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Principal Investigator: BRIAN C LEWIS
Organization: UNIV OF MASSACHUSETTS MED SCH WORCESTER
Fiscal Year: 2024
Award: $556,470
Funding agency: National Cancer Institute
Abstract
Pancreatic cancer is a leading cause of cancer-related deaths in the United States with an estimated 48,000
deaths in 2021. Prior work has identified several commonly occurring genetic alterations, including activating
KRAS mutations in approximately 95% of pancreatic ductal adenocarcinoma (PDAC) cases and these
alterations are believed to be initiating lesions in the disease. Studies in inducible KRAS mouse models, as
well as in human cancer cell lines, indicate that KRAS is an important therapeutic target in this disease. Yet,
small molecule inhibitors of the most common KRAS mutants in PDAC are lacking. Therefore, other
therapeutic strategies that target critical downstream molecules are required. Prior published work from our
laboratory indicated that the kinase MTOR may be one such target. MTOR exists in two distinct signaling
complexes – MTORC1 and MTORC2. Genetic ablation of the essential MTORC2 component Rictor impaired
the development and progression of precursor PanIN lesions. Moreover, Rictor deletion extended survival in a
genetically engineered mouse model (GEMM) of invasive PDAC. These observations raise the question of
whether the inactivation of MTORC2 signaling in established invasive PDAC will impair their progression
and/or stimulate their regression. The published observations also indicate that a deeper understanding of the
signaling pathways regulated by the MTOR signaling complexes, and the resulting proteomic and gene
expression changes, is required to effectively target this axis and to predict potential resistance mechanisms.
This application therefore seeks to elucidate the roles of MTOR signaling in PDAC in vivo; to identify the
proteomic and gene expression changes induced downstream of MTOR; and to investigate the efficacy of
novel MTOR inhibitor-based combination therapeutic approaches.
To achieve these goals, three specific aims are proposed. Using elegant and novel dual recombinase mouse
models, studies in Aim 1 will investigate whether genetic inactivation of MTORC2 impairs the progression of
established PDAC in vivo. Using single cell RNA sequencing after the acute genetic inactivation of MTORC2,
the molecular consequences of impairing this signaling complex in vivo will be uncovered. The proposed
studies in Aim 2 will identify the gene expression and proteomic changes induced following the inhibition of
MTORC1, MTORC2 or both complexes in human PDAC cell lines. Computational integration of these datasets
will lead to the identification of critical pathways and transcription regulators, which will then be functionally
validated in human PDAC cell lines. Finally, studies in Aim 3 will interrogate the efficacy of novel combination
therapy strategies based on MTOR inhibitors in human tumor organoids and credentialed GEMMs.
The successful execution of the proposed studies will enhance the understanding of the role played by MTOR
signaling during pancreatic tumorigenesis and enhance our ability to effectively target this pathway for PDAC
therapy.
Terms: <AURKB><Ablation><Acute><American><Biologic Models><Biological Models><C-K-RAS><Cancer Cause><Cancer Etiology><Cancer cell line><Cancers><Cell Communication and Signaling><Cell Line><Cell Signaling><Cell Survival><Cell Viability><CellLine><Cessation of life><Combined Modality Therapy><Complex><Credentialing><Critical Paths><Critical Pathways><Data><Data Set><Death><Development><Diagnosis><Difluorodeoxycytidine><Disease><Disease Progression><Disorder><GEM model><GEMM model><Gene Expression><Gene Transcription><Genes><Genetic><Genetic Alteration><Genetic Change><Genetic Transcription><Genetic defect><Genetically Engineered Mouse><Goals><Human><Impairment><Intracellular Communication and Signaling><K-RAS2A><K-RAS2B><K-Ras><K-Ras 2A><K-Ras-2 Oncogene><K-ras mouse model><KRAS><KRAS(G12D)><KRAS2><KRAS2 gene><KRASG12D><Ki-RAS><Kinases><Knock-out><Knockout><Kras mouse model><Kras murine model><Laboratories><Lesion><MEK inhibition><MEKs><Maintenance><Malignant Neoplasms><Malignant Pancreatic Neoplasm><Malignant Tumor><Malignant neoplasm of pancreas><Model System><Modeling><Modern Man><Molecular><Multimodal Therapy><Multimodal Treatment><Mutation><Oncogene K-Ras><Organoids><PDAC cancer cell><PDAC cell><PanIN><Pancreas Cancer><Pancreas Ductal Adenocarcinoma><Pancreas Neoplasms><Pancreas Tumor><Pancreatic Cancer><Pancreatic Duct Dysplasia><Pancreatic Ductal Adenocarcinoma><Pancreatic Ductal Dysplasia><Pancreatic Intraepithelial Neoplasia><Pancreatic Tumor><Pathway interactions><Phenotype><Phosphotransferase Gene><Phosphotransferases><Play><Proteomics><Public Health><Publishing><RASK2><RNA Expression><Regimen><Resistance><Role><Signal Pathway><Signal Transduction><Signal Transduction Systems><Signaling><Strains Cell Lines><Therapeutic><Transcription><Transphosphorylases><Treatment Efficacy><United States><Work><aurora B kinase><biological signal transduction><cancer microenvironment><combination therapy><combined modality treatment><combined treatment><cultured cell line><dFdC><dFdCyd><data integration><developmental><gemcitabine><genetically engineered mouse model><genetically engineered murine model><genome mutation><in vivo><intervention efficacy><knock-down><knockdown><mTOR Inhibitor><mTOR inhibition><malignancy><mouse model><multi-modal therapy><multi-modal treatment><murine model><mutant><neoplasm/cancer><new therapeutic approach><new therapeutic intervention><new therapeutic strategies><new therapy approaches><new treatment approach><new treatment strategy><novel><novel therapeutic approach><novel therapeutic intervention><novel therapeutic strategies><novel therapy approach><overexpress><overexpression><pancreas duct dysplasia><pancreas ductal dysplasia><pancreatic carcinogenesis><pancreatic ductal adenocarcinoma cell><pancreatic malignancy><pancreatic neoplasia><pancreatic neoplasm><pancreatic oncogenesis><pancreatic tumorigenesis><pathway><recombinase><resistance mechanism><resistant><resistant mechanism><scRNA-seq><single cell RNA-seq><single cell RNAseq><single cell expression profiling><single cell transcriptomic profiling><single-cell RNA sequencing><small molecular inhibitor><small molecule inhibitor><social role><statistics><therapeutic efficacy><therapeutic target><therapy efficacy><tumor><tumor microenvironment><v-Ki-RAS2 Kirsten Rat Sarcoma 2 Viral Oncogene Homolog>