PT - JOURNAL ARTICLE AU - Maurizio Fazio AU - Ellen van Rooijen AU - Michelle Dang AU - Glenn van de Hoek AU - Julien Ablain AU - Jeffrey K. Mito AU - Song Yang AU - Andrew Thomas AU - John Michael AU - Tania Fabo AU - Rodsy Modhurima AU - Patrizia Pessina AU - Charles Kaufman AU - Yi Zhou AU - Richard M. White AU - Leonard I. Zon TI - SATB2 induction of a neural crest mesenchyme-like program drives invasion and drug resistance in melanoma AID - 10.1101/2020.11.01.364406 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.11.01.364406 4099 - http://biorxiv.org/content/early/2020/11/02/2020.11.01.364406.short 4100 - http://biorxiv.org/content/early/2020/11/02/2020.11.01.364406.full AB - Recent genomic and scRNA-seq analyses of melanoma identified common transcriptional states correlating with invasion or drug resistance, but failed to find recurrent drivers of metastasis. To test whether transcriptional adaptation can drive melanoma progression, we made use of a zebrafish mitfa:BRAFV600E;tp53-/- model, in which malignant progression is characterized by minimal genetic evolution. We undertook an overexpression-screen of 80 epigenetic/transcriptional regulators and found neural crest-mesenchyme developmental regulator SATB2 to accelerate aggressive melanoma development. Its overexpression induces invadopodia formation and invasion in zebrafish tumors and human melanoma cell lines. SATB2 binds and activates neural crest-regulators, including pdgfab and snai2. The transcriptional program induced by SATB2 overlaps with known MITFlowAXLhlgh and AQP1+NGFR1high drug resistant states and functionally drives enhanced tumor propagation and resistance to Vemurafenib in vivo. Here we show that melanoma transcriptional rewiring by SATB2 to a neural crest mesenchyme-like program can drive invasion and drug resistance in endogenous tumors.