TITLE: Discovery of Metastatic Breast Cancer Suppressor Genes Using Functional Genome Analysis

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AWARD NUMBER: W81XWH-10-1-0062 TITLE: Discovery of Metastatic Breast Cancer Suppressor Genes Using Functional Genome Analysis PRINCIPAL INVESTIGATOR: Xiaoxing Wang, Ph.D. CONTRACTING ORGANIZATION: Dana-Farber Cancer Institute Boston, MA 02215 REPORT DATE: July 2011 TYPE OF REPORT: Annual Summary PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 DISTRIBUTION STATEMENT: Approved for Public Release; Distribution Unlimited The views, opinions and/or findings contained in this report are those of the author(s) and should not be construed as an official Department of the Army position, policy or decision unless so designated by other documentation.

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE 2. REPORT TYPE 1 July 2011 Annual Summary 3. DATES COVERED 1 Jul 2010-30 Jun 2011 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Discovery of Metastatic Breast Cancer Suppressor Genes Using Functional Genome Analysis 5b. GRANT NUMBER W81XWH-10-1-0062 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER Xiaoxing Wang, Ph.D. 5e. TASK NUMBER E-Mail: xiaoxing_wang@dfci.harvard.edu 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Dana-Farber Cancer Institute Boston, MA 02215 5f. WORK UNIT NUMBER 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR S ACRONYM(S) U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 11. SPONSOR/MONITOR S REPORT NUMBER(S) 12. DISTRIBUTION / AVAILABILITY STATEMENT Approved for Public Release; Distribution Unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT I hypothesize that metastasis is governed by specific genetic alterations and that identifying this genetic program will provide candidates for new therapeutic targets. My aim is to discover potential metastasis suppressor genes (MSGs) in murine model of breast cancer metastasis through genome scale loss-of-function studies. As a first step to establish a system for prescreening candidate MSGs among the vast number of gene candidates, I calibrated two in vitro tumor invasion assays, metastasis initiation assay and Matrigel invasion assay. Especially, the Matrigel transwell assay has superior robustness that allow me to further develop assay in both arrayed and pooled format. In parallel, I have pursued an in vivo strategy to identify metastasis-related genes using an in vivo cell type-specific lentiviral gene delivery system. I first confirmed that this gene delivery system efficiently permits gene expression in an in vitro cell culture model. Next, I tested the lentiviral gene delivery system in an in vivo subcutaneous tumor model. Virus was introduced through tail vein injection offers reasonable virus delivery efficiency. I am currently testing this in a murine model of tumor formation. 15. SUBJECT TERMS Breast cancer, Metastasis, high-throughput screening 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT a. REPORT U b. ABSTRACT U 18. NUMBER OF PAGES c. THIS PAGE U UU 17 19a. NAME OF RESPONSIBLE PERSON USAMRMC 19b. TELEPHONE NUMBER (include area code) Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std. Z39.18

Table of Contents Introduction... 4 Body... 4 Key Research Accomplishments... 7 Reportable Outcomes... 7 Conclusion... 7 References... 8 Appendices... 9 Supporting Data... 10

Introduction Work from many laboratories has identified the function of several oncogenes and tumor suppressor genes in their role of cancer initiation. However, we continue to lack insight into the molecular program that leads to metastasis. I hypothesize that metastasis is governed by specific genetic alterations and that identifying this genetic program will provide candidates for new therapeutic targets. My aim is to discover potential metastasis suppressor genes (MSGs) in murine model of breast cancer metastasis. To systematically screen for MSGs, I will use genome-scale lentiviral-based RNAi reagents that permit large scale loss-of-function studies. I will then focus on candidate MSGs that are altered in human metastatic breast cancer by integrating data from high-density single nucleotide polymorphism arrays and expression profiling of human breast cancer cell lines and patient specimens. Selected putative MSGs will be investigated for their role in metastasis in a series in vitro and in vivo metastasis assays. Body The focus and accomplishment at this stage of work include the following two aspects: Aim 1: To evaluate in vitro assays that model metastasis for screening candidate MSGs Recent genomic, transcriptomic and proteomic analysis of human breast cancer reveal large number of genes that correlate with breast cancer metastasis (Ref 1-5). In order to select a list of MSG candidate genes for the in vivo MSGs characterization, I attempted to develop a robust in vitro metastasis assay that allows me to screen a large panel (in order of couple hundred) of candidate MSGs. Metastasis is a complex process composed of multiple steps, and prior work suggested that some of these steps can be modeled by in vitro assays that delineate specific stages of this disease, such as enhanced motility, invasion and angiogenesis. One such assay previously developed by S. Gobeil et al (Ref 6) using mouse melanoma cells has the advantage to characterize both cell invasion and motility in a three-dimensional cell culture system. In this system, tumor cells are embedded in collagen which is coated with Matrigel and sandwiched between two layers of fibrin gel. Tumor cells that have invasive and mobile ability are able to migrate from collagen gel into fibrin gel and form individual colonies. Both migrating and non-mobile tumor cells can be isolated for further characterization and continuous culture. This assay is compatible with a pooled screening format. 4

