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Updated: Apr 2, 2026

Engineering Oncogenic Heterozygous Gain-of-Function Mutations in Human Hematopoietic Stem and Progenitor Cells
Published on: March 10, 2023
In vivo engineering of oncogenic chromosomal rearrangements with the CRISPR/Cas9 system
Danilo Maddalo1, Eusebio Manchado1, Carla P Concepcion2
1Memorial Sloan Kettering Cancer Center, Cancer Biology and Genetics Program, 1275 York Avenue, New York, New York 10065, USA.
Abstract:
Chromosomal rearrangements have a central role in the pathogenesis of human cancers and often result in the expression of therapeutically actionable gene fusions. A recently discovered example is a fusion between the genes echinoderm microtubule-associated protein like 4 (EML4) and anaplastic lymphoma kinase (ALK), generated by an inversion on the short arm of chromosome 2: inv(2)(p21p23). The EML4-ALK oncogene is detected in a subset of human non-small cell lung cancers (NSCLC) and is clinically relevant because it confers sensitivity to ALK inhibitors. Despite their importance, modelling such genetic events in mice has proven challenging and requires complex manipulation of the germ line. Here we describe an efficient method to induce specific chromosomal rearrangements in vivo using viral-mediated delivery of the CRISPR/Cas9 system to somatic cells of adult animals. We apply it to generate a mouse model of Eml4-Alk-driven lung cancer. The resulting tumours invariably harbour the Eml4-Alk inversion, express the Eml4-Alk fusion gene, display histopathological and molecular features typical of ALK(+) human NSCLCs, and respond to treatment with ALK inhibitors. The general strategy described here substantially expands our ability to model human cancers in mice and potentially in other organisms.
Insights
Researchers developed a new CRISPR/Cas9 method to create mouse models of cancer by inducing specific chromosomal rearrangements. This technique successfully generated a model for echinoderm microtubule-associated protein like 4 (EML4)-anaplastic lymphoma kinase (ALK) lung cancer, which responded to ALK inhibitors.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Chromosomal rearrangements are key drivers in human cancer pathogenesis, frequently leading to therapeutically targetable gene fusions.
- The echinoderm microtubule-associated protein like 4 (EML4)-anaplastic lymphoma kinase (ALK) fusion gene, resulting from an inversion on chromosome 2, is a significant oncogene in a subset of non-small cell lung cancers (NSCLC).
- Existing methods for modeling such genetic events in mice are complex and require extensive germline manipulation.
Purpose of the Study:
- To establish an efficient in vivo method for inducing specific chromosomal rearrangements using CRISPR/Cas9 technology.
- To generate a novel mouse model for EML4-ALK-driven lung cancer.
- To validate the utility of this model for studying cancer pathogenesis and therapeutic response.
Main Methods:
- Utilized viral-mediated delivery of the CRISPR/Cas9 system to induce targeted chromosomal inversions in somatic cells of adult mice.
- Generated a mouse model specifically harboring the EML4-ALK fusion gene.
- Analyzed the resulting tumors for histopathological and molecular characteristics, and assessed their response to ALK inhibitors.
Main Results:
- The CRISPR/Cas9 method efficiently induced the specific EML4-ALK inversion in vivo.
- The generated mouse model accurately recapitulated key features of human ALK-positive NSCLC, including tumor formation and expression of the fusion gene.
- Tumors in the mouse model exhibited sensitivity to ALK inhibitors, mirroring clinical observations in human patients.
Conclusions:
- Viral-mediated CRISPR/Cas9 delivery provides an efficient strategy for modeling chromosomal rearrangements and associated cancers in vivo.
- This approach significantly advances the ability to create genetically engineered mouse models for human cancers.
- The developed EML4-ALK lung cancer model serves as a valuable platform for preclinical research and drug development targeting ALK-driven NSCLC.
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