Impact of NXK2-1 over-expression on persistence to osimertinib treatment


Impact of NXK2-1 over-expression on persistence to osimertinib treatment
Pulice & Meyerson, Molecular Cell, 2025

Lung Cancer Biology

Our research moves from genome discovery into the functional analysis of lung cancer genome alterations.

Areas of interest include aneuploidy, EGFR structure and function, structure and function of amplified genes such as NKX2-1, modulators of immunotherapies like Xrn1, and analysis of novel lung cancer genes including the splicing factor U2AF1 and the RNA modifier CMTR2.

For aneuploidy, we developed a recombination-directed approach to generate chromosome aneuploidy and used this method to remove one copy of the chromosome arm 3p in human lung epithelial cells (Taylor et al., 2018). Follow up analysis of aneuploidy has revealed fitness effects of aneuploidy in the cancer genome and a specific role for loss of chromosome 8p (Shih et al., 2023).

CRISPR-Cas9 screening identified Xrn1 as an essential gene in cancer cell lines requiring ADAR1 with high interferon-stimulated gene expression. Knockout of Xrn1 led to dnRNA sensor PKR activation, inducing cancer cell death, revealing a possible unique vulnerability to target cancer cells (Xou et al., 2024).

Homozygous knockout of CMTR2 in mice led to embryonic lethality through defects in yolk-sac vascularization. Characterization of this knockout through bulk-RNA sequencing revealed p53 pathway activation and a reduction in the production of proliferation markers. This provides important roles of CMTR2 in gene regulation (Yermalovich et al., 2024).

Dosage modulation of NKX2-1 provides insight on how amplification and dosage of the transcription factor modulates oncogene regulation. Depletion of NKX2-1 resulted in downregulation of alveolar differentiation genes responsible for development of LUAD. Conversely, overexpression through constitutive promoters altered chromatin accessibility and contributed to EGFR TKI persistence (Pulice, Meyerson, 2025).

Methods in prime editing have revealed that mutant G12S KRAS forms a cryptic U2AF1 binding site that results in exon 2 skipping. However, introduction of an additional U2AF1 mutation can restore exon 2 inclusion by disrupting this interaction. (Walter et al., 2025). 

Watch this space for more news on some of the lung cancer genes—coming soon!

U2AF1 mutations rescue deleterious exon skipping induced by KRAS mutations

Walter DM, Cho K, Sivakumar S, Denney D, Lee IT, Dohlman AB, Heinz JM, Shurberg E, Jiang KX, Gupta AA, Frampton GM, Meyerson M. bioRxiv [Preprint]. 2025 Sep 18:2025.03.21.644128. doi: 10.1101/2025.03.21.644128.

Amplified dosage of the NKX2-1 lineage transcription factor controls its oncogenic role in lung adenocarcinoma

Pulice JL, Meyerson M. Mol Cell. 2025 Apr 3;85(7):1311-1329.e16. doi: 10.1016/j.molcel.2025.03.001.

An essential role for Cmtr2 in mammalian embryonic development​

Yermalovich AV, Mohsenin Z, Cowdin M, Giotti B, Gupta A, Feng A, Golomb L, Wheeler DB, Xu K, Tsankov A, Cleaver O, Meyerson M. Dev Biol. 2024 Dec;516:47-58. doi: 10.1016/j.ydbio.2024.07.019.

Identification of focally amplified lineage-specific super-enhancers in human epithelial cancers

Zhang X, Choi PS, Francis JM, Imielinski M, Watanabe H, Cherniack AD, Meyerson M. Nat Genet. 2016 Feb;48(2):176-82. doi: 10.1038/ng.3470.

EGFR mutations in lung cancer: correlation with clinical response to gefitinib therapy

Paez JG, Jänne PA, Lee JC, Tracy S, Greulich H, Gabriel S, Herman P, Kaye FJ, Lindeman N, Boggon TJ, Naoki K, Sasaki H, Fujii Y, Eck MJ, Sellers WR, Johnson BE, Meyerson M. Science. 2004 Jun 4;304(5676):1497-500. doi: 10.1126/science.1099314.