Author ORCID Identifier

orcid.org/0000-0002-1032-5605

Date of Graduation

8-2024

Document Type

Dissertation (PhD)

Program Affiliation

Cancer Biology

Degree Name

Doctor of Philosophy (PhD)

Advisor/Committee Chair

Dr.Kunal Rai

Committee Member

Dr.Jichao Chen

Committee Member

Dr.Jian HU

Committee Member

Dr.Min Gyu Lee

Committee Member

Dr.Lawrence Kwong

Committee Member

Dr.Yonathan Lissanu Deribe

Abstract

The Cancer Genome Atlas Program (TCGA) has discovered multiple tumor suppressors that are commonly mutated across a variety of human cancers, such as chromatin regulators in COMPASS and SWI/SNF complexes. KMT2D, a histone H3K4 methyltransferase in the COMPASS complex, is frequently mutated in human lymphoma, melanoma, and epithelial carcinoma. Biochemically, KMT2D shapes the cellular enhancer landscape as the major writer of the putative enhancer mark H3K4me1. Given the critical role of cellular enhancer landscape in determining cellular lineage in embryonic development, it is unknown whether enhancer dysregulation caused by KMT2D loss leads lineage switch of tumor cells, which has been associated with tumor progression and therapeutic resistance in human cancers. To address these questions, we utilized genetically engineered mouse models (GEMMs) to study the impact of Kmt2d loss during melanoma, lung, and urothelial carcinoma development.

In a mutant Braf-driven melanoma, Kmt2d loss accelerated tumor development and caused tumor de-dedifferentiation towards a neural crest like state through the upregulation of AP-2 family transcriptional factors.

In a mutant Kras-driven lung adenocarcinoma model, Kmt2d loss accelerated lung adenocarcinoma development and caused transdifferentiation of adenocarcinoma into squamous carcinoma. Single cell multiome analysis revealed that squamous carcinoma evolved from a highly plastic cluster, which expresses both lung and gastric markers. It is inferred that squamous carcinoma evolved from adenocarcinoma because of the inability to maintain transcriptional networks critical for gastrointestinal gene expression. In a novel mutant Pik3ca-drive lung cancer model, Kmt2d loss caused lung squamous carcinoma with full penetrance from multiple cells of origin.

Phenotypic results from the GEMMs clearly demonstrate the critical role of Kmt2d loss in driving tumor cell lineage plasticity. This will contribute to our fundamental understanding of cancer as a disease of progressive loss of cell identity and gain of plasticity at the epigenetic level. It will also lay down solid foundation for targeting cancer from a cell identity loss perspective.

Keywords

Cancer, Epigenetics, Mouse, Kmt2d, Enhancer, lung, melanoma

Available for download on Saturday, August 09, 2025

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