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Updated: Aug 26, 2025

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
Lineage-coupled clonal capture identifies clonal evolution mechanisms and vulnerabilities of BRAFV600E inhibition
Ze-Yan Zhang1,2, Yingwen Ding3,4, Ravesanker Ezhilarasan3,4
1Department of Radiation Oncology, New York University (NYU) Grossman School of Medicine, New York, NY, USA. zeyan.zhang@nyulangone.org.
Abstract:
Targeted cancer therapies have revolutionized treatment but their efficacies are limited by the development of resistance driven by clonal evolution within tumors. We developed "CAPTURE", a single-cell barcoding approach to comprehensively trace clonal dynamics and capture live lineage-coupled resistant cells for in-depth multi-omics analysis and functional exploration. We demonstrate that heterogeneous clones, either preexisting or emerging from drug-tolerant persister cells, dominated resistance to vemurafenib in BRAFV600E melanoma. Further integrative studies uncovered diverse resistance mechanisms. This includes a previously unrecognized and clinically relevant mechanism, chromosome 18q21 gain, which leads to vulnerability of the cells to BCL2 inhibitor. We also identified targetable common dependencies of captured resistant clones, such as oxidative phosphorylation and E2F pathways. Our study provides new therapeutic insights into overcoming therapy resistance in BRAFV600E melanoma and presents a platform for exploring clonal evolution dynamics and vulnerabilities that can be applied to study treatment resistance in other cancers.
Insights
We developed CAPTURE, a single-cell barcoding method, to track cancer cell evolution and resistance. This approach identified new resistance mechanisms and therapeutic targets for BRAF V600E melanoma.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Targeted cancer therapies show promise but face limitations due to treatment resistance.
- Tumor clonal evolution is a key driver of acquired resistance to cancer therapies.
- Understanding resistance mechanisms is crucial for developing effective, long-term cancer treatments.
Purpose of the Study:
- To develop a novel single-cell barcoding approach (CAPTURE) for tracing clonal dynamics and capturing resistant cancer cells.
- To investigate the mechanisms of vemurafenib resistance in BRAF V600E melanoma.
- To identify novel therapeutic vulnerabilities in resistant melanoma clones.
Main Methods:
- Single-cell barcoding (CAPTURE) for lineage tracing.
- Multi-omics analysis of captured resistant cells.
- Functional studies to validate resistance mechanisms and therapeutic targets.
Main Results:
- Demonstrated that heterogeneous clones, both pre-existing and emerging, drive vemurafenib resistance in BRAF V600E melanoma.
- Uncovered a novel resistance mechanism involving chromosome 18q21 gain, conferring sensitivity to BCL2 inhibitors.
- Identified targetable dependencies in resistant clones, including oxidative phosphorylation and E2F pathways.
Conclusions:
- The CAPTURE platform enables comprehensive analysis of clonal evolution and resistance mechanisms in cancer.
- Identified a new therapeutic strategy targeting BCL2 for melanoma patients with chromosome 18q21 gain.
- Discovered actionable vulnerabilities in resistant melanoma, offering new avenues for combination therapies and improved patient outcomes.
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