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Published on: November 29, 2016
SOX2 is a dispensable modulator of NUT carcinoma oncogenesis in mice
Chenxiang Luo1,2,3, Dejin Zheng1,2, Ahmed Elnegiry1,2,4
1Department of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine, Michigan State University, East Lansing, MI, USA.
Abstract:
NUT carcinoma (NC) is an aggressive malignancy driven by BRD4::NUTM1 and other NUTM1 fusion oncogenes. BRD4::NUTM1 aberrantly activates transcription factors (TFs) associated with basal progenitor cells of stratified epithelium, resulting in a poorly differentiated squamous cell carcinoma (SCC) phenotypes. Among these TFs, SOX2 has been proposed as a critical driver. However, its role in NC initiation and progression has not been investigated in vivo. Using a genetically engineered mouse model that faithfully recapitulates human NC, we performed lineage-specific conditional deletion of Sox2 in both squamous and non-squamous tissues during NC oncogenesis. We found that SOX2 is dispensable for NC initiation and progression, and that tumors lacking SOX2 retain characteristic histological features and expression of key oncogenic drivers, including BRD4::NUTM1, MYC, and TP63. Bulk RNA sequencing revealed only modest transcriptional changes in SOX2-deficient tumors, primarily affecting metabolic and biosynthetic pathways, without disrupting core oncogenic programs. These findings challenge the assumption that SOX2 is universally required for NC oncogenesis and highlight the autonomy of BRD4::NUTM1 in establishing and maintaining the NC phenotype. Our results suggest that SOX2 is dispensable for NC and redirect therapeutic focus toward BRD4::NUTM1 and its chromatin remodeling dependencies.
Insights
SOX2 is not essential for NUT carcinoma (NC) development or progression. This study demonstrates that BRD4::NUTM1 drives NC oncogenesis independently of SOX2, suggesting new therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- NUT carcinoma (NC) is an aggressive cancer driven by NUTM1 fusion oncogenes.
- BRD4::NUTM1 activates transcription factors, promoting squamous cell carcinoma phenotypes.
- SOX2 is a proposed key driver, but its in vivo role in NC is unstudied.
Purpose of the Study:
- To investigate the in vivo role of SOX2 in NUT carcinoma initiation and progression.
- To determine if SOX2 is essential for maintaining the NC phenotype.
Main Methods:
- Utilized a genetically engineered mouse model of human NC.
- Performed lineage-specific conditional deletion of SOX2 during NC oncogenesis.
- Analyzed tumor histology, gene expression (RNA sequencing), and oncogenic driver status.
Main Results:
- SOX2 is dispensable for NC initiation and progression.
- SOX2-deficient tumors maintained NC histological features and key oncogenic drivers (BRD4::NUTM1, MYC, TP63).
- Transcriptional changes in SOX2-deficient tumors were modest, affecting metabolism but not core oncogenic programs.
Conclusions:
- SOX2 is not universally required for NUT carcinoma oncogenesis.
- BRD4::NUTM1 drives NC independently of SOX2.
- Therapeutic strategies should focus on BRD4::NUTM1 and its dependencies.
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