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250 A Living Library for Uveal Melanoma

Published online by Cambridge University Press:  24 April 2023

Lauren A. Dalvin
Affiliation:
Departments of Ophthalmology, Mayo Clinic, Rochester, MN 55905 Departments of Oncology, Mayo Clinic, Rochester, MN 55905
Samantha R. Erickson
Affiliation:
Departments of Ophthalmology, Mayo Clinic, Rochester, MN 55905
Cynthia M. Pfannkoch
Affiliation:
Departments of Ophthalmology, Mayo Clinic, Rochester, MN 55905
David R. Miley
Affiliation:
Departments of Ophthalmology, Mayo Clinic, Rochester, MN 55905
Diva R. Salomao
Affiliation:
Departments of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905
Michael P. Fautsch
Affiliation:
Departments of Ophthalmology, Mayo Clinic, Rochester, MN 55905
Svetomir N. Markovic
Affiliation:
Departments of Oncology, Mayo Clinic, Rochester, MN 55905 Departments of Medicine, Mayo Clinic, Rochester, MN 55905
Martin E. Fernandez-Zapico
Affiliation:
Departments of Medicine, Mayo Clinic, Rochester, MN 55905 Departments of Pharmacology, Mayo Clinic, Rochester, MN 55905
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Abstract

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OBJECTIVES/GOALS: Overall response rates for metastatic uveal melanoma (UM), regardless of treatment modality, are less than 20%, highlighting an urgent need for novel therapies. Herein, we present a UM patient-derived organoid (PDO) biobank as a novel platform for translational research. METHODS/STUDY POPULATION: Patients with primary choroidal or ciliochoroidal UM undergoing enucleation from 7/1/2019-9/30/2022 were invited to enroll. Tumor tissue was harvested within 30 minutes of globe removal. Cells were isolated using the human tumor isolation kit and gentleMACS dissociation protocol (Miltenyi Biotech). PDOs were placed on Cultrex-coated multiwell plates and cultured in supplemented RPMI media. DNA and RNA were isolated using kits from Zymo Research. Exon-enriched libraries and RNA were sequenced using an Illumina HiSeq 4000. Immunohistochemistry (IHC) assessed the following histone post-translational modifications: H3K4me1/3, H3K27Ac, and H3K27me. RESULTS/ANTICIPATED RESULTS: PDOs were established in 19 of 20 (95%) attempted cases. BAP1 protein expression was retained (n=7) or lost (n=12) in the primary tumors, with matching phenotype confirmed in PDOs. In 9 sequenced cases, a driving mutation was present in GNAQ (n=4), GNA11 (n=4), or CYSLTR2 (n=1). Morphology ranged from spindle-like to epithelioid clusters, mimicking primary tumor histopathology. Pigmentation increased with time in culture. Growth in culture was slow, and 1-2 months were allotted prior to passaging in most cases. Whole exome and RNA-sequencing confirmed distinct molecular profiles, with differential staining of active chromatin marks by IHC. DISCUSSION/SIGNIFICANCE: A biobank of primary UM PDOs with unique morphological and molecular characteristics has been established. These will serve as a model of human disease to facilitate translational research and investigate personalized treatments for patients with UM.

Type
Precision Medicine/Health
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s), 2023. The Association for Clinical and Translational Science