ABSTRACT Acral melanoma (AM) is an aggressive melanoma subtype with limited therapeutic options and poor outcomes. In non-European descent and admixed populations, like those residing in Latin America, AM accounts for a significant proportion of cutaneous melanoma cases. Here, we performed comprehensive genomic and functional profiling of AM from a uniquely diverse Brazilian cohort. Whole-exome and transcriptome sequencing revealed low mutation burden and predominance of copy number alterations, including high-amplitude focal amplifications termed hailstorms. These hailstorms frequently affected chromosomes 11, 5 and 22 and key oncogenes such as CCND1 , GAB2 , CDK4 , and TERT . The presence of hailstorms in the long arms of chromosomes 11 and 22 was associated with higher focal copy number burden and loss of DNA damage response genes ( ATM , CHEK1 ), suggesting a permissive genomic environment driving structural instability. To explore the unique genomic context of AM, we established a comprehensive collection of patient-derived xenograft (AM-PDX) models that faithfully retain the histopathological and genomic features of the original tumours. Functional exploration of AM-specific vulnerabilities through pharmacological and CRISPR/Cas9 knockout screenings identified strong sensitivity to targeting MAPK, CDK4/6, MDM2, and WEE1 pathways. Notably, the pan-RAS(ON) inhibitor RMC-7977 effectively reduced viability in NRAS -, KRAS -, and KIT -mutant AM cell lines. Finally, CRISPR screens revealed dependencies selectively essential in AM, including CRKL and SF3B4 , highlighting previously unrecognized vulnerabilities. Our findings emphasize the distinct biology of AM compared to other subtypes of melanoma, provide a valuable resource of models reflective of Latin American ancestry, and identify potential drivers and therapeutic targets.
| Date: | 2025-08-12 |
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| Authors: | Moraes Sousa-Squiavinato AC, Santos Bernardes S, Aguiar FC, Facciolo AC, del Castillo Velasco Herrera M, Wong-Ramirez JRC, Basurto-Lozada P, Nobre AB, Annamalai G, Martins Cadimo do Nascimento R, Boccacino J, Fagundes R, Sodré do R. Barros P, de Moraes Pitombo M, Olvera-León R, Matsuyama LSAS, Billington J, Vermes I, Simonin-Wilmer I, Carvalho DG, Cavalcante Simoes JP, Fernandes PV, Nunes LF, Melo ACd, Leite de Oliveira J, Herlyn M, Aplin AE, Robles-Espinoza CD, Adams DJ, Possik PA. |
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| Ref: | medRxiv |
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