The investigation of mechanisms governing small cell lung cancer metastasis

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Abstract/Contents

Abstract
Small cell lung cancer (SCLC) is a prevalent and almost uniformly lethal malignancy. One of the major factors that lead to the poor outcome of SCLC patients is the ability of cancer cells to leave the primary tumors and establish inoperable metastases. Thus, the molecular mechanism of metastasis is one of the major unanswered problems in tumor biology and an area of investigation highly pertinent to patient survival. Using genetically engineered mouse model of SCLC, we identified a global increase in chromatin accessibility in SCLC metastases compared to primary tumors. This striking chromatin opening is linked to the activity of the Nfib transcription factor, which controls the expression of metastatic gene programs likely via its action at gene distal regulatory elements. Nfib expression is necessary and sufficient for multiple steps of the metastatic cascade. This identification of widespread chromatin changes during SCLC metastasis reveals an unexpected global reprogramming of cancer cells and the resulting activated neuronal differentiation gene program can facilitate invasion and migration during metastatic progression. Unexpectedly, when we used an approach to specifically initiate SCLC in pulmonary neuroendocrine cells (which is thought to be the cell of origin of SCLC), we found that while the mice still developed metastatic SCLC, the metastases almost never expressed Nfib. Unbiased analyses of gene expression programs (RNA-seq) and chromatin structure (ATAC-seq) of cancer cells isolated from primary tumors and liver metastases from the two mouse models conclusively showed that metastatic progression of each subtype is molecularly distinct. Furthermore, our work investigates inter-tumoral heterogeneity at a new level and shows that tumors with identical histology but distinct molecular profiles evolve entirely different. Our data showed for the first time that the inter-tumoral heterogeneity is attributed to the identity of the cells-of-origin from which SCLC is initiated and this can further determine the evolution of primary tumors towards specific metastatic states.

Description

Type of resource text
Form electronic; electronic resource; remote
Extent 1 online resource.
Publication date 2017
Issuance monographic
Language English

Creators/Contributors

Associated with Yang, Dian
Associated with Stanford University, Cancer Biology Program.
Primary advisor Sage, Julien
Primary advisor Winslow, Monte
Thesis advisor Sage, Julien
Thesis advisor Winslow, Monte
Thesis advisor Giaccia, Amato J
Thesis advisor Krasnow, Mark, 1956-
Advisor Giaccia, Amato J
Advisor Krasnow, Mark, 1956-

Subjects

Genre Theses

Bibliographic information

Statement of responsibility Dian Yang.
Note Submitted to the Program in Cancer Biology.
Thesis Thesis (Ph.D.)--Stanford University, 2017.
Location electronic resource

Access conditions

Copyright
© 2017 by Dian Yang
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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