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Angiosarcoma is an aggressive, albeit rare cancer in humans. Angiosarcomas are vascular malignancies that can occur anywhere in the body, and their metastatic propensity is high. The cause of the vast majority of sporadic angiosarcomas is unknown, and no therapeutic targets have been identified to improve outcomes. Angiosarcomas are genomically complex, with chaotic karyotypes and massive chromosomal abnormalities. Despite the genomic complexity, angiosarcomas share a histological morphology that consists of disorganized, malignant vessel-forming cells. Hemangiosarcoma (HSA) is a common cancer of dogs; it shares clinical and morphological features, as well as aspects of its mutational landscape with human angiosarcoma. Our previous work has revealed that canine HSAs and human angiosarcomas share transcriptional signatures that establish angiogenic and inflammatory molecular subtypes. A comparative genomics approach is useful to apply knowledge from appropriately powered canine studies to inform research into human angiosarcomas. In this study, we leveraged next generation RNA-Seq data from a cohort of 76 spontaneous canine HSAs and from thirteen human angiosarcomas to identify fusion genes. Fifteen novel protein-coding fusion genes including MYO16-PTK2, GABRA3-FLT1, and AKT3-XPNPEP1 were identified in 11 of the 76 canine HSAs; these fusion genes were exclusively seen in tumors of the angiogenic molecular subtype. Mutations of TP53 and fusion genes co-occurred in tumors with higher frequency than expected by random chance. Pathway analysis revealed that co-occurring mutations of TP53 and PIK3CA were associated with gene expression signatures of chromatin remodeling and immunosuppression, and co-occurrence of fusion genes and TP53 mutation enriched a gene signature predicting activation of angiogenic pathways. In human angiosarcomas, ten novel protein-coding fusion genes, including TEX2-PECAM1 and ATP8A2-FLT1, were identified in 7 of 13 tumors, with two showing mutations of TP53. Immunohistochemical assays showed that canine HSA and human angiosarcoma activated p53, AKT, and mTOR signaling pathways independent of fusion genes and mutational conditions, suggesting that both tumors activate convergent signaling pathways to retain the ontogenetical properties. In summary, our comparative analysis identified shared molecular signatures between canine HSA and human angiosarcoma. Specifically, the data suggests that genomic instability induced by TP53 mutations might create a predisposition for fusion events that may contribute to tumor progression by promoting selection and/or enhancing fitness through activation of convergent angiogenic pathways. Our ongoing work seeks to define the key molecular programs that establish the mutational landscape, which consequently activates convergent pathways that contribute to angiosarcoma development. Citation Format: Jong Hyuk Kim, Kate Megquier, Aaron L. Sarver, Rachael Thomas, Ashley J. Schulte, Chao Wang, Ingegerd Elvers, Elinor Karlsson, Matthew Breen, Kerstin Lindblad-Toh, Jaime F. Modiano. Molecular mechanisms that activate convergent oncogenic pathway in genomically complex angiosarcoma [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 195.

The goals of this work are biomarker and drug discovery to advance cancer diagnostic and therapeutic strategies in humans through the study of naturally-occurring canine cancers. Many factors, including shared environment, intact host immunity, and greater cancer gene family homology between dogs and humans than mice and humans, make spontaneous canine cancers valuable complementary models of human cancer. Transcriptomic profiling utilizing RNA sequencing (RNA SEQ) of 5 canine cancers, including osteosarcoma, melanoma, B cell lymphoma, T cell lymphoma, and pulmonary carcinoma, have revealed five distinct gene co-expression models. From these unique module expression profiles, cancer-specific gene panels were derived. A similar analysis performed on existing RNA-SEQ data from human tumor samples produced cancer-specific human gene panels. Comparison of the canine and human gene panels found significant correlation (Spearman correlation > 0.6) which supports the translational relevance of naturally-occurring canine cancers to their human counterparts. Further, proteomic profiles derived from matched tumor tissue and peripheral blood samples mirror those of the tumor transcriptome, demonstrating these cancer-specific gene panels and their encoded proteins may represent robust canine diagnostic biomarker and/or therapeutic target candidates. Therapeutic hypotheses associated with each cancer specific gene panel were derived through matching of drugs documented to alter expression of panel genes in opposition to that exhibited by each cancer type. We identified 60 candidate drugs and screened them against a panel of canine cancer cell lines, finding 40 drugs that inhibited cell growth by 75% or more. Three or more active compounds were found for each cell line. From these 40 active compounds we then derived 30 synergistic drug combinations with the requirement that that they alter two or more panel genes in opposition to that exhibited by each cancer type. Additional studies to document drug synergism are underway and those confirmed as such will be considered good drug combination candidates for future canine clinical trials. Biomarker and drug combination candidates that perform well in canine clinical trials will then be considered for human trials. This work exemplifies the type of approach meant to further establish the comparative relevance of canine to human cancer and provide opportunities to explore hypotheses related to detection and treatment in both species. Citation Format: Amy Kathleen LeBlanc, Christina N. Mazcko, Matthew Breen, Rachael Thomas, Douglas H. Thamm. A comparative oncology approach to biomarker and drug discovery for cancer diagnosis and treatment in dogs and humans [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 6134.

