RT Journal Article T1 USP28 enables oncogenic transformation of respiratory cells, and its inhibition potentiates molecular therapy targeting mutant EGFR, BRAF and PI3K. A1 Prieto-Garcia, Cristian A1 Hartmann, Oliver A1 Reissland, Michaela A1 Braun, Fabian A1 Bozkurt, Süleyman A1 Pahor, Nikolett A1 Fuss, Carmina A1 Schirbel, Andreas A1 Schülein-Völk, Christina A1 Buchberger, Alexander A1 Calzado Canale, Marco A A1 Rosenfeldt, Mathias A1 Dikic, Ivan A1 Münch, Christian A1 Diefenbacher, Markus E K1 USP28 K1 Buparlisib K1 c-MYC K1 Gefitinib K1 Lung cancer K1 Vemurafenib AB Oncogenic transformation of lung epithelial cells is a multistep process, frequently starting with the inactivation of tumour suppressors and subsequent development of activating mutations in proto-oncogenes, such as members of the PI3K or MAPK families. Cells undergoing transformation have to adjust to changes, including altered metabolic requirements. This is achieved, in part, by modulating the protein abundance of transcription factors. Here, we report that the ubiquitin carboxyl-terminal hydrolase 28 (USP28) enables oncogenic reprogramming by regulating the protein abundance of proto-oncogenes such as c-JUN, c-MYC, NOTCH and ∆NP63 at early stages of malignant transformation. USP28 levels are increased in cancer compared with in normal cells due to a feed-forward loop, driven by increased amounts of oncogenic transcription factors such as c-MYC and c-JUN. Irrespective of oncogenic driver, interference with USP28 abundance or activity suppresses growth and survival of transformed lung cells. Furthermore, inhibition of USP28 via a small-molecule inhibitor resets the proteome of transformed cells towards a 'premalignant' state, and its inhibition synergizes with clinically established compounds used to target EGFRL858R -, BRAFV600E - or PI3KH1047R -driven tumour cells. Targeting USP28 protein abundance at an early stage via inhibition of its activity is therefore a feasible strategy for the treatment of early-stage lung tumours, and the observed synergism with current standard-of-care inhibitors holds the potential for improved targeting of established tumours. PB John Wiley & Sons YR 2022 FD 2022-03-29 LK http://hdl.handle.net/10668/19619 UL http://hdl.handle.net/10668/19619 LA en NO Prieto-Garcia C, Hartmann O, Reissland M, Braun F, Bozkurt S, Pahor N, et al. USP28 enables oncogenic transformation of respiratory cells, and its inhibition potentiates molecular therapy targeting mutant EGFR, BRAF and PI3K. Mol Oncol. 2022 Sep;16(17):3082-3106 NO We are grateful to the animal facility and Barbara Bauer at the Biocenter, University of Wurzburg. CP-G € and OH are supported by the German Cancer Aid via grant 70112491 and 70114554. MR is funded by the DFG-GRK 2243 and IZKF B335. MED and MR are funded by the German Israeli Foundation grant 1431.Open Access funding enabled and organized by ProjektDEAL DS RISalud RD Apr 6, 2025