Integrated genomics point to immune vulnerabilities in pleural mesothelioma

Anca Nastase1, Amit Mandal1, Shir Kiong Lu1

  • 1National Heart and Lung Institute, Imperial College London, Dovehouse Street, London, SW36LY, UK.

Scientific Reports
|September 28, 2021
PubMed

Insights

New research identifies key genetic alterations in pleural mesothelioma, revealing potential therapeutic targets like SUFU deletions and RB1 mutations. These findings offer promising new avenues for treating this aggressive cancer.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Pleural mesothelioma is an aggressive cancer with limited treatment options.
  • Identifying novel therapeutic targets is crucial for improving patient outcomes.

Purpose of the Study:

  • To integrate multi-omics data (SNP genotyping, sequencing, transcriptomics) from tumors and patient-derived cells to discover therapeutic targets in pleural mesothelioma.
  • To identify genetic alterations and their downstream effects on cellular pathways.

Main Methods:

  • Integrated analysis of SNP genotyping, whole-exome sequencing, and RNA sequencing data.
  • Utilized patient-derived cell models for functional studies.
  • Investigated genetic alterations in SUFU, RB1, CDKN2A, and Hippo pathway components.

Main Results:

  • Identified previously unrecognized deletions in SUFU (21% of tumors), impacting Hedgehog and T-cell synapse pathways (e.g., VISTA).
  • Found co-deletion of Interferon Type I genes and CDKN2A in 50% of tumors, predicting poor survival.
  • Detected RB1 deletions (26% of cases) and demonstrated sensitivity to PLK1, CHEK1, and Aurora Kinase inhibitors.
  • Observed Hippo pathway defects (RASSF7 amplification, NF2/LATS1/2 mutations) in 50% of tumors, with sensitivity to YAP1 inhibitor Verteporfin.

Conclusions:

  • Discovered novel genetic vulnerabilities in pleural mesothelioma, including SUFU and RB1 deletions.
  • Highlighted the potential of targeting Hedgehog, T-cell synapse, and Hippo pathways for mesothelioma treatment.
  • Identified specific genetic alterations as potential biomarkers for immunotherapy and targeted therapies.