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NF1 deletion generates multiple subtypes of soft-tissue sarcoma that respond to MEK inhibition

机译:NF1缺失产生对MEK抑制有反应的多种软组织肉瘤亚型

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摘要

Soft-tissue sarcomas are a heterogeneous group of tumors arising from connective tissue. Recently, mutations in the neurofibromin 1 (NF1) tumor suppressor gene were identified in multiple subtypes of human soft-tissue sarcomas. To study the effect of NF1 inactivation in the initiation and progression of distinct sarcoma subtypes, we have developed a novel mouse model of temporally and spatially restricted NF1-deleted sarcoma.To generate primary sarcomas, we inject adenovirus containing Cre recombinase into NF1flox/flox; Ink4a/Arf flox/flox mice at two distinct orthotopic sites: intramuscularly or in the sciatic nerve. The mice develop either high-grade myogenic sarcomas or MPNST-like tumors, respectively. These tumors reflect the histological properties and spectrum of sarcomas found in patients. To explore the utility of this model for preclinical studies, we performed a study of MAPK pathway inhibition with the MEK inhibitor PD325901. Treatment with PD325901 delays tumor growth through decreased cyclin D1 mRNA and cell proliferation. We also examined the effects of MEK inhibition on the native tumor stroma and find that PD325901 decreases VEGFα expression in tumor cells with a corresponding decrease in microvessel density. Taken together, our results utilize a primary tumor model to demonstrate that sarcomas can be generated by loss of NF1 and Ink4a/Arf, and that these tumors are sensitive to MEK inhibition by direct effects on tumor cells and the surrounding microenvironment. These studies suggest that MEK inhibitors should be further explored as potential sarcoma therapies in patients with tumors containing NF1 deletion.
机译:软组织肉瘤是结缔组织引起的异质性肿瘤。最近,在人类软组织肉瘤的多种亚型中发现了神经纤维蛋白1(NF1)肿瘤抑制基因的突变。为了研究NF1失活在不同肉瘤亚型的起始和进展中的作用,我们开发了一种在时间和空间上受限制的NF1缺失肉瘤的小鼠模型。要生成原发性肉瘤,我们将含有Cre重组酶的腺病毒注入NF1中。 flox / flox ; Ink4a / Arf flox / flox 小鼠位于两个不同的原位部位:肌肉内或坐骨神经中。小鼠分别发展为高度肌原性肉瘤或MPNST样肿瘤。这些肿瘤反映了患者肉瘤的组织学特征和频谱。为了探索该模型在临床前研究中的实用性,我们进行了MEK抑制剂PD325901对MAPK途径抑制的研究。 PD325901的治疗通过降低细胞周期蛋白D1 mRNA和细胞增殖来延迟肿瘤的生长。我们还检查了MEK抑制对天然肿瘤基质的影响,发现PD325901降低了肿瘤细胞中VEGFα的表达,并相应地降低了微血管密度。两者合计,我们的结果利用原发性肿瘤模型来证明肉瘤可通过NF1和Ink4a / Arf的丢失而产生,并且这些肿瘤通过直接作用于肿瘤细胞和周围微环境对MEK抑制敏感。这些研究表明,对于含有NF1缺失的肿瘤患者,应进一步探索MEK抑制剂作为潜在的肉瘤治疗方法。

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