RASGRF1 Fusions Activate Oncogenic RAS Signaling and Confer Sensitivity to MEK Inhibition

©2022 American Association for Cancer Research..

PURPOSE: The identification of actionable oncogenic alterations has enabled targeted therapeutic strategies for subsets of patients with advanced malignancies, including lung adenocarcinoma (LUAD). We sought to assess the frequency of known drivers and identify new candidate drivers in a cohort of LUAD from patients with minimal smoking history.

EXPERIMENTAL DESIGN: We performed genomic characterization of 103 LUADs from patients with ≤10 pack-year smoking history. Tumors were subjected to targeted molecular profiling and/or whole-exome sequencing and RNA sequencing in search of established and previously uncharacterized candidate drivers.

RESULTS: We identified an established oncogenic driver in 98 of 103 tumors (95%). From one tumor lacking a known driver, we identified a novel gene rearrangement between OCLN and RASGRF1. The encoded OCLN-RASGRF1 chimera fuses the membrane-spanning portion of the tight junction protein occludin with the catalytic RAS-GEF domain of the RAS activator RASGRF1. We identified a similar SLC4A4-RASGRF1 fusion in a pancreatic ductal adenocarcinoma cell line lacking an activating KRAS mutation and an IQGAP1-RASGRF1 fusion from a sarcoma in The Cancer Genome Atlas. We demonstrate these fusions increase cellular levels of active GTP-RAS, induce cellular transformation, and promote in vivo tumorigenesis. Cells driven by RASGRF1 fusions are sensitive to targeting of the RAF-MEK-ERK pathway in vitro and in vivo.

CONCLUSIONS: Our findings credential RASGRF1 fusions as a therapeutic target in multiple malignancies and implicate RAF-MEK-ERK inhibition as a potential treatment strategy for advanced tumors harboring these alterations. See related commentary by Moorthi and Berger, p. 2983.

Errataetall:

CommentIn: Clin Cancer Res. 2022 Jul 15;28(14):2983-2985. - PMID 35512219

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Clinical cancer research : an official journal of the American Association for Cancer Research - 28(2022), 14 vom: 15. Juli, Seite 3091-3103

Sprache:

Englisch

Beteiligte Personen:

Hunihan, Lisa [VerfasserIn]
Zhao, Dejian [VerfasserIn]
Lazowski, Heather [VerfasserIn]
Li, Man [VerfasserIn]
Qian, Yuping [VerfasserIn]
Abriola, Laura [VerfasserIn]
Surovtseva, Yulia V [VerfasserIn]
Muthusamy, Viswanathan [VerfasserIn]
Tanoue, Lynn T [VerfasserIn]
Rothberg, Bonnie E Gould [VerfasserIn]
Schalper, Kurt A [VerfasserIn]
Herbst, Roy S [VerfasserIn]
Wilson, Frederick H [VerfasserIn]

Links:

Volltext

Themen:

EC 2.7.12.2
Journal Article
Mitogen-Activated Protein Kinase Kinases
RASGRF1 protein, human
Ras-GRF1
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 18.07.2022

Date Revised 28.02.2023

published: Print

CommentIn: Clin Cancer Res. 2022 Jul 15;28(14):2983-2985. - PMID 35512219

Citation Status MEDLINE

doi:

10.1158/1078-0432.CCR-21-4291

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM337790043