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  • American Association for Cancer Research (AACR)  (4)
  • 1
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2023
    In:  Cancer Research Vol. 83, No. 8_Supplement ( 2023-04-14), p. LB226-LB226
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 83, No. 8_Supplement ( 2023-04-14), p. LB226-LB226
    Abstract: High-risk neuroblastoma (NB) has a poor prognosis despite multimodal treatment. To improve survival and minimise treatment side-effects, research has focused on developing more effective therapeutic strategies. Anaplastic lymphoma kinase (ALK) is a promising druggable target as its expression rapidly decreases in healthy tissues postnatally, and it is expressed as a hyperactivated mutant form in ~14% of high-risk NB. The ALK tyrosine kinase inhibitor lorlatinib is a promising treatment, but resistance has been reported, hindering long-term benefits. With a trimodal approach, consisting of genome-wide CRISPR-Cas9-overexpression (CRISPRa) screens, RNA sequencing and high-throughput drug screens, we have identified genes whose expression is associated with decreased sensitivity to lorlatinib creating novel therapeutic vulnerabilities. In particular, we validate the CRISPRa screen hit FGFR2 as a bypass signalling mechanism desensitising mutant ALK-expressing NB cells to lorlatinib; overexpression of FGFR2 increased, while silencing decreased resistance of NB cells to lorlatinib. Furthermore, RNA sequencing of lorlatinib resistant (LR) NB cells developed in our lab, compared to parental cell lines, showed FGFR2 to be expressed to a higher level in the LR cells. High-throughput drug screens exposing LR and parental NB cell lines to an FDA-approved drug library of 1430 compounds showed that drugs targeting receptor tyrosine kinases, including FGFR2, were amongst the compounds most significantly effective in reducing the viability of LR NB cells compared to parental cells. The multi-kinase inhibitor ponatinib and the selective FGFR inhibitor erdafitinib acted synergistically with lorlatinib in treating both parental and LR NB cells although both inhibitors were more effective in inhibiting the growth of LR compared to parental cells when given alone, suggesting that FGFR2 may represent a novel vulnerability to treat lorlatinib resistant NB. In vivo studies using patient-derived xenograft (PDX) models of high-risk NB (MYCN-amplified and ALKF1174L mutant) showed that combinations of either ponatinib or erdafitinib with lorlatinib decreased tumour growth and increased survival compared to PDXs treated with vehicle or either agent alone. In conclusion, these findings suggest that FGFR2 alters NB sensitivity to lorlatinib and modulation of this pathway in combination with ALK inhibition is a promising approach to improve NB treatment response and ultimately patient survival. Citation Format: Perla Pucci, Charlotte Barrett, Ricky Trigg, Leila Jahangiri, Jamie D. Matthews, Luca Mologni, G. A. Amos Burke, Suzanne D Turner. FGFR2 modulates ALK inhibition response in high-risk neuroblastoma [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 2 (Clinical Trials and Late-Breaking Research); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(8_Suppl):Abstract nr LB226.
    Type of Medium: Online Resource
    ISSN: 1538-7445
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2023
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  • 2
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 80, No. 16_Supplement ( 2020-08-15), p. 4715-4715
    Abstract: ALK positive Anaplastic large cell lymphoma (ALCL) is an aggressive non-Hodgkin lymphoma characterized by expression of the NPM/ALK fusion tyrosine kinase essential for neoplastic cells growth. When resistant or relapsed to front-line chemotherapy, ALK+ ALCL prognosis is very poor. Although ALK+ ALCL cells are mainly driven by the constitutively active NPM/ALK kinase, presence of additional mutations might affect the disease course and response to treatment, leading to different outcomes in different patients. We employed whole exome sequencing to characterize the co-mutational burden in ALK+ ALCL samples at diagnosis. Diagnosis biopsy and matched healthy control DNA samples from 24 ALK+ ALCL patients were sequenced. Somatic variants present at high frequency within the tumor (at least 25% variant allele frequency), which can be viewed as potential co-drivers, were annotated; the identified mutations were weighed using in silico tools to predict their oncogenic potential and their effects on protein function. All identified variants were confirmed by Sanger sequencing. Gene ontology and pathway analyses identified cell adhesion and actin cytoskeleton among the most enriched biological functions. Using the above-mentioned criteria, we found recurrent somatic variants in 7 genes including PPP1R9A, RUNX1T1, FAT4 and RBBP8. Here we report the initial characterization of the role of FAT4 in ALCL cells. FAT4 is a member of the cadherin superfamily with tumor suppressor functions. In our cohort, 3/24 patients (13%) were found to carry FAT4 mutations, including nonsense mutations and missense changes predicted to be deleterious, suggesting a loss of function effect. To characterize the biological consequences of these mutations, we generated FAT4 knockdown ALCL cell lines. FAT4-silenced cells grew faster and showed increased migratory properties compared to parental cells. They also differed from parental cells in terms of morphology, having bigger size and modulated F-actin rearrangement. Tumor suppressing activity of FAT4 has been linked to Wnt/β-catenin pathway; we found that FAT4-silenced cells had decreased levels of serine/threonine phosphorylated β-catenin and higher nuclear localization, which insinuates activation of Wnt/β-catenin signalling and henceforth, increased cellular proliferation. To explore therapeutic implications of FAT4 mutations, we analyzed the sensitivity of FAT4 silenced cells to chemotherapeutic agents. FAT4 knockdown cells were less sensitive to a CHOP combination treatment as compared to parental cells. No difference was seen in terms of sensitivity to crizotinib. Finally, we investigated the effects of RUNX1T1 somatic variants found in our study. Preliminary luciferase assay results showed that the variants significantly increase the transcriptional repression ability of RUNX1T1. Altogether, our data provides information about genes other than NPM-ALK that might play a role in the pathogenesis of ALCL. Citation Format: Luca Mologni, Geeta G. Sharma, Matteo Villa, Mario Mauri, Giulia Arosio, Cosimo Lobello, Hugo Larose, Alessandra Pirola, Silvia Bombelli, Nicoletta Cordani, Luca Massimino, Šárka Pospíšilová, Suzanne D. Turner, Giorgio Inghirami, Fabio Pagni, Rocco Piazza, Roberto Perego, Roberto Chiarle, Carlo Gambacorti-Passerini. Characterization of potential co-drivers of pathogenesis in ALK positive ALCL [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 4715.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2020
