Development of a New Human Model of Lung Squamous Cell Carcinoma Progression

点击翻译按钮获取中文摘要

Lung squamous cell carcinoma (LUSC) is a devastating disease which accounts for approximately 5% of all cancer mortality in the UK, is strongly associated with smoking and lacks targeted therapies. Detecting early stage LUSC provides the best chance of therapeutic success as these patients are eligible for curative surgery (60% 5-year overall survival). However, 75% of LUSC patients are diagnosed with advanced disease and are treated with chemotherapy and, more recently, immunotherapy but with limited therapeutic benefit (6% 5-year overall survival).These dismal figures highlight the need to improve LUSC medicine. This can only be achieved by developing more innovative and ambitious research models that reflect the genetic complexity of LUSC and recapitulate progression from premalignant stages to invasive cancer. Unfortunately, the mechanisms driving this progression remain unclear and this hinders efforts to develop these much-needed patient-relevant models.The genomes of LUSC are complex and differ among patients, but a closer look shows that some genetic alterations occur in most patients. Additionally, low-frequency genetic alterations often target the same cellular processes and arise in the tumour following a recurrent temporal order that gives rise to a series of 'genetic stages'. These commonalities can be exploited to design more relevant models of LUSC. However, carrying out this modelling effort in mice would require large cohorts of animals due to the number of genes involved and the genetic diversity found in patients. We cancer biologists must try to avoid this cost in mouse lives and find alternative strategies to replace animals in LUSC research in as many translational applications as possible.Human basal cells (HBCs) are the cell-of-origin of LUSC, can be easily cultured in-vitro and are more likely to reflect better the human cell biology. Therefore, HBCs are an attractive and versatile system to investigate this disease and replace mice in translational LUSC studies. In this work, we intend to engineer HBCs to reproduce the genetic stages and the diversity found in LUSC patients. In following this strategy, I aim to build a model of LUSC progression that best recapitulates the spectrum of premalignant and invasive LUSC stages to replace mouse models.The first objective of this project is to genetically-engineer HBCs to reproduce the series of genetic stages observed in patients. The selection of alterations will be based on their high frequency and known role in important LUSC pathways. The second objective will be to analyse the cellular changes in each genetic stage including invasiveness, cell proliferation and changes to tissue architecture. The last objective will be to investigate changes in gene expression, immuno-modulatory factors, and intra-tumour heterogeneity. On completing the validation stage, we aim to have acquired a comprehensive dataset providing the most complete knowledge of the biological changes driving LUSC progression as well as a tractable LUSC model to expand our preclinical research opportunities. The most innovative aspects of this modelling strategy are a) the use of human cells instead of mouse models, b) the recapitulation of genetic stages that aims to incorporate tumour evolution into cancer modelling strategies and c) the emphasis on premalignant stages. These features will broaden our capabilities to investigate specific areas of LUSC biology in a stage-dependent manner that cannot be undertaken using existing preclinical models, while avoiding the important differences in lung biology between mouse and human. After completing the validation of the model, we intend to focus on the biology of premalignant stages, new cancer vulnerabilities and stage-dependent changes in the immune microenvironment. These research areas will accelerate the development of new early detection methods, novel therapeutic modalities, and the improvement of existing ones.