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The Generation of an EML4-ALK Fusion NSCLC Isogenic Cell Line Relevant for Drug Discovery and Development

Pink and orange lung cancer cells.

Isogenic cell models for drug discovery

Authors: Metewo Selase Enuameh, PhD; Lysa-Anne Volpe; Michael Jackson; John Foulke; Luping Chen; Brian Shapiro, PhD; and Fang Tian, PhD


Gene editing tools such as CRISPR/Cas9 can be used to create isogenic cell lines, which can be further used to model a specific patient population for identifying novel, personalized treatment regimens. An isogenic cell line was created to model cancer patients with the echinoderm microtubule-associated protein-like 4 (EML4)-anaplastic lymphoma kinase (ALK) fusion oncogene, a key oncogenic driver, and then tested for its sensitivity to known selective inhibitors of ALK.


Results and Discussion


The ALK gene regulates cell growth and plays an essential role in the development of the brain by helping with the proliferation of nerve cells.1 When ALK acquires gene-specific mutations, forms a fusion gene with other genes, or gains additional gene copies, it becomes oncogenic. This ALK genetic abnormality is a key oncogenic driver, especially in non-small cell lung cancer (NSCLC), accounting for 3–7% of NSCLC cases observed in the United States.2-4

Recent studies show that tumor cells derived from a subset of patients with NSCLC harbor the EML4-ALK fusion oncogene, which is the result of a paracentric chromosomal inversion on the short arm of chromosome 2. The EML4-ALK oncogene, like other ALK fusion oncogenes, is a druggable target that is responsive to ALK inhibitors. However, there is a lack of EML4-ALK in vitro models for drug screening. Here, we set out to generate an isogenic EML4-ALK fusion non-small cell lung cancer model in the A549 lung cancer cell line (ATCC CCL-185IG), which harbors other naturally occurring genomic aberrations inherent in non-small cell lung cancer. This model could serve as a clinically relevant drug screening cell model.5,6

Purple lung cancer cells.

Results and discussion

Gene editing with CRISPR/Cas9

We employed the CRISPR/Cas9 genome editing platform for the generation of the desired targeted genomic rearrangement in the A549 lung cancer cell line. Single guide RNAs (sgRNAs) designed and built to guide Cas9 to bind and cut desired intronic regions in the EML4 and ALK gene targets, trigger the paracentric genomic rearrangement event upon co-transfection (Figure 1).

5p Genomic breakpoint junction; 3p Genomic breakpoint junction

Figure 1. Identification of sgRNA target sites at EML4 and ALK genomic loci. SgRNAs designed and built to guide Cas9 to bind and cut desired intronic regions in the EML4 and ALK gene targets can trigger the paracentric genomic rearrangement event upon co-trans­fection. 'A', 'B', 'C' and 'D' denote prim­er locations. Transfected cells are sorted into single cells and expanded for screening of gene translocation events by junction PCR across the 5 prime (5p) and 3 prime (3p) genomic breakpoint junctions as shown. The occurrence of a positive ~500bp PCR band for any isolated single cell clone using the primers 'A' and 'C' as well as 'B' and 'D' suggests the successful generation of an EML4-ALK fusion product.

Genotype of EML4-ALK mutated cell line

The introduction of the EML4-ALK mutation in the cell line was confirmed via Sanger sequencing as shown in Figure 2A and Figure 2B for the expected 5p and 3p genomic breakpoints. Sanger sequencing of prepared EML4-ALK cDNA from mRNA of the mutated cell line was carried out to confirm the expression of the EML4-ALK fusion transcript (Figure 2C). We subsequently confirmed expression of the EML4-ALK fusion protein to be an 86 kDa fragment as expected by western blotting (data not shown).

Sequence analysis verifying junction of single clone. Sequence analysis verifying junction of single clone. Sequence analysis of cDNA EML4-ALK v1 fusion.

Figure 2. (A, B) Sanger sequencing results for the 5p and 3p genomic junction PCR confirmed the accuracy of the generated EML4-ALK fusion product. Shown below each chromatogram is a representation of the edited genomic locus. The vertical dashed line indicates the genomic fusion junction for the ALK and EML4 genes. (C) Sequence of EML4-ALK fusion transcript across cDNA breakpoint for the isolated clone. The vertical dashed line is the EML4-ALK cDNA fusion junction.

Functional characterization of EML4-ALK mutated cell lines

Functional testing of the isogenic A549 EML4-ALK cell line gave a favorable drug response in comparison to its parental A549 cell line (Figure 3). Dose response curves for cells treated with ALK inhibitors crizotinib (Figure 3A) and ceritinib (Figure 3B) showed that the isogenic A549 EML4-ALK cell line has selective drug sensitivity to ALK inhibitors crizotinib and ceritinib relative to the parental A549 cell line. Furthermore, this trend is consistent irrespective of whether it is a dose-response based assay monitored via IncuCyte FLR live cell imaging system (Essen BioScience; Figure 3A and Figure 3B) or the CellTiter-Glo Lumniscent Cell Viability Assay (Promega; Figure 3C and Figure 3D).

Figure 3. CCL-185IG is sensitive to ALK inhibitor drugs. (A, B) A549 and CCL-185IG cells were treated with the indicated concentrations of ALK inhibitors crizotinib and ceritinib and cell survival was determined via live cell analysis. (C, D) A549 and CCL-185IG cells were treated with 1 µM of same compounds and cell survival was confirmed by CellTiter-Glo Luminescent Cell Viability Assay.

Red, purple, green, and yellow A549 CRISPR cells.

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In this study, we utilized the CRISPR/Cas9 genome editing platform to target endogenous loci in human cells and create the intended genomic translocation event. By employing sgRNA-Cas9 constructs designed to cut precisely at relevant translocation breakpoints, we induced cancer-relevant genomic rearrangements that resulted in the expression of EML4–ALK gene fusion products. Breakpoint junction analysis tested after sgRNA-CRISPR/Cas9-mediated genomic DNA cleavage in A549 cells revealed the successful creation of the EML4-ALK fusion found in tumor cells from a subpopulation of NSCLC patients. Furthermore, single clonal isolation and functional screening demonstrated that the EML4-ALK isogenic cell line (ATCC CCL-185IG) was sensitive to ALK inhibitors relative to the parental A549 cell line. This newly developed EML4-ALK isogenic lung cancer cell line is a useful model to study the tyrosine kinase signaling pathway and to screen for novel ALK inhibitors in anti-cancer drug discovery and development.

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