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  • 3
    In: Cancer Epidemiology, Biomarkers & Prevention, American Association for Cancer Research (AACR), Vol. 26, No. 11 ( 2017-11-01), p. 1667-1675
    Abstract: Background: Human, animal, and cell experimental studies; human biomarker studies; and genetic studies complement epidemiologic findings and can offer insights into biological plausibility and pathways between exposure and disease, but methods for synthesizing such studies are lacking. We, therefore, developed a methodology for identifying mechanisms and carrying out systematic reviews of mechanistic studies that underpin exposure–cancer associations. Methods: A multidisciplinary team with expertise in informatics, statistics, epidemiology, systematic reviews, cancer biology, and nutrition was assembled. Five 1-day workshops were held to brainstorm ideas; in the intervening periods we carried out searches and applied our methods to a case study to test our ideas. Results: We have developed a two-stage framework, the first stage of which is designed to identify mechanisms underpinning a specific exposure–disease relationship; the second stage is a targeted systematic review of studies on a specific mechanism. As part of the methodology, we also developed an online tool for text mining for mechanism prioritization (TeMMPo) and a new graph for displaying related but heterogeneous data from epidemiologic studies (the Albatross plot). Conclusions: We have developed novel tools for identifying mechanisms and carrying out systematic reviews of mechanistic studies of exposure–disease relationships. In doing so, we have outlined how we have overcome the challenges that we faced and provided researchers with practical guides for conducting mechanistic systematic reviews. Impact: The aforementioned methodology and tools will allow potential mechanisms to be identified and the strength of the evidence underlying a particular mechanism to be assessed. Cancer Epidemiol Biomarkers Prev; 26(11); 1667–75. ©2017 AACR.
    Type of Medium: Online Resource
    ISSN: 1055-9965 , 1538-7755
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2017
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  • 4
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 78, No. 13_Supplement ( 2018-07-01), p. 1417-1417
    Abstract: In order to understand the biology of Anaplastic Large Cell Lymphoma (ALCL) and to develop biomarkers, we performed Whole-Exome Sequencing (WES) of DNA extracted from patient tumor samples (of at least 90% tumor cell content; n=31), and are exploring the functional implications of the mutations detected. Bioinformatics processing involved variant calling using software Pindel1 and CaVeman, while annotation was done using Annovar2. Single nucleotide polymorphisms (SNPs) and single nucleotide variants (SNVs) with an allele frequency in excedent of 0.1% (as determined by the dbSNP database, build 150), and variants not predicted to be damaging (ie with a low variant effect prediction - VEP - score) were filtered out. Pathway analysis using the Panther database3 revealed that our variants were enriched in genes of the Wnt signalling pathway and of the signalling pathway of the Nicotinic acetylcholine receptor. 54 of our hits, single nucleotide variants or Insertions/Deletions (Indels) were identified as being common to at least 20% of all our sequenced samples. In 8.6% of patient samples (n=71) and 1 of 4 ALCL cell lines, a novel SNV in Notch1 was detected and investigated further for its functional consequences. Inhibition of Notch1 with several Gamma-Secretase Inhibitors or shRNA led to a significant decrease in cell growth concomitant with an increase in cell death. Furthermore, co-treatment with the ALK/cMet/ROS inhibitor Crizotinib together with Notch inhibitors led to additive effects on cell death. Our genomics study indicates an important role for Notch1 in the biology of ALCL, although the exact functional implications of the SNV detected is as yet unclear. References 1 Ye K, Schulz MH, Long Q, Apweiler R, Ning Z. Pindel: A pattern growth approach to detect break points of large deletions and medium sized insertions from paired-end short reads. Bioinformatics 2009; 25: 2865-2871. 2 Wang K, Li M, Hakonarson H. ANNOVAR: Functional annotation of genetic variants from high-throughput sequencing data. Nucleic Acids Res 2010; 38: 1-7. 3 Mi H, Huang X, Muruganujan A, Tang H, Mills C, Kang D et al. PANTHER version 11: Expanded annotation data from Gene Ontology and Reactome pathways, and data analysis tool enhancements. Nucleic Acids Res 2017; 45: D183-D189. Citation Format: Hugo Larose, Shahid A. Mian, Edem Nuglozeh, Feroze M. Fazaludeen, Ahmed M. Elmouna, Ibraheem Ashankyty, Ming-Qing Du, Gerald Hofler, Sarka Pospisilova, Wilhem Woessmann, Christine Damm-Welk, Alina Fedorova, Laurence Lamant, Michaela Schlederer, Olaf Merkel, Lukas Kenner, Suzanne D. Turner. Investigating the functional impacts of single-nucleotide variants in anaplastic large cell lymphoma [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2018; 2018 Apr 14-18; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2018;78(13 Suppl):Abstract nr 1417.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2018
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