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Publication : KRAS signaling in malignant pleural mesothelioma.

First Author  Marazioti A Year  2022
Journal  EMBO Mol Med Volume  14
Issue  2 Pages  e13631
PubMed ID  34898002 Mgi Jnum  J:324239
Mgi Id  MGI:7276250 Doi  10.15252/emmm.202013631
Citation  Marazioti A, et al. (2022) KRAS signaling in malignant pleural mesothelioma. EMBO Mol Med 14(2):e13631
abstractText  Malignant pleural mesothelioma (MPM) arises from mesothelial cells lining the pleural cavity of asbestos-exposed individuals and rapidly leads to death. MPM harbors loss-of-function mutations in BAP1, NF2, CDKN2A, and TP53, but isolated deletion of these genes alone in mice does not cause MPM and mouse models of the disease are sparse. Here, we show that a proportion of human MPM harbor point mutations, copy number alterations, and overexpression of KRAS with or without TP53 changes. These are likely pathogenic, since ectopic expression of mutant KRAS(G12D) in the pleural mesothelium of conditional mice causes epithelioid MPM and cooperates with TP53 deletion to drive a more aggressive disease form with biphasic features and pleural effusions. Murine MPM cell lines derived from these tumors carry the initiating KRAS(G12D) lesions, secondary Bap1 alterations, and human MPM-like gene expression profiles. Moreover, they are transplantable and actionable by KRAS inhibition. Our results indicate that KRAS alterations alone or in accomplice with TP53 alterations likely play an important and underestimated role in a proportion of patients with MPM, which warrants further exploration.
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