Ontology highlight
ABSTRACT: Background
Systemic therapy for metastatic clear cell sarcoma (CCS) bearing EWSR1-CREB1/ATF1 fusions remains an unmet clinical need in children, adolescents, and young adults.Methods
To identify key signaling pathway vulnerabilities in CCS, a multi-pronged approach was taken: (i) genomic and transcriptomic landscape analysis, (ii) integrated chemical biology interrogations, (iii) development of CREB1/ATF1 inhibitors, and (iv) antibody-drug conjugate testing (ADC). The first approach encompassed DNA exome and RNA deep sequencing of the largest human CCS cohort yet reported consisting of 47 patient tumor samples and 8 cell lines.Results
Sequencing revealed recurrent mutations in cell cycle checkpoint, DNA double-strand break repair or DNA mismatch repair genes, with a correspondingly low to intermediate tumor mutational burden. DNA multi-copy gains with corresponding high RNA expression were observed in CCS tumor subsets. CCS cell lines responded to the HER3 ADC patritumab deruxtecan in a dose-dependent manner in vitro, with impaired long term cell viability.Conclusion
These studies of the genomic, transcriptomic and chemical biology landscape represent a resource 'atlas' for the field of CCS investigation and drug development. CHK inhibitors are identified as having potential relevance, CREB1 inhibitors non-dependence of CCS on CREB1 activity was established, and the potential utility of HER3 ADC being used in CCS is found.
SUBMITTER: Rasmussen SV
PROVIDER: S-EPMC10147623 | biostudies-literature | 2023 May
REPOSITORIES: biostudies-literature
Rasmussen Samuel V SV Wozniak Agnieszka A Lathara Melvin M Goldenberg Joshua M JM Samudio Benjamin M BM Bickford Lissett R LR Nagamori Kiyo K Wright Hollis H Woods Andrew D AD Chauhan Shefali S Lee Che-Jui CJ Rudzinski Erin R ER Swift Michael K MK Kondo Tadashi T Fisher David E DE Imyanitov Evgeny E Machado Isidro I Llombart-Bosch Antonio A Andrulis Irene L IL Gokgoz Nalan N Wunder Jay J Mirotaki Hiroshi H Nakamura Takuro T Srinivasa Ganapati G Thway Khin K Jones Robin L RL Huang Paul H PH Berlow Noah E NE Schöffski Patrick P Keller Charles C
British journal of cancer 20230323 10
<h4>Background</h4>Systemic therapy for metastatic clear cell sarcoma (CCS) bearing EWSR1-CREB1/ATF1 fusions remains an unmet clinical need in children, adolescents, and young adults.<h4>Methods</h4>To identify key signaling pathway vulnerabilities in CCS, a multi-pronged approach was taken: (i) genomic and transcriptomic landscape analysis, (ii) integrated chemical biology interrogations, (iii) development of CREB1/ATF1 inhibitors, and (iv) antibody-drug conjugate testing (ADC). The first appro ...[more]