To adapt this assay, I chose positive control cell lines: MDA-MB-231 and PC3, both of which form metastasis in immunodeficient mice when introduced through tail vein or orthotopic injection. First, I optimized the ph condition for cell to proliferate in collagen gel as appropriate ph is required for both collagen gel polymerization and cell proliferation. Cells (5X10E4) were mixed with collagen gel solution (1.5mg/ml final concentration) in 200ul volume in one well of a 96-well plate. To titrate ph, various amount of sodium bicarbonate solution was added to the mixture to promote collagen polymerization. To monitor cell proliferation, cells were recovered from collagen gel and cell viability was measured by CellTiter-Glo (Promega). Cell proliferation was monitored for four days and the optimal ph for each cell type was determined (Figure 1). Then these cells were assayed for colony formation by embedding the cell-collagen plug in fibrin gel to form collagen gel-fibrin gel sandwich. The growth of cells was monitored for up to six weeks under light microscope. Unlike previous report that metastatic cells migrated from collagen gel and formed satellite colony in fibrin gel, both MDA-MB-231 and PC3 cells migrated into fibrin gel forming a continuous network (Figure 2 a and b). I concluded that this assay does not permit the isolation of individual colonies with distinct invasive/motile characteristics. Therefore, this assay could not be adapted as an approach to pre-screen MSGs. Another in vitro assay I tried to modify for the screen is Matrigel transwell assay (BD Biosciences) which measures the mobility of cells and their ability to degrade extracellular matrix (ECM). Two metastatic cell lines (MDA-MB-231 and PC3) and one non-metastatic cell line (MCF7) were seeded at various densities in the assay chamber with or without Matrigel cover to assay cell invasion or motility, respectively. Fourtyeight hour post cell seeding, cells were fixed and nuclei was stained with DAPI. In a parallel experiment, cells were recovered from assay chamber and cell viability was measured by CellTiter-Glo. The two metastatic cell lines displayed higher invasive ability and motility comparing to the non-metastatic MCF7 cell line, with MDA-MB-231 scoring significantly higher on both attributes (Figure 3 a and b). This assay appears to have high signal-to-noise ratio. I plan to test the pro-invasive effect of putative MSGs on non-metastasis cell lines using this assay. We currently have five shrnas designed against various regions of putative MSG genes, including ARHGDIB, CDH1, CRSP3, DAB2IP, DNAJB4, EZH2, GAS1, HOXD10, PEBP1, PRDM13 and SETD2. Aim 2: To develop an in vivo breast cancer model for genome scale loss of function screen 5

