Identifying the transcriptional drivers of metastasis embedded within localized melanoma Journal Article


Authors: Suresh, S.; Rabbie, R.; Garg, M.; Lumaquin, D.; Huang, T. H.; Montal, E.; Ma, Y.; Cruz, N. M.; Tang, X.; Nsengimana, J.; Newton-Bishop, J.; Hunter, M. V.; Zhu, Y.; Chen, K.; de Stanchina, E.; Adams, D. J.; White, R. M.
Article Title: Identifying the transcriptional drivers of metastasis embedded within localized melanoma
Abstract: In melanoma, predicting which tumors will ultimately metastasize guides treatment decisions. Transcriptional signatures of primary tumors have been utilized to predict metastasis, but which among these are driver or passenger events remains unclear. We used data from the adjuvant AVAST-M trial to identify a predictive gene signature in localized tumors that ultimately metastasized. Using a zebrafish model of primary melanoma, we interrogated the top genes from the AVAST-M signature in vivo. This identified GRAMD1B, a cholesterol transfer protein, as a bona fide metastasis suppressor, with a majority of knockout animals rapidly developing metastasis. Mechanistically, excess free cholesterol or its metabolite 27-hydroxycholesterol promotes invasiveness via activation of an AP-1 program, which is associated with increased metastasis in humans. Our data demonstrate that the transcriptional seeds of metastasis are embedded within localized tumors, suggesting that early targeting of these programs can be used to prevent metastatic relapse. SIGNIFICANCE: We analyzed human melanoma transcriptomics data to identify a gene signature predictive of metastasis. To rapidly test clinical signatures, we built a genetic metastasis platform in adult zebrafish and identified GRAMD1B as a suppressor of melanoma metastasis. GRAMD1B-associated cholesterol overload activates an AP-1 program to promote melanoma invasion. This article is highlighted in the In This Issue feature, p. 1. ©2022 The Authors; Published by the American Association for Cancer Research.
Keywords: genetics; animal; metabolism; animals; melanoma; metastasis; neoplasm recurrence, local; gene expression profiling; pathology; gene expression regulation; gene expression regulation, neoplastic; tumor recurrence; neoplasm metastasis; zebra fish; zebrafish; transcription factor ap 1; transcription factor ap-1; humans; human
Journal Title: Cancer Discovery
Volume: 13
Issue: 1
ISSN: 2159-8274
Publisher: American Association for Cancer Research  
Date Published: 2023-01-01
Start Page: 194
End Page: 215
Language: English
DOI: 10.1158/2159-8290.Cd-22-0427
PUBMED: 36259947
PROVIDER: scopus
PMCID: PMC9827116
DOI/URL:
Notes: Article -- Export Date: 1 February 2023 -- Source: Scopus
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MSK Authors
  1. Richard Mark White
    68 White
  2. Emily Dina Montal
    14 Montal
  3. Miranda Victoria Hunter
    11 Hunter
  4. Ting-Hsiang Huang
    8 Huang
  5. Shruthy Suresh
    8 Suresh
  6. Yilun Ma
    9 Ma
  7. Xinran Tang
    5 Tang
  8. Yu Xin Zhu
    1 Zhu
  9. Kevin Chen
    5 Chen