Imperial College London

ProfessorIainMcNeish

Faculty of MedicineDepartment of Surgery & Cancer

Chair in Oncology
 
 
 
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Contact

 

+44 (0)20 7594 2185i.mcneish Website

 
 
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Assistant

 

Ms Sophie Lions +44 (0)20 7594 2792

 
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Location

 

G036Institute of Reproductive and Developmental BiologyHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Ho:2022:10.1158/0008-5472.CAN-21-4012,
author = {Ho, G-Y and Kyran, EL and Bedo, J and Wakefield, MJ and Ennis, DP and Mirza, HB and Vandenberg, CJ and Lieschke, E and Farrell, A and Hadla, A and Lim, R and Dall, G and Vince, JE and Chua, NK and Kondrashova, O and Upstill-Goddard, R and Bailey, U-M and Dowson, S and Roxburgh, P and Glasspool, RM and Bryson, G and Biankin, AV and Cooke, SL and Ratnayake, G and McNally, O and Traficante, N and DeFazio, A and Weroha, SJ and Bowtell, DD and McNeish, IA and Papenfuss, AT and Scott, CL and Barker, HE},
doi = {10.1158/0008-5472.CAN-21-4012},
journal = {Cancer Research},
pages = {4457--4473},
title = {Epithelial-to-mesenchymal transition supports ovarian carcinosarcoma tumorigenesis and confers sensitivity to microtubule-targeting with eribulin},
url = {http://dx.doi.org/10.1158/0008-5472.CAN-21-4012},
volume = {82},
year = {2022}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Ovarian carcinosarcoma (OCS) is an aggressive and rare tumour type with limited treatment options. OCS is hypothesised to develop via the combination theory, with a single progenitor resulting in carcinomatous and sarcomatous components, or alternatively via the conversion theory, with the sarcomatous component developing from the carcinomatous component through epithelial-to-mesenchymal transition (EMT). In this study, we analysed DNA variants from isolated carcinoma and sarcoma components to show that OCS from 18 women is monoclonal. RNA sequencing indicated the carcinoma components were more mesenchymal when compared with pure epithelial ovarian carcinomas, supporting the conversion theory and suggesting that EMT is important in the formation of these tumours. Preclinical OCS models were used to test the efficacy of microtubule-targeting drugs, including eribulin, which has previously been shown to reverse EMT characteristics in breast cancers and induce differentiation in sarcomas. Vinorelbine and eribulin more effectively inhibited OCS growth than standard-of-care platinum-based chemotherapy, and treatment with eribulin reduced mesenchymal characteristics and N-MYC expression in OCS patient-derived xenografts (PDX). Eribulin treatment resulted in an accumulation of intracellular cholesterol in OCS cells, which triggered a down-regulation of the mevalonate pathway and prevented further cholesterol biosynthesis. Finally, eribulin increased expression of genes related to immune activation and increased the intratumoral accumulation of CD8+ T cells, supporting exploration of immunotherapy combinations in the clinic. Together, these data indicate EMT plays a key role in OCS tumourigenesis and support the conversion theory for OCS histogenesis. Targeting EMT using eribulin could help improve OCS patient outcomes.
AU - Ho,G-Y
AU - Kyran,EL
AU - Bedo,J
AU - Wakefield,MJ
AU - Ennis,DP
AU - Mirza,HB
AU - Vandenberg,CJ
AU - Lieschke,E
AU - Farrell,A
AU - Hadla,A
AU - Lim,R
AU - Dall,G
AU - Vince,JE
AU - Chua,NK
AU - Kondrashova,O
AU - Upstill-Goddard,R
AU - Bailey,U-M
AU - Dowson,S
AU - Roxburgh,P
AU - Glasspool,RM
AU - Bryson,G
AU - Biankin,AV
AU - Cooke,SL
AU - Ratnayake,G
AU - McNally,O
AU - Traficante,N
AU - DeFazio,A
AU - Weroha,SJ
AU - Bowtell,DD
AU - McNeish,IA
AU - Papenfuss,AT
AU - Scott,CL
AU - Barker,HE
DO - 10.1158/0008-5472.CAN-21-4012
EP - 4473
PY - 2022///
SN - 0008-5472
SP - 4457
TI - Epithelial-to-mesenchymal transition supports ovarian carcinosarcoma tumorigenesis and confers sensitivity to microtubule-targeting with eribulin
T2 - Cancer Research
UR - http://dx.doi.org/10.1158/0008-5472.CAN-21-4012
UR - https://aacrjournals.org/cancerres/article/82/23/4457/710688/Epithelial-to-Mesenchymal-Transition-Supports
UR - http://hdl.handle.net/10044/1/100375
VL - 82
ER -