# The role of chromosomal instability in tumor evolution

> **NIH NIH DP5** · SLOAN-KETTERING INST CAN RESEARCH · 2021 · $449,000

## Abstract

PROJECT SUMMARY/ABSTRACT
Numerical chromosomal instability (CIN) is a hallmark of cancer and it results from errors in chromosome seg-
regation during mitosis. The role of CIN in tumor evolution is poorly understood and specifically how it supports
processes such as metastasis and immune evasion remains unknown. In addition to fueling genomic hetero-
geneity, my research has recently demonstrated that CIN also promotes chronic inflammation through the
generation of cytosolic DNA. This, in turn, is sensed by the cGAS-STING cytosolic DNA sensing machinery,
which, under normal conditions, is activated in response to viral infection. Strikingly, cancer cells co-opt this
chronic inflammatory response to spread to distant organs. In this proposal, I will test the central hypothesis
that inflammation downstream of CIN represents an attractive therapeutic vulnerability that can be harnessed
to selectively target chromosomally unstable tumors. I will examine whether restoration of cell-autonomous
(Aim 1) or non-cell autonomous (Aim 2) responses to inflammation can be used to eliminate otherwise ag-
gressive and chromosomally unstable tumor cells. Under Aim 1, I will test whether restoring normal cellular
responses to cytosolic DNA could selectively target tumor cells that are replete with cytosolic DNA. I will dis-
sect regulatory pathways upstream of the cGAS-STING axis with the goal of determining how cancer cells
avoid what is an otherwise lethal anti-viral response and type I interferon response. Specifically, I will investi-
gate whether MST1 prevents interferon signaling through inhibitory phosphorylation of Interferon Regulatory
Factor 3 (IRF3). Such a possibility would invoke the potential use of MST1 inhibitors as a strategy to target
chromosomally unstable tumors. Furthermore, I will examine whether tumor cells rely on autocrine M-CSF sig-
naling to reinforce survival and migration programs that are particularly critical in the presence of cytosolic
DNA. Under Aim 2, I will test the hypothesis that cGAS activation in chromosomally unstable tumor cells pro-
motes innate immune activation and that potentiating STING signaling in the tumor microenvironment would
restore anti-tumor immunity. I will test whether this can be achieved through the inhibition of ENPP1, an extra-
cellular enzyme involved in the hydrolysis of the STING activator, cGAMP. I will also explore whether the use
of a Plk4 inhibitor, known to promote chromosome segregation errors, can be used to augment the anti-tumor
immune effect of immune therapies and ionizing radiation. Finally, single-cell sequencing and cytokine profiling
will be adapted to identify additional mechanisms by which CIN shapes the immune microenvironment allowing
tumor cells to thrive despite the presence of a robust immune infiltrate. Identification of these adaptive mecha-
nisms would enable the development of therapies that augment the systemic immune effect of DNA damaging
therapies such as ionizing radiat...

## Key facts

- **NIH application ID:** 10249224
- **Project number:** 5DP5OD026395-04
- **Recipient organization:** SLOAN-KETTERING INST CAN RESEARCH
- **Principal Investigator:** Samuel F Bakhoum
- **Activity code:** DP5 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $449,000
- **Award type:** 5
- **Project period:** 2018-09-07 → 2023-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10249224

## Citation

> US National Institutes of Health, RePORTER application 10249224, The role of chromosomal instability in tumor evolution (5DP5OD026395-04). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10249224. Licensed CC0.

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