Function and Dependency of NFkB Activity in ZFTA-RELA Fusion Ependymoma
Project Goal:
Project Update 2024:
Ependymoma is an aggressive pediatric brain tumor with limited treatment options and no straightforward targets for therapies. Thus, identification and validation of molecular targets that can translate into clinical trials is desperately needed to improve patient outcomes. Approximately two thirds of supratentorial ependymoma are driven by the ZFTA-RELA gene fusion; ZFTA is a recently described gene with a role in DNA binding and transcriptional regulation, while RELA (or p65) is a known principal mediator of the canonical NFkB pathway, a pathway known to play a role in many human cancers. The next most common supratentorial subgroup is driven by YAP fusion, a known oncogene that functions in the HIPPO kinase cascade. The ZFTARELA gene fusion (ZRFUS) and YAP fusions can initiate ependymoma development in mice by acting as gene regulators that disrupt gene expression programs, suggesting that these fusions represent a lead therapeutic target for supratentorial ependymoma. My project aims to identify direct ZRFUS binding proteins, hypothesizing that specific ZRFUS interacting proteins are required for tumor formation and may be targeted therapeutically. Interestingly, our findings demonstrate YAP activation across all supratentorial ependymoma subtypes and shows cross-talk of ZFTA-RELA fusion protein and NFkB pathway members with YAP/Tead pathway proteins to regulate gene expression in ZFTA-RELA fusion ependymoma. When YAP is knowcked out, tumor initiation is prevented. This study suggests that intersectional oncogenic transcriptional programs involving ZFTA-RELA and YAP-TEAD networks may contribute to the pathogenesis of supratentorial ependymoma.