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KRAS signaling in malignant pleural mesothelioma.


ABSTRACT: Malignant pleural mesothelioma (MPM) arises from mesothelial cells lining the pleural cavity of asbestos-exposed individuals and rapidly leads to death. MPM harbors loss-of-function mutations in BAP1, NF2, CDKN2A, and TP53, but isolated deletion of these genes alone in mice does not cause MPM and mouse models of the disease are sparse. Here, we show that a proportion of human MPM harbor point mutations, copy number alterations, and overexpression of KRAS with or without TP53 changes. These are likely pathogenic, since ectopic expression of mutant KRASG12D in the pleural mesothelium of conditional mice causes epithelioid MPM and cooperates with TP53 deletion to drive a more aggressive disease form with biphasic features and pleural effusions. Murine MPM cell lines derived from these tumors carry the initiating KRASG12D lesions, secondary Bap1 alterations, and human MPM-like gene expression profiles. Moreover, they are transplantable and actionable by KRAS inhibition. Our results indicate that KRAS alterations alone or in accomplice with TP53 alterations likely play an important and underestimated role in a proportion of patients with MPM, which warrants further exploration.

SUBMITTER: Marazioti A 

PROVIDER: S-EPMC8819314 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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KRAS signaling in malignant pleural mesothelioma.

Marazioti Antonia A   Krontira Anthi C AC   Behrend Sabine J SJ   Giotopoulou Georgia A GA   Ntaliarda Giannoula G   Blanquart Christophe C   Bayram Hasan H   Iliopoulou Marianthi M   Vreka Malamati M   Trassl Lilith L   Pepe Mario A A MAA   Hackl Caroline M CM   Klotz Laura V LV   Weiss Stefanie A I SAI   Koch Ina I   Lindner Michael M   Hatz Rudolph A RA   Behr Juergen J   Wagner Darcy E DE   Papadaki Helen H   Antimisiaris Sophia G SG   Jean Didier D   Deshayes Sophie S   Grégoire Marc M   Kayalar Özgecan Ö   Mortazavi Deniz D   Dilege Şükrü Ş   Tanju Serhan S   Erus Suat S   Yavuz Ömer Ö   Bulutay Pınar P   Fırat Pınar P   Psallidas Ioannis I   Spella Magda M   Giopanou Ioanna I   Lilis Ioannis I   Lamort Anne-Sophie AS   Stathopoulos Georgios T GT  

EMBO molecular medicine 20211213 2


Malignant pleural mesothelioma (MPM) arises from mesothelial cells lining the pleural cavity of asbestos-exposed individuals and rapidly leads to death. MPM harbors loss-of-function mutations in BAP1, NF2, CDKN2A, and TP53, but isolated deletion of these genes alone in mice does not cause MPM and mouse models of the disease are sparse. Here, we show that a proportion of human MPM harbor point mutations, copy number alterations, and overexpression of KRAS with or without TP53 changes. These are l  ...[more]

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