Lung adenocarcinoma (LUAD) and pancreatic ductal adenocarcinoma (PDAC) together account for ~15% of all cancer mortalities. Both LUAD and PDAC are commonly driven by KRAS mutations. The first allele-specific KRAS inhibitors were recently approved for LUAD, but clinical benefit is limited by intrinsic and acquired resistance. LUAD predominantly arises from alveolar type 2 (AT2) cells, which function as facultative alveolar stem cells by self-renewing and replacing alveolar type 1 (AT1) cells. Using genetically engineered mouse models, patient-derived xenografts and patient samples, we found inhibition of KRAS promotes transition to a quiescent AT1-like cancer cell state in LUAD tumors. Similarly, suppressing KRAS-induced AT1 differentiation of wild-type AT2 cells upon lung injury. The AT1-like LUAD cells exhibited high growth and differentiation potential upon treatment cessation, whereas ablation of the AT1-like cells robustly improved treatment response to KRAS inhibitors. Intra-tumoral heterogeneity in PDAC is characterized by a balance between basal and classical epithelial cancer cell states, with basal dominance associated with chemoresistance and a dismal prognosis. Using genetically engineered mouse models and patient-derived xenografts, we found that basal PDAC cells are highly sensitive to KRAS inhibitors. Employing fluorescent and bioluminescent reporter systems, we longitudinally tracked cell-state dynamics in vivo and revealed a rapid KRAS inhibitor-induced enrichment of the classical state. Lineage tracing identified these enriched classical PDAC cells as reservoirs for disease relapse. Genetic ablation of the classical cell state is synergistic with KRAS inhibition, providing a pre-clinical proof-of-concept for this strategy. Our results uncover an unexpected role of KRAS in promoting intra-tumoral heterogeneity and suggest targeting alveolar or classical epithelial differentiation may augment KRAS-targeted therapies in LUAD and PDAC, respectively.

About the speaker
Tuomas Tammela, Associate Member, Cancer Biology & Genetics Program
Sloan Kettering Institute
Dr. Tuomas Tammela earned his MD and PhD from the University of Helsinki, Finland, where he worked in Prof. Kari Alitalo's laboratory, studying molecular mechanisms that control blood and lymphatic vessel growth. Dr. Tammela then moved to MIT for postdoctoral training with Prof. Tyler Jacks. During this time, he became interested in cellular heterogeneity in cancer and identified cancer-derived niches as drivers of stem-like cells in lung cancer. Dr. Tammela joined the faculty at Memorial Sloan Kettering Cancer Center in 2017 and is currently an Associate Member of the Cancer Biology & Genetics Program at the Sloan Kettering Institute. The Tammela Lab studies phenotypic heterogeneity of cancer cells within tumors using genetically engineered mouse models, single-cell approaches, tracing and ablation of distinct tumor cell lineages, CRISPR-mediated gene regulation and advanced imaging techniques. The overarching goal of these efforts is to discover pathways that drive distinct cellular phenotypes and to develop new therapeutic concepts aimed at reducing cellular heterogeneity in tumors. In addition, emerging efforts in the Tammela laboratory focus on how aging and other changes in organismal physiology impact cancer evolution. Dr. Tammela holds scholarships from the American Cancer Society, the Josie Robertson Foundation, the Rita Allen Foundation and the V Foundation. He is a recipient of a Mark Foundation Emerging Leader Award, an NIH-NCI R37 MERIT Award, an AACR Next Generation Transformative Research Award and the Werner Risau Prize.
November 14, 2024
08:00:00 AM (UTC) - 09:00:00 AM (UTC)
Duration:60 minutes
Categories
Online webinar
Academic Basic Research
Cancer (other / various)
Next Generation Sequencing
Cancer Research