While melanoma accounts for only 4% of all skin cancers, it is responsible for ~80% of skin cancer deaths (
Jemal et al., 2009). If detected early, the disease is easily treated, however, once the disease has metastasized it is largely refractory to conventional therapies and is associated with a high mortality rate (
Ahmed, 1997). The five-year survival rate in patients diagnosed with advanced stages of the disease has remained at less than 15% for decades (
Jemal et al., 2009).
Molecular analysis of familial and sporadic melanomas has identified several genomic loci implicated in the genesis and progression of this disease (
Chin, 2006). With mutually exclusive mutations in
RAS and
BRAF (
Davies et al., 2002), the mitogen-activated protein kinase (MAPK) signaling pathway is constitutively activated in over 85% of malignant melanomas, indicating the importance of this pathway in melanoma development. Mutations in
NRAS or
KRAS, whose protein products constitutively activate MAPK signaling (
Lewis et al., 1998), have been detected in approximately 20% of human melanomas (
Barbacid, 1990,
Reifenberger et al., 2004,
Shukla et al., 1989) while activating mutations in
BRAF, which also activate MAPK signaling, are found in ~65% of malignant melanomas (
Davies et al., 2002). Melanomas with
BRAF mutations often show
PTEN loss and/or
AKT amplification resulting in constitutive activation of the phosphatidylinositol-3-kinase (PI3K) and AKT signaling pathway.
Activating mutations in cyclin-dependent kinase 4 (CDK4) (
Pho, 2006) and loss of the cyclin-dependent kinase inhibitor-2A (
CDKN2A) locus have been identified as melanoma susceptibility genes (
Haluska and Hodi, 1998). The
CDKN2A locus encodes two tumor suppressor proteins: Inhibitor of cyclin-dependent kinase 4A (
p16INK4a) and alternate reading frame (
p14ARF,
p19Arf in mice). In both familial and sporadic melanomas, exon 2, which is common to both
p16INK4a and
p14ARF, is frequently deleted (
Castellano and Parmiani, 1999). This deletion disrupts both the RB and p53 pathways and may explain why
p53 is found mutated in only a small percentage of these tumors (
Meier et al., 1998).
Conditional expression of
BRafV600E specifically in mouse melanocytes leads to benign melanocytic hyperplasias (
Dankort et al., 2009,
Goel et al., 2009) and tumor formation in ~50% of the mice with a median latency of 12 months (
Dhomen et al., 2009). Loss of
Ink4a or both
Ink4a/Arf increased the penetrance and decreased the latency of tumor formation (
Dhomen et al., 2009,
Goel et al., 2009). Conditional
Pten gene silencing in combination with
BRafV600E expression specifically in melanocytes leads to metastatic melanoma in all of the mice with a median latency of 50 days (
Dankort et al., 2009). Tyrosinase-driven expression of mutant
HRasG12V and
NRasQ61K in the melanocytes of
Ink4a/Arf-deficient mice results in the formation of melanoma in 50% or 90% of the mice, respectively, by 6 months of age thereby confirming a role for HRas and NRas in melanoma formation (
Ackermann et al., 2005,
Chin et al., 1997). In addition, an inducible
HRasG12V melanoma mouse model null for the tumor suppressors
Ink4a/Arf demonstrated the importance of HRas
G12V in melanoma maintenance (
Chin et al., 1999).
Although several molecular abnormalities have been identified in human melanoma, validation of their contribution to melanoma formation, progression and/or metastasis has been limited by the time and effort required to generate new strains of mice. A retroviral-based somatic cell gene transfer method has been designed to overcome this limitation (
Fisher et al., 1999). This method is based on the RCAS/TVA retroviral vector system that allows for tissue- and cell-specific targeted infection of mammalian cells through ectopic expression of the viral receptor. This system utilizes a viral vector, RCASBP(A), derived from the avian leukosis virus (ALV) (
Federspiel and Hughes, 1997). The receptor for RCASBP(A) is encoded by the TVA gene and is normally expressed in avian cells; infection with ALV results in stable integration of the virus into the genome of replicating cells. In mammalian cells that express TVA, the viral vector is capable of stably integrating into the DNA and expressing the inserted experimental gene, but the virus is replication-defective, which allows for multiple rounds of infection (
Federspiel et al., 1994). The ability of TVA-expressing mammalian cells to be infected by multiple ALV-derived viruses allows efficient modeling of human melanoma because multiple oncogenic alterations can be introduced into the same cell or animal without the expense or time associated with creating multiple strains of transgenic mice. The dopachrome tautomerase (DCT) promoter, also known as tyrosinase-related protein 2 (TRP2), was chosen to drive expression of the viral receptor TVA specifically in melanocytes since this gene is expressed early in melanocyte development when the cells are mitotically active (
Steel et al., 1992). The DCT-TVA transgenic line is capable of conferring sensitivity to infection by RCAS viruses in neural tube cultures derived from these mice as DCT is also expressed in neural crest cell precursors in the developing neural tube (
Dunn et al., 2000,
Dunn et al., 2005).
In utero infection by RCAS viruses containing
lacZ and
tyrosinase has also been demonstrated (
Dunn et al., 2001).
To model human melanoma using the RCAS/TVA system, we generated DCT-TVA/Ink4a/Arf lox/lox mice and delivered viruses containing NRASQ61R or KRASG12D and Cre-recombinase postnatally by subcutaneous injection of viral producing cells to somatic melanocytes expressing TVA. While no mice injected with viruses containing KRAS and Cre or NRAS alone developed tumors, the combination of NRASQ61R and Cre resulted in tumor formation in 36% of the mice by 14 weeks. Delivery of a virus in which NRASQ61R and Cre expression is linked resulted in tumor formation in 63% of TVA positive mice. Short term cultures from the primary tumors were established and these cells were tumorigenic in DCT-TVA/Ink4a/Arf lox/lox mice. Further passage of these tumor cells in vivo resulted in reduced latency and development of spontaneous metastases. In this model, tumors evolve from gene mutations in developmentally normal somatic cells in the context of an unaltered microenvironment and therefore closely mimic the human disease. Using this system, newly identified genes can be rapidly validated for their role(s) in melanoma genesis, progression, and maintenance.