In parallel to Aim 1, I am establishing an in vivo screening strategy to identify MSGs. All current in vivo screening strategies involve infecting cells in vitro and subsequently transplanting the infected cells into nude mice. The disadvantages of this approach are: (1) Cells used in the screen may not be the tumor cells of origin. Cancer cell lines as a primary source for screening have experienced extensive genetic alterations during in vitro cell culture and in vivo tumor progression. Therefore, their genetic context and physiological behavior deviate from condition in which tumor grows; (2) For most cancer cell lines, only a fraction of cells can initiate tumor after transplant in vivo. Therefore the efficiency of using this system to screen a large panel of candidate is compromised; (3) To screen human cancer cell lines in immunocompromised mice cannot account the effect of host immune system towards tumor formation and metastasis. To overcome these problems, I decide to test an established virus infection system which could potentially enhance in vivo infection efficiency. This system takes advantage of avian sarcoma-leukosis virus (ASLV) which specifically recognizes and infects cells with retroviral TVA receptor. Transgenic mice with TVA receptor under the control of mouse mammary tumor virus (MMTV) promoter are currently available. Somatic delivery of either mouse polyoma virus middle T antigen (PyMT) or neu oncogene using ALSV-Abased retroviral vector to MMTV-TVA mice induced the formation of induced multiple, oligoclonal tumors within 3 weeks in infected mammary glands that displayed greater cellular heterogeneity than did tumors arising in MMTV-PyMT mice (Ref 7). To improve gene delivery, B. Lewis et al developed a human immunodeficiency virus type 1 (HIV- 1)-based lentiviral vector, pseudotyped with the envelope protein of ALSV subgroup A (EnvA) (Ref 8). The ASLV as a virus delivery system will allow us to study tumor formation and metastasis with mammary origin in non-immunocompromised mice in vivo. To test the feasibility of this system, I first compared the infection efficiency of ASLV (EnvA pseudotyped) to the vesicular stomatitis virus G glycoprotein (VSV-G) pseudotyped lentivirus vectors. Three tumor cell lines (MCF7, A549 and PC3) were infected with EnvA or VSV-G pseudotyped lentivirus expressing shrna against TBK1 or EGFR. The depletion of protein was detected by Western blot at three and four days after virus infection. The suppression of target genes by shrna against TBK1 or EGFR was comparable using lentivirus pseudotyped with either envelope protein (Figure 4). Next, I tested the infection efficiency of EnvA lentivirus in tumor in vivo. A549 cancer cell line expressing TVA and yellow fluorescence protein (YFP) were injected to nude mice subcutaneously and formed palpable tumor after 2 weeks. Lentiviral expression vector which carries genes coding red fluorescence protein (RFP) was injected through either tail vein or directly into the tumor twice per week for 6 weeks. Tumor was then harvested and processed for FACS analysis. Virus introduced directly into the tumor failed infection. Infection efficiency of virus through tail vein injection achieved 5-25% 6

(Figure 5). No apparent correlation between tumor size and infection efficiency was observed. Further experiments is planned to titrate virus dosage and administration frequency to achieve better infection efficiency. Key Research Accomplishments Evaluated two in vitro metastasis assays as pre-screen tools for MSGs discovery in vivo Assessed an in vivo virus delivery system for infection efficiency Reportable Outcomes Not Available Conclusion The aim of my research is to identify MSGs in a murine model of metastatic breast cancer. As a first step to establish a system for pre-screening candidate MSGs among the vast number of gene candidates, I calibrated two in vitro tumor invasion assays, metastasis initiation assay and Matrigel invasion assay. After a series of optimization experiments, I determined that the metastasis initiation assay could not give robust phenotypic readout for high throughput screening. Alternatively, the Matrigel transwell assay allowed me to distinguish metastatic and non-metastatic cell lines in terms of mobility and invasiveness. In parallel, I have pursued an in vivo strategy to identify metastasis-related genes using an in vivo cell type-specific lentiviral gene delivery system. I first confirmed that this gene delivery system efficiently permits gene expression in an in vitro cell culture model. Next, I tested the lentiviral gene delivery system in an in vivo subcutaneous tumor model. Virus was introduced through two methods: tail vein injection and direct injection into tumor. I found that the tail vein injection method offers higher virus delivery efficiency. I am currently testing this in a murine model of tumor formation. 7

References 1. Ding L, Ellis MJ, Li S, Larson DE, Chen K et al. 2010. Genome remodelling in a basal-like breast cancer metastasis and xenograft Nature 464:999-1005 2. Shah SP, Morin RD, Khattra J, Prentice L, Pugh T et al. 2009. Mutational evolution in a lobular breast tumour profiled at single nucleotide resolution Nature 461:809-13 3. Ellsworth RE, Seebach J, Field LA, Heckman C, Kane J et al. 2009. A gene expression signature that defines breast cancer metastases Clin. Exp. Metastasis 26:205-13 4. He M, Mangiameli DP, Kachala S, Hunter K, Gillespie J et al. 2010. Expression signature developed from a complex series of mouse models accurately predicts human breast cancer survival Clin. Cancer Res. 16:249-59 5. Ho J, Kong JW, Choong LY, Loh MC, Toy W et al. 2009. Novel breast cancer metastasis-associated proteins J. Proteome. Res. 8:583-94 6. Gobeil S, Zhu X, Doillon CJ, Green MR. 2008. A genome-wide shrna screen identifies GAS1 as a novel melanoma metastasis suppressor gene Genes Dev. 22:2932-40 8

