SCIENTIFIC REPORT 2015
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SIGNALLING NETWORKS IN CANCER<br />
www.cruk.manchester.ac.uk/Research/CRUK-MI-Groups/<br />
Signalling-Networks-in-Cancer/Home<br />
Cancer genomic sequencing has significantly impacted our<br />
understanding of the temporal and spatial genetic alterations<br />
that lead to tumorigenesis. This information enables the<br />
development of targeted therapies that result in durable and<br />
less toxic responses in patients.<br />
Figure 1<br />
ABL1 mutations lead to an<br />
intermediate increase in<br />
kinase activity.<br />
A–D (A, C) Root-mean-square<br />
deviation (RMSD) analysis of the<br />
movement of (A) aC-helix and (C)<br />
DFG motif in the active and<br />
inactive conformation of ABL1<br />
kinase with R351W mutation<br />
(orange) compared to the<br />
wild-type (WT) kinase (black). (B,<br />
D) Time-lapse images show<br />
movement within the aC-helix<br />
(B) and DFG motif (D) of the<br />
inactive structure of the WT<br />
(black outline) and R351W<br />
(orange outline) constructs.<br />
A<br />
B<br />
αC helix<br />
inactive<br />
αC helix<br />
active<br />
C<br />
D<br />
DFG<br />
inactive<br />
DFG<br />
active<br />
Group Leader<br />
John Brognard<br />
Postdoctoral Fellows<br />
Anna Marusiak 1<br />
Natalie Stephenson<br />
Pedro Torres-Aryuso<br />
Clinical Fellows<br />
Andrew Hudson<br />
Matthew Howell 2<br />
Senior Scientific Officer<br />
Eleanor Wendy Trotter<br />
Graduate Students<br />
Zoe Edwards<br />
Ewelina Testoni<br />
1<br />
left in <strong>2015</strong><br />
2<br />
joined in <strong>2015</strong><br />
In regard to kinases, the biomedical community<br />
has focused research efforts on approximately<br />
200 kinases among the 538 kinases present in<br />
the human kinome, yet siRNA screens and<br />
cancer genomic studies indicate that the vast<br />
majority of these unexplored kinases<br />
(approximately 300) are implicated in cancer<br />
and harbour putative driver mutations. The<br />
major focus of our research is to elucidate novel<br />
cancer-associated kinases in the unexplored<br />
kinome, guided by bioinformatics and<br />
functional genomic approaches, with an<br />
overarching aim of understanding the<br />
molecular mechanisms utilised by these kinases<br />
to promote tumorigenesis. Through use of in<br />
vivo patient-derived xenograft mouse models,<br />
we will translate these findings to the clinic and<br />
encourage drug development programmes<br />
focused on these novel targets. The overall goal<br />
of our research is to provide a platform for<br />
transformational research to identify novel<br />
druggable drivers so that the vast majority of<br />
cancer patients can begin to benefit from<br />
precision medicine based targeted therapies.<br />
Collectively this research should identify new<br />
genetic drivers, targets for therapeutic<br />
intervention, and novel mechanisms of<br />
tumorigenesis.<br />
Overview<br />
The lab utilises a multitude of strategies to<br />
identify critical pathways required to promote<br />
tumorigenesis. These include high-throughput<br />
bioinformatics and structural modelling, siRNA<br />
screening, and precision genome editing to<br />
establish various functional genomic<br />
approaches to identify novel drivers. Utilising<br />
bioinformatics we identify novel kinases<br />
enriched for functional mutations to hone in<br />
on activated enzymes that can serve as drug<br />
targets. We then assess the structural<br />
consequences of a subset of mutations in the<br />
respective kinases, where crystal structures are<br />
available, to determine whether the mutations<br />
are likely to increase or decrease catalytic<br />
activity. These approaches have been<br />
successful in identifying kinases with activating<br />
mutations in lung cancer (ABL1 – Testoni et al.<br />
EMBO Mol. Med. in press, see also Figure 1), as<br />
well as novel tumour suppressing kinases in<br />
colon and lung cancer that include MLK4 and<br />
DAPK3. In a second approach we use genetic<br />
dependency screens to identify mutationally<br />
activated drivers of lung cancer. Targeted<br />
genetic dependency screens are an effective<br />
way to uncover low frequency oncogenes that<br />
can serve as targets for therapeutic intervention<br />
