Non-canonical hedgehog signaling mechanisms of resistance in basal cell carcinoma

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Abstract/Contents

Abstract
Tumor heterogeneity and lack of knowledge about resistant cell states remain a barrier to targeted cancer therapies. Basal cell carcinomas (BCCs) depend on Hedgehog (Hh)/Gli signaling, but can develop mechanisms of Smoothened (SMO) inhibitor resistance. We have identified a nuclear myocardin-related transcription factor (nMRTF) resistance pathway that amplifies noncanonical Gli1 activity, but characteristics and drivers of the nMRTF cell state remain unknown. Here, we use single cell RNA-sequencing of patient tumors to identify three prognostic surface markers (LYPD3, TACSTD2, and LY6D) which correlate with nMRTF and resistance to SMO inhibitors. The nMRTF cell state resembles transit-amplifying cells of the hair follicle matrix, with AP-1 and TGF-beta cooperativity driving nMRTF activation. JNK/AP-1 signaling commissions chromatin accessibility and Smad3 DNA binding leading to a transcriptional program of RhoGEFs that facilitate nMRTF activity. Importantly, small molecule AP-1 inhibitors selectively target LYPD3+/TACSTD2+/ LY6D+ nMRTF human BCCs ex vivo, opening an avenue for improving combinatorial therapies.

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 2021; ©2021
Publication date 2021; 2021
Issuance monographic
Language English

Creators/Contributors

Author Yao, Catherine Yao
Degree supervisor Oro, Anthony, 1958-
Degree supervisor Sage, Julien
Thesis advisor Oro, Anthony, 1958-
Thesis advisor Sage, Julien
Thesis advisor Jackson, Peter K. (Peter Kent)
Thesis advisor Khavari, Paul A
Degree committee member Jackson, Peter K. (Peter Kent)
Degree committee member Khavari, Paul A
Associated with Stanford University, Cancer Biology Program

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Catherine Yao.
Note Submitted to the Cancer Biology Program.
Thesis Thesis Ph.D. Stanford University 2021.
Location https://purl.stanford.edu/sq121yh7441

Access conditions

Copyright
© 2021 by Catherine Yao Yao
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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