TY - JOUR
T1 - Functional genomic analysis of epithelioid sarcoma reveals distinct proximal and distal subtype biology
AU - Rasmussen, Samuel V.
AU - Jin, Jia Xiang
AU - Bickford, Lissett R.
AU - Woods, Andrew D.
AU - Sahm, Felix
AU - Crawford, Kenneth A.
AU - Nagamori, Kiyo
AU - Goto, Hiroaki
AU - Torres, Keila E.
AU - Sidoni, Angelo
AU - Rudzinski, Erin R.
AU - Thway, Khin
AU - Jones, Robin L.
AU - Ciulli, Alessio
AU - Wright, Hollis
AU - Lathara, Melvin
AU - Srinivasa, Ganapati
AU - Kannan, Kavya
AU - Huang, Paul H.
AU - Grünewald, Thomas G. P.
AU - Berlow, Noah E.
AU - Keller, Charles
N1 - Copyright:
© 2022 The Authors. Clinical and Translational Medicine published by John Wiley & Sons Australia, Ltd on behalf of Shanghai Institute of Clinical Bioinformatics.
PY - 2022/7
Y1 - 2022/7
N2 - Background: Metastatic epithelioid sarcoma (EPS) remains a largely unmet clinical need in children, adolescents and young adults despite the advent of EZH2 inhibitor tazemetostat.Methods: In order to realise consistently effective drug therapies, a functional genomics approach was used to identify key signalling pathway vulnerabilities in a spectrum of EPS patient samples. EPS biopsies/surgical resections and cell lines were studied by next-generation DNA exome and RNA deep sequencing, then EPS cell cultures were tested against a panel of chemical probes to discover signalling pathway targets with the most significant contributions to EPS tumour cell maintenance.Results: Other biologically inspired functional interrogations of EPS cultures using gene knockdown or chemical probes demonstrated only limited to modest efficacy in vitro. However, our molecular studies uncovered distinguishing features (including retained dysfunctional SMARCB1 expression and elevated GLI3, FYN and CXCL12 expression) of distal, paediatric/young adult-associated EPS versus proximal, adult-associated EPS.Conclusions: Overall results highlight the complexity of the disease and a limited chemical space for therapeutic advancement. However, subtle differences between the two EPS subtypes highlight the biological disparities between younger and older EPS patients and emphasise the need to approach the two subtypes as molecularly and clinically distinct diseases.
AB - Background: Metastatic epithelioid sarcoma (EPS) remains a largely unmet clinical need in children, adolescents and young adults despite the advent of EZH2 inhibitor tazemetostat.Methods: In order to realise consistently effective drug therapies, a functional genomics approach was used to identify key signalling pathway vulnerabilities in a spectrum of EPS patient samples. EPS biopsies/surgical resections and cell lines were studied by next-generation DNA exome and RNA deep sequencing, then EPS cell cultures were tested against a panel of chemical probes to discover signalling pathway targets with the most significant contributions to EPS tumour cell maintenance.Results: Other biologically inspired functional interrogations of EPS cultures using gene knockdown or chemical probes demonstrated only limited to modest efficacy in vitro. However, our molecular studies uncovered distinguishing features (including retained dysfunctional SMARCB1 expression and elevated GLI3, FYN and CXCL12 expression) of distal, paediatric/young adult-associated EPS versus proximal, adult-associated EPS.Conclusions: Overall results highlight the complexity of the disease and a limited chemical space for therapeutic advancement. However, subtle differences between the two EPS subtypes highlight the biological disparities between younger and older EPS patients and emphasise the need to approach the two subtypes as molecularly and clinically distinct diseases.
KW - Adolescent
KW - Child
KW - Chromosomal Proteins, Non-Histone/genetics
KW - DNA-Binding Proteins/genetics
KW - Genomics
KW - Humans
KW - Sarcoma/drug therapy
KW - Transcription Factors/genetics
KW - Young Adult
U2 - 10.1002/ctm2.961
DO - 10.1002/ctm2.961
M3 - Article
C2 - 35839307
SN - 2001-1326
VL - 12
JO - Clinical and translational medicine
JF - Clinical and translational medicine
IS - 7
M1 - e961
ER -