MEK inhibition induces MYOG and remodels super-enhancers in RAS-driven rhabdomyosarcoma

Marielle E Yohe1,2, Berkley E Gryder3, Jack F Shern2

  • 1Oncogenomics Section, Genetics Branch, National Cancer Institute, National Institutes of Health (NIH), Bethesda, MD 20892, USA. yoheme@mail.nih.gov khanjav@mail.nih.gov.

Insights

Oncogenic RAS mutations block muscle cell differentiation in rhabdomyosarcoma by inhibiting MYOG expression. MEK inhibitor trametinib restores MYOG, offering a potential therapy for RAS-mutated rhabdomyosarcoma.

Area of Science:

  • Molecular biology
  • Cancer research
  • Cell differentiation

Background:

  • RAS isoforms are frequently mutated in human cancers, including rhabdomyosarcoma (RMS).
  • Mutant RAS contributes to impaired skeletal muscle progenitor cell differentiation in pediatric RMS, but the mechanism is unclear.

Purpose of the Study:

  • To elucidate the mechanism by which mutant RAS inhibits myogenic differentiation in RMS.
  • To identify potential therapeutic strategies targeting RAS-driven RMS.

Main Methods:

  • Investigated the role of the RAF-MEK-ERK MAPK pathway in RAS-mediated differentiation blockade.
  • Utilized small-molecule screening to identify inhibitors effective against RAS-driven RMS.
  • Assessed the effects of MEK inhibition (trametinib) and combination therapy (trametinib + IGF1R inhibitor) in cell lines and xenograft models.

Main Results:

  • Oncogenic RAS, via the MAPK pathway, represses MYOG expression by causing RNA polymerase II stalling at the MYOG locus.
  • MEK inhibition with trametinib releases MYOG transcriptional stalling, leading to chromatin opening and super-enhancer establishment for myogenic genes.
  • Combination therapy with trametinib and an IGF1R inhibitor significantly reduced RMS cell viability and tumor growth in vivo.

Conclusions:

  • The RAF-MEK-ERK pathway and subsequent MYOG repression are key mechanisms in RAS-driven RMS differentiation blockade.
  • MEK inhibition is a promising therapeutic strategy for RAS-mutated RMS.
  • Combination therapy targeting MEK and IGF1R shows potent anti-tumor activity and represents a potential treatment for RAS-mutated rhabdomyosarcoma.

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