Doctor of Philosophy, The Ohio State University, 2021, Biomedical Sciences
Few therapeutic options exist for the 15-25% of melanoma patients whose disease is driven by oncogenic NRAS. NRAS is a member of the RAS family of proto-oncogenic GTPase proteins which trigger signal transduction pathways involved in cellular motility, survival, proliferation, and metabolism. Therapeutic targeting of NRAS is a decades-old challenge, hindered by the inability to develop small molecule inhibitors specific for the mutant protein. Furthermore, oncogenic NRAS can circumvent treatments targeting post-translational RAS modifications, interacting partners, and downstream signaling pathways. Current first-line therapies for NRAS-driven melanoma are immune-based. While such drugs are effective in 40-50% of individuals, many patients suffer from high-grade adverse events and only a subset of responders experience durable remissions. With NRAS-driven melanomas being the most aggressive subtype of this disease, new and effective therapeutic options are needed.
Oncogenic NRAS mutations primarily affect codons 12, 13, and 61, resulting in constitutive GTP-binding, activation, and downstream signal transduction. However, each NRAS-driven malignancy shows selection bias for a different subset of NRAS mutants. For example, NRAS-driven melanomas are enriched for genetic mutations in codon 61 (>80%) while mutations in acute myeloid leukemia primarily occur in codons 12 and 13. This mutational bias remains poorly understood, especially in melanoma where the codon 61 alterations are not directly attributed to ultraviolet light.
I developed a suite of conditional, Nras knock-in mouse models (LSL-Nras Q61R, -K, -L, -H, -P, -Q; G12D and G13D, -R) to test the hypothesis that NRAS mutants commonly observed in melanoma possess functional properties required for efficient melanocyte transformation. Expression of these alleles in melanocytes revealed that the melanomagenic potential of each NRAS variant parallels the frequency of that mutation in human melanoma. Specifical (open full item for complete abstract)
Committee: Christin Burd E (Advisor); Joanna Groden (Committee Chair); Michael Freitas A (Committee Member); Terence Williams M (Committee Member)
Subjects: Biology; Biomedical Research; Cellular Biology; Molecular Biology; Oncology