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2015 DEPARTMENT OF MEDICINE RESEARCH DAY Title of Poster: Over-expression of Slug leads to malignant transformation in an in vitro model of pulmonary premalignancy. Presenter: Brandon S. Grimes Division: Pulmonary and Critical Care Medicine ☐Faculty ☒Fellow ☐Resident ☐Post-doc Research Fellow ☐Graduate Student ☐Medical Student ☐Other Principal Investigator/Mentor: Steven M. Dubinett Co-Investigators: Tonya C. Walser, Linh Tran, Rui Li, Zhe Jing Thematic Poster Category: Development, Morphogenesis, Cell Growth and Differentiation, Apoptosis, Stem Cell Biology, Carcinogenesis and Cancer Biology Abstract With the implementation of lung cancer screening programs, the detection of premalignant lung lesions is on the rise. A better understanding of the mechanisms underlying progression of premalignant lesions to non-small cell lung cancer (NSCLC) could lead to the development of new prevention and treatment strategies. Slug (SNAI2) is a member of the Snail family of zinc finger transcription factors that are known to play a key role in epithelial-mesenchymal transition (EMT), which is a signaling program requisite for cancer cell invasion and metastasis. Recent research has shown that patients with lung adenocarcinoma tumors characterized by Slug up-regulation have an increased likelihood of recurrence and poor survival. In Slug over-expressing lung cancer cell lines, increased tumorigenesis and invasiveness have been observed. The role of Slug in premalignancy and early stage lung cancer, however, has not been explored. We established several NSCLC and human bronchial epithelial cells (HBEC) lines with ectopic stable over-expression of Slug. Via western blot analysis, the cells demonstrate a mesenchymal phenotype, confirming Slug-mediated induction of EMT in both cell types. Proliferation rates determined by using an ATP luminescence-based assay were not significantly different between Slug over-expressing and control cell lines. However, we determined that the Slug over-expressing cancer cells and HBECs have increased anchorage-independent growth, the in vitro correlate of tumorigenicity in murine models. These findings suggest that Slug may have a role in the initiation and progression of early stage NSCLC. Presently, our focus is to determine the mechanisms underlying this Slug-dependent transformation by molecularly profiling the cells. As a clinical correlate, we are also evaluating Slug expression in human premalignant lung lesions, such as atypical adenomatous hyperplasia (AAH) and adenocarcinoma in situ (AIS), identified in our existing human lung cancer tissue repository.