7. Du Z, Podsypanina K, Huang S, McGrath A, Toneff MJ et al. 2006. Introduction of oncogenes into mammary glands in vivo with an avian retroviral vector initiates and promotes carcinogenesis in mouse models Proc. Natl. Acad. Sci. U. S. A 103:17396-401 8. Lewis BC, Chinnasamy N, Morgan RA, Varmus HE. 2001. Development of an avian leukosis-sarcoma virus subgroup A pseudotyped lentiviral vector J. Virol. 75:9339-44 Appendices Not Available 9

Supporting Data 10

Figure 1. Cell Proliferation in Collagen Gel under Different ph Conditions 1 1000.0% - MDA-MB-231 600.0% Ce lls/ ph 6.5- --PC3Ce lls/ ph 800.0% 500.0% 7.5 5.5-6.0 MDA-MB- 23 1 4 00.0% 600.0% Cells/ ph 7.0- l 300.0%... PC3 C< lis/ ph 4 00.0% 7.5 7.0-7.5 - MDA-MB-231 200.0% Cells/ ph 1.5 1 00.0% -.-PC3 Ce lls/ph 7.5-S.O 0.0% --MDA-M B--2 31 0.0% 4 Ce lis/ ph 7.5-4 8.0 --PC3 Cells/ ph Doy D v 8.0-8.5 * * 200.0% 11

Figure 2. a M DA-M B-231 Cells Colony Formation Efficiency MDA-MB-231 2 weeks MDA-MB-231 4 weeks 12

Figure 2. b PC3 Cells Colony Format ion Efficiency PC3 PC3 2 w eeks 4 w eeks 13

Figure 3. a BD M at rigel lnvasion Assay-Motility Total M igrated 1.20 MCF7 PC3 MDA-MB-231 Migrate d 1.00 0.80 0.60 0.4 0 0.20 0.00 MCF7 PC3 MDA-MB-231 14

Figure 3 b BD Matrigel lnvasion Assay-Invasion Total Invaded MCF7 PC3 MDA-MB-231 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 Invaded 0.00 MCF7 PC3 MDA-MB-231 15

Figure 4. Gene Delivery Efficiency is Co mparable for EnvA and VSVG Lentiviruses ErwA VSV-G EnvA VSV-G A549 shgfp shtbkl shgfp shtbk1 549 Days Post Infection 3 4 3 4 3 3 4 TBKl Actin Days Post Infection 3 4 3 4 3 4 3 3 4 3 4 EGFR PC3 EnvA VSV-G shgfp shtbkl shgfp shtbkl Actin 0:..=-ys Post infection 3 4 3 4 3 4 3 4 TBKl EnvA VSV-G Actin PC3 EnvA VSV-G MCF7 shgfp shtbkl shgfp shtbkl Days Post infection 3 4 3 4 4 3 4 Days Post inf ection 3 4 3 4 3 4 3 3 4 3 4 EGFR TBKl Actin Actin 16

Figure 5. EnvA Lentivirus Infection in vivo g. ;, - ": 01 0) To.tbe ouse o4 TVAtumorM POpilllibon. All Events L. pf 4!!1EIP' o. Ol 0) f21o - l <{ 02 l. - l 0.. 0: 4 0 35 30 25 20 15 10 5.,., X... \.Parent Tot;al ents 10,000 100.0 9,HI9 g11 917 8,611 94.6 867 '17 0.3 03 t,eee 11 a ts!ll 1,316 152 112 5,442 62.8 5.4.( I I c '"' c " c " I c I IW.,..... " - - Q).,.,,_ [- - - ooulition I NI EVenls... p, 1., Q3 fitw, I I I w "' c "' "' c ;; ;; M" Ml.-Events %Pjt'i n\ TOiilll 10,000 100.0 Q.704 87_0 87.0 8,232 9.(.8 82 3 0.! 0.1..,' 115 " '"'.4,669 567 46 7 2,609 3!7 17