Identifying actionable targets through integrative analyses of GEM model and human prostate cancer genomic profiling

Jackie Wanjala1, Barry S Taylor2, Caren Chapinski1

  • 1Human Oncology and Pathogenesis Oncology Program, Memorial Sloan-Kettering Cancer Center, New York, New York.

Insights

Met amplification drives prostate cancer progression and is linked to poor prognosis. However, MET inhibitor therapy may be limited by tumor cell heterogeneity and resistance.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Copy-number alterations (CNAs) are frequent in prostate cancer and linked to worse outcomes.
  • Identifying oncogenic drivers within large genomic regions of CNAs is difficult.
  • Genetically engineered mouse models (GEMMs) can recapitulate human prostate cancer events.

Purpose of the Study:

  • To identify shared molecular events in prostate cancer by integrating mouse model and human data.
  • To investigate the role of MET amplification in prostate cancer progression.
  • To evaluate the efficacy and limitations of MET inhibitors in prostate cancer.

Main Methods:

  • Genome profiling of four GEMMs of prostate cancer.
  • Integration of GEMM data with human prostate cancer datasets.
  • Analysis of MET copy-number gain, expression, and signaling pathways (PI3K, MAPK).
  • Assessment of MET inhibitor efficacy in preclinical models.

Main Results:

  • Met amplification occurred in 67% of Pten p53 null mouse prostate tumors and ~30% of metastatic human prostate cancers.
  • MET amplification was associated with PTEN and TP53 loss.
  • Intratumoral heterogeneity in Met copy-number gain and expression was observed.
  • MET overexpression activated PI3K/MAPK signaling, promoting proliferation.
  • MET inhibition reduced tumor growth but was limited by resistant non-amplified cells.

Conclusions:

  • MET is a significant driver in prostate cancer progression.
  • MET amplification and associated signaling are critical for tumor growth.
  • Intratumoral heterogeneity poses a challenge for MET inhibitor therapy in late-stage prostate cancer.
  • Further strategies are needed to overcome resistance to MET inhibitors.