistical significance was determined by 1-way Student’s t -test (* P < 0.05; ** P < 0.01; *** P < 0.001, *** * P < 0.0001). (K) Graph depicts tumor volume of mice over time treated with vehicle or ATMi (AZD0156), with tumor generated subcutaneously from LX33. 0 mg/kg AZD0156 was administered 5/7 days as an intraperitoneal injection. Data are represented as mean ± SEM ( n = 6 per group). (L) Representative image of LX33 tumor sizes from (K) . (M) IHC images of LX33 tumors +/- AZD0156 probed for expression of 4-HNE, a marker of lipid peroxidation.
Article Snippet: Other inhibitors used were AKT inhibitor MK-2206 (Medchemexpress), mTORC1 inhibitor rapamycin (Thermo Scientific), apoptosis inhibitor ZVAD (Selleckchem, 187389-52-2), apoptosis inducer (PKC inhibitor) Staurosporin (Selleckchem, NC1828540), ferroptosis inhibitor ferrostatin (Cayman Chemical), xCT inhibitor erastin (Selleckchem, 50-136-4551), GSH peroxidase 4 (GPX4) inhibitor RSL3, and AIFM2/FSP1 inhibitor iFSP1 (Fisher Scientific), MG132 (Cayman Chemical, 133407-82-6), and MYC inhibitor (MYCi975, Selleck Chem, S8906).
Techniques: Expressing, Microarray, RNA Sequencing, Control, Labeling, Functional Assay, CRISPR, Inhibition, Western Blot, Staining, Over Expression, Generated, Injection, Marker