- Chan, Gary;
- Maisel, Samantha;
- Hwang, Yeonjoo;
- Pascual, Bryan;
- Wolber, Rebecca;
- Vu, Phuong;
- Patra, Krushna;
- Bouhaddou, Mehdi;
- Kenerson, Heidi;
- Lim, Huat;
- Long, Donald;
- Yeung, Raymond;
- Sethupathy, Praveen;
- Swaney, Danielle;
- Krogan, Nevan;
- Turnham, Rigney;
- Riehle, Kimberly;
- Scott, John;
- Bardeesy, Nabeel;
- Gordan, John
Genetic alterations that activate protein kinase A (PKA) are found in many tumor types. Yet, their downstream oncogenic signaling mechanisms are poorly understood. We used global phosphoproteomics and kinase activity profiling to map conserved signaling outputs driven by a range of genetic changes that activate PKA in human cancer. Two signaling networks were identified downstream of PKA: RAS/MAPK components and an Aurora Kinase A (AURKA)/glycogen synthase kinase (GSK3) sub-network with activity toward MYC oncoproteins. Findings were validated in two PKA-dependent cancer models: a novel, patient-derived fibrolamellar carcinoma (FLC) line that expresses a DNAJ-PKAc fusion and a PKA-addicted melanoma model with a mutant type I PKA regulatory subunit. We identify PKA signals that can influence both de novo translation and stability of the proto-oncogene c-MYC. However, the primary mechanism of PKA effects on MYC in our cell models was translation and could be blocked with the eIF4A inhibitor zotatifin. This compound dramatically reduced c-MYC expression and inhibited FLC cell line growth in vitro. Thus, targeting PKA effects on translation is a potential treatment strategy for FLC and other PKA-driven cancers.