Activating mutations in one of the human RAS genes (KRAS, NRAS, and HRAS) are present in up to half of colorectal cancers, but therapeutic options for targeting RAS-dependent cancers are limited. A personalized multigenic Drosophila model was used to identify possible therapeutic options for a patient with treatment-resistant metastatic KRAS-mutant colorectal cancer.
An extensive genomic analysis of the tumor identified nine key drivers. A transgenic model that altered orthologs of these nine genes in the Drosophila hindgut was developed: an activated form of Dmel\Ras85D (orthologous to human KRAS), and RNAi directed against eight genes: Dmel\Apc (orthologous to human APC); Dmel\p53 (orthologous to human TP53); Dmel\ago (orthologous to human FBXW7); Dmel\put (orthologous to human TGFBR2); Dmel\brm (orthologous to human SMARCA4); Dmel\ft (orthologous to human FAT4); Dmel\p38a (orthologous to human MAPK14); Dmel\shg (related to human CDH1). Targeting transgene expression to the developing hindgut epithelium can lead to broad transformation in the epithelium and organismal lethality; this lethality can be rescued by drugs mixed with the fly food. A robotics-based screen using this platform identified a candidate treatment combination; corresponding treatment of the patient led to a partial, but significant, response.
[updated Nov. 2019 by FlyBase; FBrf0222196]
Mutations in one of the human RAS genes are present in a large proportion of colorectal cancers: an estimated 30 to 50% of CRC patient tumors include an oncogenic KRAS mutation; an additional ~6% of colorectal tumors contain mutations in NRAS or HRAS; however, therapeutic options for targeting RAS-dependent cancers are limited (FBrf0242473 and references cited therein).
High-scoring ortholog of human genes KRAS, HRAS, and NRAS (many to many; multiple paralogs and orthologs in both species). Dmel\Ras85D shares 78-86% identity and 86-92% similarity with KRAS, HRAS, and NRAS; for these three human genes, Ras85D is the highest-scoring ortholog in Drosophila.
Ortholog of human genes APC and APC2 (2 Drosophila to 2 human). Dmel\Apc shares 25-26% identity and 37% similarity with both human genes; it lacks a microtubule-binding domain found at the C terminus of the human APC gene.
High-scoring ortholog of human genes TP53, TP63 and TP73 (1 Drosophila to many human). Dmel\p53 shares 20-24% identity and 36-41% similarity with the human genes.
Moderate-scoring ortholog of human FBXW7 (1 Drosophila to 1 human). Dmel\ago shares 58% identity and 67% similarity with the human gene.
High-scoring ortholog of human ACVR2B and ACVR2A; low-scoring ortholog of human TGFBR2 (multiple genes in both species). Dmel\put shares 47-48% identity and 63% similarity with ACVR2B and ACVR2A; it shares 32% identity and 51% similarity with TGFBR2.
High-scoring ortholog of human SMARCA2 and SMARCA4 (1 Drosophila to 2 human). Dmel\brm shares 50-51% identity and 62-63% similarity with the human genes.
High-scoring ortholog of human FAT4 (1 Drosophila to 1 human). Dmel\ft shares 36% identity and 53% similarity with the human gene.
High-scoring ortholog of human MAPK14 (multiple genes in both species). Dmel\p38a shares 70% identity and 80% similarity with the human MAPK14 gene.
Low-scoring ortholog of human type II cadherin CDH20 (most closely related) and multiple others (many Drosophila to many human), including CDH1. Dmel\shg shares 19% identity and 29% similarity with human CDH20.