Exploring the regulatory genome in melanoma innate resistance

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Abstract/Contents

Abstract
Targeted therapy for cancer treatment has been confronted with acquired resistance. In metastatic melanoma, for many years conventional chemotherapy and radiation were the common treatment options. The first generation of targeted therapy against BRAFV600E, a mutation found in about 50% of metastatic melanoma, revolutionized standard treatment. This first generation targeted therapy, Vemurafenib, resulted in > 50% clinical response in the first few months of treatment. Unfortunately, drug resistance to this therapy occurs about six months to a year after treatment. Subsequently, numerous genome sequencing studies on Vemurafenib-resistant melanomas identified extensive acquired DNA mutations that up-regulate components of the MAPK signaling pathway, therefore effectively re-wiring around the initial BRAF inhibition. It is hypothesized that during targeted therapy, cancer cells initially engage an innate resistance program to survive, in order to generate secondary DNA mutations in the same pathway to be resistant to the targeted therapy (acquired resistance). Recent studies have shown that HGF in the tumor microenvironment is important for cell survival on targeted BRAF therapy. This suggest that melanoma cells must have drug response and pro-survival mechanisms, including the MET signaling pathway. Using an integrated genomics approach, we identified a dynamic genomic interaction between the MET TSS and a lineage-specific enhancer 63kb downstream during targeted BRAF inhibition. This dynamic interaction is further mediated by the melanocyte lineage master transcription factor, MITF. MITF pro-differentiation and tumorigenic function can be uncoupled by selective editing of the MET specific enhancer. This initial study showed the importance of looking at distal regulatory elements in dynamic cellular responses such as cellular reprogramming in response to drug treatment. We extended this initial study of the MET locus to look at global dynamic regulatory changes. We assessed the global open chromatin dynamics and transcriptomic changes during acute BRAF inhibition and MITF depletion. Using a statistical framework, we generated a global regulatory network of important transcriptional regulators during targeted BRAF inhibition in melanoma cells treated with vemurafenib (PLX4032). Focusing on the MITF sub-network can help identify putative MITF transcriptional co-regulators and parallel pathways during acute oncogenic signaling inhibition.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2018; ©2018
Publication date 2018; 2018
Issuance monographic
Language English

Creators/Contributors

Author Tran-Bussat, Rose
Degree supervisor Khavari, Paul A
Thesis advisor Khavari, Paul A
Thesis advisor Mallick, Parag, 1976-
Thesis advisor Oro, Anthony, 1958-
Thesis advisor Sage, Julien
Degree committee member Mallick, Parag, 1976-
Degree committee member Oro, Anthony, 1958-
Degree committee member Sage, Julien
Associated with Stanford University, Cancer Biology Program.

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Rose Tran-Bussat.
Note Submitted to the Cancer Biology Program.
Thesis Thesis Ph.D. Stanford University 2018.
Location electronic resource

Access conditions

Copyright
© 2018 by Rose Tran
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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