# The role of NSD1 inactivation in the development and treatment of oral squamous cell carcinoma

> **NIH NIH F31** · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2021 · $33,923

## Abstract

Project Summary:
Head and neck squamous cell carcinoma (HNSCC) is a physically disfiguring and often fatal disease, of which
the oral cavity is the most common site. Most HNSCC patients will die within the first 30 months of disease, an
abysmal statistic largely reflecting a lack of effective treatment strategies. This challenge highlights the current
unmet need to identify 1) distinct molecular subgroups of HNSCC and 2) prognostic biomarkers that can inform
subgroup-specific treatment plans. My lab has identified a previously unappreciated HNSCC subgroup defined
by alteration in NSD1, a histone methyltransferase enzyme mutated in up to 15% of HPV(-) HNSCC. NSD1
has specific di-methylase activity targeting histone H3 lysine 36 (H3K36). The formation of methylated H3K36
is associated with open chromatin and transcriptional activation. There are several distinct features of NSD1-
mutant HPV(-) HNSCC tumors, including a) increased patient smoking history and mutational burden; b) a
significantly better prognosis; and c) reduced immune cell infiltration in the tumor. These correlative findings
suggest a role of NSD1 in modulating HNSCC tumor responsiveness to chemotherapeutics and immune-
targeting treatments, yet the causal relationship and the underlying mechanism remain unclear. Building on our
preliminary results and the combined expertise of my sponsors and consultants, my proposal will test the
central hypothesis that NSD1-inactivation facilitates the development of oral squamous cell carcinomas that
are poorly immune-infiltrated and sensitive to treatment with cisplatin. To model NSD1 loss in oral squamous
carcinogenesis, I have generated conditional Nsd1 knockout (KO) mice to specifically delete NSD1 in the
tongue epithelium. In Aim 1, I will use this model to test the hypotheses that inactivation of NSD1 (a)
accelerates HNSCC development and (b) generates tumors that are both genomically unstable and contain
low levels of immune cell infiltration. In Aim 2, I will investigate the observation that NSD1-mutant HNSCC
patients live longer, which is hypothesized to reflect enhanced sensitivity to cisplatin. I will determine if cisplatin
treatment provides a survival benefit in tumor-bearing Nsd1 KO mice. To better understand the underlying
mechanism, I will perform ChIP-seq of NSD1 and ATAC-seq to test our hypothesis that NSD1 directly binds to,
or close to, genes in the Fanconi anemia pathway, leading to H3K36me2 enrichment and a more accessible
chromatin state. The proposed research is expected to broaden our understanding of NSD1’s tumor
suppressive function in HPV(-) HNSCC and to establish NSD1 as a clinically useful biomarker to guide HNSCC
treatment. This project also provides an ideal training opportunity for me to obtain conceptual understanding
and experimental skills in the areas of oral pathology, mouse genetics and chromatin biology. Combined with
my previous background, this proposal will facilitate my career development to become an...

## Key facts

- **NIH application ID:** 10154391
- **Project number:** 1F31DE029685-01A1
- **Recipient organization:** COLUMBIA UNIVERSITY HEALTH SCIENCES
- **Principal Investigator:** Elizabeth M Goldberg
- **Activity code:** F31 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $33,923
- **Award type:** 1
- **Project period:** 2022-01-01 → 2022-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10154391

## Citation

> US National Institutes of Health, RePORTER application 10154391, The role of NSD1 inactivation in the development and treatment of oral squamous cell carcinoma (1F31DE029685-01A1). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10154391. Licensed CC0.

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