Multi-omic profiling and real time ex vivo modelling of imatinib-resistant dermatofibrosarcoma protuberans with

Jason Yongsheng Chan1,2,3, Elizabeth Chun Yong Lee4, Zhimei Li4

  • 1Division of Medical Oncology, National Cancer Centre Singapore, 11 Hospital Drive, Singapore, 169610, Singapore. jason.chan.y.s@nccs.com.sg.

Human Cell
|August 23, 2023
PubMed

Insights

Researchers developed a new cell line model (MDFSP-S1) for studying imatinib-resistant dermatofibrosarcoma protuberans (DFSP) with aggressive transformation. This model aids in exploring novel therapeutic strategies for advanced DFSP.

Area of Science:

  • Oncology
  • Genetics
  • Dermatology

Background:

  • Dermatofibrosarcoma protuberans (DFSP) is a rare skin cancer with limited treatment options for advanced stages.
  • Imatinib targets the PDGF pathway but resistance is a significant clinical challenge.
  • Fibro-sarcomatous transformation in DFSP indicates a more aggressive disease course.

Purpose of the Study:

  • To establish a patient-derived xenograft (PDX) and cell line model of imatinib-resistant DFSP with fibro-sarcomatous transformation.
  • To characterize the genetic alterations and molecular pathways involved in this resistant DFSP subtype.
  • To evaluate potential therapeutic targets and drug sensitivities in the new model.

Main Methods:

  • Established a PDX and cell line (MDFSP-S1) from an imatinib-resistant DFSP patient.
  • Performed whole genome and RNA sequencing to identify genetic mutations and rearrangements.
  • Confirmed the COL1A1-PDGFB rearrangement and assessed immunohistochemistry profiles.
  • Utilized gene set enrichment analysis to identify activated signaling pathways.
  • Tested the anti-proliferative effects of various targeted therapies in vitro.

Main Results:

  • The MDFSP-S1 model recapitulates imatinib-resistant DFSP with fibro-sarcomatous features.
  • Key genetic findings include amplification at chromosomes 17 and 22, and deletion at chromosome 9 (CDKN2A/B/MTAP).
  • The pathognomonic COL1A1-PDGFB t(17;22) rearrangement was confirmed.
  • MTORC1 signaling and angiogenesis pathways were identified as potentially targetable.
  • Antiangiogenic agents and osimertinib showed modest activity; imatinib and other targeted agents were ineffective.

Conclusions:

  • The MDFSP-S1 model provides a valuable preclinical tool for studying imatinib-resistant DFSP.
  • This model facilitates the investigation of novel therapeutic strategies targeting identified pathways.
  • Findings suggest potential efficacy of antiangiogenic agents and EGFR inhibitors in specific DFSP contexts.

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