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An integrated cellular and molecular model of gastric neuroendocrine cancer evolution highlights therapeutic targets

Item Type:Article
Title:An integrated cellular and molecular model of gastric neuroendocrine cancer evolution highlights therapeutic targets
Creators: Griger, J., Widholz, S.A., Jesinghaus, M., de Andrade Krätzig, N., Lange, S., Engleitner, T., Montero, J.J., Zhigalova, E., Öllinger, R., Suresh, V., Winkler, W. ORCID logoORCID: https://orcid.org/0000-0001-8807-9259, Lier, S., Baranov, O., Trozzo, R., Ben Khaled, N., Chakraborty, S., Yu, J., Konukiewitz, B., Steiger, K., Pfarr, N., Rajput, A., Sailer, D., Keller, G., Schirmacher, P., Röcken, C., Fagerstedt, K.W., Mayerle, J., Schmidt-Supprian, M., Schneider, G., Weichert, W., Calado, D.P. ORCID logoORCID: https://orcid.org/0000-0001-8239-7184, Sommermann, T. ORCID logoORCID: https://orcid.org/0000-0003-2899-0256, Klöppel, G., Rajewsky, K. ORCID logoORCID: https://orcid.org/0000-0002-6633-6370, Saur, D. and Rad, R.
Abstract:Gastric neuroendocrine carcinomas (G-NEC) are aggressive malignancies with poorly understood biology and a lack of disease models. Here, we use genome sequencing to characterize the genomic landscapes of human G-NEC and its histologic variants. We identify global and subtype-specific alterations and expose hitherto unappreciated gains of MYC family members in a large part of cases. Genetic engineering and lineage tracing in mice delineate a model of G-NEC evolution, which defines MYC as a critical driver and positions the cancer cell of origin to the neuroendocrine compartment. MYC-driven tumors have pronounced metastatic competence and display defined signaling addictions, as revealed by large-scale genetic and pharmacologic screening of cell lines and organoid resources. We create global maps of G-NEC dependencies, highlight critical vulnerabilities, and validate therapeutic targets, including candidates for clinical drug repurposing. Our study gives comprehensive insights into G-NEC biology.
Keywords:Neuroendocrine Cancer, Stomach, Gastric Cancer, NEC, MANEC, WGS, Mouse Model, Genetic Screening, Pharmacologic Screening, CRISPR Screen, Animals, Mice
Source:Cancer Cell
ISSN:1535-6108
Publisher:Cell Press / Elsevier
Volume:41
Number:7
Page Range:1327-1344.e10
Date:10 July 2023
Official Publication:https://doi.org/10.1016/j.ccell.2023.06.001
PubMed:View item in PubMed

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