Perelman School of Medicine at the University of Pennsylvania

Drapkin Lab

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Cancer Genetics

The post-TCGA (The Cancer Genome Atlas) landscape for high-grade serous ovarian carcinoma is marked by surprisingly few recurrent somatic mutations. Instead, this disease exhibits a complex genomic terrain marked by copy number alterations that are so widespread that few other cancer types mirror its complexity. The challenge now is to elucidate the alterations that are key players in tumorigenesis, tumor viability and chemotherapy resistance. Although mutations in the BRCA genes account for less than 10% of all HGSCs, dysfunction in the BRCA network and homologous recombination appears to be more widespread. Intriguingly, the TCGA analysis found that BRCA mutation and Cyclin E (CCNE1) gain are largely mutually exclusive, yet both BRCA1/2 dysfunction and CCNE1 amplification lead to wide-spread genomic instability and tumor progression. PARP inhibition has been shown to be synthetically lethal with BRCA1, while CCNE1 amplification is associated with primary treatment failure and poor outcome. We are now deploying whole genome screens in our in vitro and in vivo platforms to investigate the role of CCNE1 in early tumor progression and to define the circuitry of these tumors that might reveal new avenues for therapeutic intervention.