Diffuse large B-cell lymphoma (DLBCL) is the most common lymphoma subtype, and fewer than half of patients are cured with standard first-line therapy. To improve therapeutic options, better animal models that accurately mimic human DLBCL (hDLBCL) are needed. Canine DLBCL, one of the most common cancers in veterinary oncology, is morphologically similar to hDLBCL and is treated using similar chemotherapeutic protocols. With genomic technologies, it is now possible to molecularly evaluate dogs as a potential large-animal model for hDLBCL. We evaluated canine B-cell lymphomas (cBCL) using immunohistochemistry (IHC) and gene expression profiling. cBCL expression profiles were similar in many ways to hDLBCLs. For instance, a subset had increased expression of NF-κB pathway genes, mirroring human activated B-cell (ABC)–type DLBCL. Furthermore, immunoglobulin heavy chain ongoing mutation status, which is correlated with ABC/germinal center B-cell cell of origin in hDLBCL, separated cBCL into two groups with statistically different progression-free and overall survival times. In contrast with hDLBCL, cBCL rarely expressed BCL6 and MUM1/IRF4 by IHC. Collectively, these studies identify molecular similarities to hDLBCL that introduce pet dogs as a representative model of hDLBCL for future studies, including therapeutic clinical trials. Cancer Res; 73(16); 5029–39. ©2013 AACR.

Angiosarcoma is an aggressive, albeit rare cancer in humans. The cause of the vast majority of sporadic angiosarcomas is unknown, mortality is high, and no therapeutic targets have been identified to improve outcomes. Hemangiosarcoma (HSA) is a common cancer of dogs, and it shares histopathologic features with human angiosarcoma. In our previous work, canine HSAs were classified into angiogenic, inflammatory, and adipogenic subtypes based on transcriptional profiles. However, the genetic and molecular events that regulate transcriptional subtypes in angiosarcoma are not currently understood. Our goal was to use a comparative genomics approach to apply knowledge from appropriately powered canine studies to inform our research into human sarcomas. In this study, we identified recurrent mutations in RNASeq data from 93 HSAs and 16 nonmalignant controls, based on mutations first identified in exomes from 42 paired tumor and normal samples. In addition to identifying recurrent somatic mutations we also identified translocation fusions, allowing elucidation of oncogenic mechanisms for vascular endothelial growth factor receptors (VEGFR), phosphoinositide-3 kinase (PIK3) signaling pathways, and the p53 DNA damage repair pathway in canine HSA. Significantly, mutational signatures were associated with distinct molecular subtypes of canine hemangiosarcomas, and both the angiogenic and the inflammatory subtypes were apparent in RNASeq data from human angiosarcomas (n=14), suggesting that comparable etiologic mechanisms are operative in the canine and human disease. Our ongoing work seeks to understand how the molecular mechanisms give rise to molecular subtypes of angiosarcoma by defining the association between driver mutations, signaling pathway alterations and transcriptional patterns, which should allow us to identify rational therapeutic targets. Citation Format: Jong Hyuk Kim, Kate Megquier, Aaron L. Sarver, Rachael Thomas, Chao Wang, Ingegerd Elvers, Elinor Karlsson, Matthew Breen, Kerstin Lindblad-Toh, Jaime F. Modiano. Mutational and transcriptomic profiling identify distinct angiogenic and inflammatory subtypes of angiosarcoma [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2018; 2018 Apr 14-18; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2018;78(13 Suppl):Abstract nr 5357.

Immunophenotypes in lymphoproliferative diseases (LPD) are prognostically significant, yet causative factors for these conditions, and specifically those associated with heritable risk, remain elusive. The full spectrum of LPD seen in humans occurs in dogs, but the incidence and lifetime risk of naturally occurring LPD differs among dog breeds. Taking advantage of the limited genetic heterogeneity that exists within dog breeds, we tested the hypothesis that the prevalence of LPD immunophenotypes would differ among different breeds. The sample population included 1,263 dogs representing 87 breeds. Immunophenotype was determined by the presence of clonal rearrangements of immunoglobulin heavy chain or T-cell receptor γ chain. The probability of observing the number of B-cell or T-cell tumors in a particular breed or breed group was compared with three reference populations. Significance was computed using χ2 test, and logistic regression was used to confirm binomial predictions. The data show that, among 87 breeds tested, 15 showed significant differences from the prevalence of LPD immunophenotypes seen across the dog population as a whole. More significantly, elevated risk for T-cell LPD seems to have arisen ancestrally and is retained in related breed groups, whereas increased risk for B-cell disease may stem from different risk factors, or combinations of risk factors, arising during the process of breed derivation and selection. The data show that domestic dogs provide a unique and valuable resource to define factors that mediate risk as well as genes involved in the initiation of B-cell and T-cell LPD.