for tumours of any origin. Specifically we<br />
identified FGFR4, PAK5, and MLK1 as kinases<br />
that harbour novel gain-of-function (GOF)<br />
mutations in lung cancer patients and these<br />
mutations result in hyperactivation of the MEK/<br />
ERK pathway. The mutation frequency for the<br />
genes we identified ranged from 2-10% of lung<br />
cancers; given the frequency of lung cancer in<br />
the population, these targets could be exploited<br />
by pharmaceutical companies for drug<br />
discovery development.<br />
Discrepancies in cancer genomic sequencing<br />
highlight opportunities for driver mutation<br />
discovery<br />
In an additional approach, the lab focuses on<br />
uncovering novel mutations that reside in<br />
unsequenced regions of the exome (cold-spots)<br />
that may have been missed by large cancer<br />
genomic consortiums. To identify these<br />
cold-spots, we performed a comparison of two<br />
of the most prominent cancer genome<br />
sequencing databases from different institutes<br />
(CCLE and COSMIC), which revealed marked<br />
discrepancies in the detection of missense<br />
mutations in identical cell lines. We<br />
demonstrated, using a newly identified PAK4<br />
0 ps 5000 ps<br />
mutation as proof of principle, that specific<br />
sequencing of these GC-rich cold-spot regions<br />
can lead to the identification of novel driver<br />
mutations in known tumour suppressors<br />
and oncogenes.<br />
Cancer-associated protein kinase C<br />
mutations reveal kinase's role as tumour<br />
suppressor<br />
We also focus on studying the PKC family of<br />
kinases, which have been intensely investigated<br />
for over 25 years in the context of cancer.<br />
Historically, this arises from the discovery of<br />
PKC as the receptor for the tumour-promoting<br />
phorbol esters, which suggested that activation<br />
of PKC by phorbol esters promoted<br />
tumorigenesis induced by carcinogens.<br />
However, this interpretation is now open to<br />
question, since long-term treatment with<br />
phorbol esters is known to initiate degradation<br />
of PKC, thus down-regulating its activity. In<br />
collaboration with Dr. Alexandra Newton’s lab at<br />
UCSD, we performed a bioinformatics analysis<br />
to assess the frequency of PKC mutations<br />
present in cancer genomic sequencing studies<br />
and to determine the functional impact of these<br />
mutations. A majority of mutations were<br />
identified to be loss-of-function (LOF) and for<br />
heterozygous mutations they could act in a<br />
dominant negative manner to suppress the<br />
activity of other PKC isoforms. Consistent with<br />
PKCs being tumour suppressors, we identified<br />
0 ps 5000 ps<br />
germline LOF mutations in PKC delta, associated<br />
with increased survival and proliferation of B<br />
cells, and the mutations were causal in juvenile<br />
lupus. In summary, our data provide compelling<br />
evidence that PKCs in general are tumour<br />
suppressors and PKC inhibitors should not be<br />
used to treat cancer patients with mutations in<br />
this family of kinases.<br />
The role of the Mixed Lineage Kinases<br />
in cancer<br />
Lastly, the lab investigates the role of a novel<br />
family of kinases, the Mixed Lineage Kinases<br />
(MLKs), in various forms of cancer including lung<br />
and colon cancer, melanoma, and head and<br />
neck squamous cell carcinoma. We recently<br />
demonstrated that the MLK1-4 promotes<br />
resistance to RAF inhibitors in melanoma by<br />
directly phosphorylating MEK to reactivate the<br />
MEK/ERK pathway. These kinases play a<br />
complex role and can act as both tumour<br />
suppressors and oncogenes depending on the<br />
genetic make-up and origin of the cancer. The<br />
lab will continue to investigate the importance<br />
of this family of kinases and the signalling<br />
pathways they regulate in various forms of<br />
cancer and assess whether inhibition of the<br />
MLKs can be exploited to suppress<br />
tumorigenesis for specific types of cancer,<br />
including lung cancer.<br />
Publications listed on page 58<br />
34 <strong>SCIENTIFIC</strong> <strong>REPORT</strong> <strong>2015</strong> CANCER RESEARCH UK MANCHESTER INSTITUTE SIGNALLING NETWORKS IN CANCER<br />
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