Yuan Gao, PhD

Assistant Professor
Department of Pharmacology
School of Medicine
Member
Cancer Genomics and Epigenomics Program
Case Comprehensive Cancer Center

The primary research objective in the Gao lab is to uncover novel fundamental mechanisms underlying gene expression in cancers. The gene expression programs that specify and maintain cell function are regulated by transcription factors (TFs) and their accessory proteins. Alterations in transcription factor (TF) activity are pervasive across numerous cancer types and result in aberrant gene expression programs that dysregulate cell differentiation and proliferation. However, direct chemical targeting of TFs remains challenging, which poses an urgent need for the identification of TF-modulation strategies for therapeutic intervention.

During postdoctoral training with Dr. Vakoc at the Cold Spring Harbor Laboratory, Gao discovered that the ETS family transcriptional repressor ETV6 is a unique dependency in Ewing sarcoma, which is a highly aggressive bone cancer that affects children and young adults. She identified a detailed mechanism underlying how targeting of ETV6 converts EWS-FLI1 from an oncoprotein into a tumor suppressor by reprogramming its genomic occupancy. Notably, ETV6 is largely dispensable for homeostasis in the majority of mammalian tissues, making this TF an attractive target for this pediatric tumor. However, transcription factors, like ETV6, are considered 'undruggable' targets due to a lack of suitable small-molecule pockets. To challenge this notion, Gao profiled metabolites that can bind ETV6 to uncover its endogenous chemical ligands. These efforts were inspired by the nuclear hormone receptor protein family, where knowledge of metabolite binding sites has allowed for effective pharmacological strategies. Using a biochemical screening strategy, she discovered a specific interaction between phosphatidic acid and ETV6. Further characterizations indicate that this ligand binds to the SAM domain of ETV6 and regulates its oligomerization. Since ETV6 oligomerization is critical to support Ewing sarcoma, Gao intends to deepen the biochemical and genetic evaluation of this ETV6 ligand with the long-term goal of leveraging these insights to develop tool compounds and drugs that modulate this TF. Going forward, her laboratory will combine innovative genetic screening methodologies with biochemical and structural tools to advance targeted therapies in Ewing sarcoma, and ultimately other cancers. A key hypothesis underlying her research is that transcriptional and epigenetic machineries are allosterically regulated by yet-to-be-discovered endogenous metabolites. Elucidation of such mechanisms will reveal fundamental regulatory mechanisms and can potentially provide opportunities to develop novel pharmacology.

Publications

Select Publications

Gao, Y., He XY., Wu, X., Huang Y., Toneyan S., Ipsaro, J., Ha, T., Koo, P., Joshua-Tor, L., Bailey, K., Egeblad, M., Vakoc, C. (2023) Nature Cell Biology. 25, 298–308 PMID: 36658219 
Featured as the Cover Story for Feb issue at Nat Cell Biol
Highlighted by Prof. Elizabeth R Lawlor in Nat Cell Biol: PMID: 36658218.

He XY, Gao Y., Ng D., Michalopoulou E., George S., Adrover JM., Sun L., Albrengues J., Daßler-Plenker J., Han X., Wan L., Wu XS., Shui LS., Huang YH., Liu B., Su C., Spector DL., Vakoc CR., Aelst LV., Cancer Cell. 2024;42(3):474-486.e12. PMID: 38402610

Wen, Q.*, Zhou, J.*, Tian, C.*, Li, X.*, Song, G.*, Gao, Y., …, Gan, H. (2023) Nature Genetics;1–12. PMID: 37666989

Tian, C.*, Zhou, J.*, Li, X.*, Gao, Y., Wen, Q., Kang, X., Wang, N., Yao, Y., Jiang, J., Song, G., Zhang, T., