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New type of drug‐resistant isogenic cell model created by CRISPR genome editing Lysa‐Anne Volpe, M.S., Metewo Selase Enuameh, Ph.D., Michael Jackson, Ph.D., Luping Chen, B.S., John Foulke, M.S., Elizabeth Turner, Ph.D., Stephen King, M.S., and Fang Tian, Ph.D. American Type Culture Collection, ATCC Cell Systems, Manassas, VA 20110 AACR Abstract # 3836 NRAS Clone D5 3.98e-007 C 107.6% 100.0% A375 parental line NRAS isogenic clone D5 80.0% 49.8% 43.9% 40.0% 12.9% 20.0% 0.0% / Genotyping/sequencing primers IC50 F A375 2.907e-008 The KRASG13D isogenic line is also resistant to BRAF inhibitors NRAS Clone D5 1.519e-006 BRAF inhibitor Vemurafinib treatment 120.0% 102.3% 100.0% 80.0% 60.0% ds Q61K Donor 500bp 1000 nM 10 nM 1000 nM Figure 5. Drug response of the A375 parental line and NRASQ61K isogenic lines. CellTiter‐Glo luminescent cell viability assay was used to evaluate cell line drug response to the BRAF inhibitors vemurafenib and dabrafenib, as well as the chemotherapy drugs doxorubicin and etoposide. Data are expressed as mean SD (n=4). NRASQ61K isogenic clone D5 (ATCC® CRL‐ 1619IG‐2™) exhibits drug resistance to the BRAF inhibitors relative to the parental A375 cell line (C, D, E, and F). The responses of the A375 and NRASQ61K isogenic lines to non‐specific chemotherapy drugs were similar (A and B). B A375 3.094e-008 KRAS Clone DIB4 6.55e-005 IC50 A375 4.056e-009 KRAS Clone DIB4 1.184e-007 Figure 8. The same method that was used to create the NRAS isogenic line was employed to generate the KRASG13D isogenic line (ATCC® CRL‐1619IG‐1™). A) The KRASG13D knock in was validated by sequencing. B) The KRASG13D isogenic line demonstrated drug resistance to BRAF inhibitors relative to the parental A375 cell line. Data are expressed as mean SD (n=4). 648bp nested PCR product Discussion B We used CRISPR/Cas9 genome editing technology to target endogenous loci in human cells and create precise genetic point mutations. Unlike conventional drug resistance cell models that have been developed through anti‐cancer therapy clonal drug resistance selection procedures, the A375 NRASQ61K and KRASG13D isogenic cell lines represent advanced in vitro cell models that contain defined genetic drug resistance mechanisms. The RAS‐mutant isogenic cell lines sustain the permanent and genetically stable drug resistance characteristics without being maintained in anti‐cancer therapy selection culture environments. Therefore, they provide valuable tools to facilitate the development of next‐generation therapeutics that can overcome BRAF drug resistance in melanoma. Figure 3. A) Screening for the NRASQ61K point mutation integration in recovered clones was carried out using PCR primers as shown left, with the gel image of PCR products on the right. B) Introduction of the NRASQ61K point mutation in the cell line was confirmed via sequencing primers shown in A. Boxed in red is the expected C>A mutation. Confirmation of NRASQ61K mRNA expression in single cell clones isolate mRNA → cDNA synthesis →PCR → sequence analysis RAS‐mediated resistance to BRAF inhibitor in melanoma2 PCR primer ATG E1 E1 E2 E2 E2 E4 E3 E5 E4 E3 E4 E5 E2 E3 E1 E2 E3 E4 E5 500bp ds G13D Donor / Genotyping/sequencing primers ERK and AKT activation is reduced in the NRAS isogenic line B *GAC (D) 16.3% 20.0% 1105bp LongAmpPCR CRISPR genome editing technology1 Figure 1. BRAFV600E melanoma cells chronically treated with BRAF inhibitors acquire drug resistance by switching between the three isoforms of RAF (ARAF, BRAF, CRAF) to activate the MAPK pathway. Increased growth factor receptor signaling or reactivation of the MAPK pathway may allow for resistance. This can occur following the acquisition of activating mutations in NRAS (Q61K), MEK (C121S), and elevated expression of other key components of the pathway. A 40.0% Deletions via cut sites *AAA (K) A 5’ GGC 59.2% IC50 1250bp A G13 A375 parantal line NRAS isogenic clone D5 70.9% Q61 CAA 400mm 0.0% 10 nM PCR and sequencing to confirm NRASQ61K knock‐in mutation 400mm Survival rate (%) 60.0% 400mm Figure 7. Spheroid 3D cultures were generated by seeding cells in triplicate on a low attachment plate for 4 days. Cultures were examined under the microscope after treatment with the BRAF inhibitor dabrafenib for 10 days. NRASQ61K isogenic line showed resistance to BRAF inhibitor, which was consistent with the 2D culture results. NRAS Clone D5 1.042e-006 BRAF inhibitor Dabrafenib treatment 120.0% 400mm NRAS Clone D5 5.238e-008 Survival rate (%) E A375 1.407e-008 A375 4.093e-008 IC50 D IC50 5’ Background A375 2.447e-007 Survival rate (%) B IC50 Survival rate (%) Figure 2. A) Schematic of the target