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Updated: Feb 8, 2026

Tumorsphere Derivation and Treatment from Primary Tumor Cells Isolated from Mouse Rhabdomyosarcomas
Published on: September 13, 2019
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.
Abstract:
The RAS isoforms are frequently mutated in many types of human cancers, including PAX3/PAX7 fusion-negative rhabdomyosarcoma. Pediatric RMS arises from skeletal muscle progenitor cells that have failed to differentiate normally. The role of mutant RAS in this differentiation blockade is incompletely understood. We demonstrate that oncogenic RAS, acting through the RAF-MEK [mitogen-activated protein kinase (MAPK) kinase]-ERK (extracellular signal-regulated kinase) MAPK effector pathway, inhibits myogenic differentiation in rhabdomyosarcoma by repressing the expression of the prodifferentiation myogenic transcription factor, MYOG. This repression is mediated by ERK2-dependent promoter-proximal stalling of RNA polymerase II at the MYOG locus. Small-molecule screening with a library of mechanistically defined inhibitors showed that RAS-driven RMS is vulnerable to MEK inhibition. MEK inhibition with trametinib leads to the loss of ERK2 at the MYOG promoter and releases the transcriptional stalling of MYOG expression. MYOG subsequently opens chromatin and establishes super-enhancers at genes required for late myogenic differentiation. Furthermore, trametinib, in combination with an inhibitor of IGF1R, potently decreases rhabdomyosarcoma cell viability and slows tumor growth in xenograft models. Therefore, this combination represents a potential therapeutic for RAS-mutated rhabdomyosarcoma.
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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