region for integration of the knock‐in DNA bearing the NRASQ61K point mutation. B) Cell clone generation workflow: Transfected cells were enriched by puromycin selection for 48 hrs. After puromycin recovery, the cells were sorted into single cells. Clonal expansion and validation was then performed at the genomic, transcriptional, translational, and functional levels on the cells. isogenic line is resistant to BRAF inhibitors in 3D culture Survival rate (%) A NRASQ61K B A Design and generation of NRASQ61K mutant cell clones Cell survival rate (%) A mutant BRAF gene can lead to uncontrolled cell growth through overactivation of the RAS‐RAF‐ MAPK signaling pathway. The BRAFV600E mutation occurs in approximately 40% to 50% of melanomas. Although current BRAF inhibitors have been used to successfully treat melanomas containing the BRAFV600E mutation, patients often become resistant to BRAF inhibitors within a few months. A number of clinical studies have indicated that secondary mutations in RAS or NF1 are associated with BRAF resistance. However, due to the genetic heterogeneity commonly observed in tumors, it is unclear if those secondary mutations already existed within low percentage subclones, or if they were acquired through drug treatment. Further, it has yet to be determined whether such genetic variants are only associated with resistance, or whether they actually cause the BRAF inhibitor resistance. In this study, we used genome editing CRISPR technology to generate two drug‐resistant melanoma cell lines (ATCC® CRL‐1619IG‐2™ and CRL‐1619IG‐1™) that contain NRASQ61K or KRASG13D mutations. These isogenic lines were derived from the parental A375 (ATCC® CRL‐1619™) melanoma cell line, which naturally contains BRAFV600E. When compared to the parental line, the isogenic cell models demonstrated that genetically modified NRAS or KRAS genes at the endogenous level directly leads to significant resistance to BRAF inhibitors. . Single guide RNAs (sgRNAs) were designed and built to guide Cas9 to bind and cut desired regions in the NRAS or KRAS gene targets. The parental cell line A375 was co‐transfected with the single guide and CRISPR all‐in‐one plasmid alongside a donor plasmid. Transfected cells were sorted into single cells and expanded for subsequent screening of desired gene mutation events. The introduction of the NRASQ61K or KRASG13D mutation in the cells was then confirmed via Sanger sequencing and NGS at the genetic and transcriptional levels. Drug responses to BRAF‐specific inhibitors and non‐specific chemotherapy drugs were compared between RAS isogenic A375 cell lines and parental A375 cell line in 2D and 3D culture environments. Testing results demonstrated that the isogenic cell lines created by CRISPR showed significant resistance to BRAF inhibitors in comparison to the parental control in both 2D and 3D culture environments. These two novel in vitro cell models with endogenous level RAS mutants provide direct biofunctional evidence that acquiring a drug‐resistant gene drives tumor cell survival under targeted therapeutic treatment. . isogenic line is resistant to BRAF inhibitors Cell survival rate (%) Results Survival rate (%) Introduction NRASQ61K E5 E6 E7 NRAS exons & introns E7 NRAS processed mRNA E7 C mutation Figure 4. A) NRAS mRNA in cell clones carrying the Q61K mutations. Screening for NRASQ61K point mutation in recovered clones was carried out via cDNA generation from cells and performing PCR (red arrows). B) Gel image of the PCR products. C) The introduction of the NRASQ61K point mutation in the cell line was confirmed via Sanger sequencing on the right. Boxed in red is expected point mutation. References Figure 6. Activation of AKT and ERK pathways mediates the NRASQ61K isogenic line’s resistance to BRAF inhibitor. Parental A375 cells and NRASQ61K isogenic cells were treated with 1 uM Vemurafenib or DMSO for 1 hour and 4 hours. Cells were then harvested, lysed, and analyzed by immunoblotting with antibodies against phospho‐EGFR, total EGFR, phospho‐AKT, phospho‐ERK and GAPDH (loading control). 1. Ran F, et al. Genome engineering using the CRISPR‐Cas9 system. Nat Protoc 8(11): 2281‐308, 2013. 2. Sanchez‐Laorden B, et al. BRAF inhibitors induce metastasis in RAS mutant or inhibitor‐resistant melanoma cells by reactivating MEK and ERK signaling. Sci Signal 7(318): ra30, 2014. © 2017 American Type Culture Collection. The ATCC trademark and trade name, and any other trademarks listed in this publication are trademarks owned by the American Type Culture Collection unless indicated otherwise. ATCC 10801 University Boulevard, Manassas, Virginia 20110‐2209 phone: 800.638.6597 email: [email protected] www.atcc.org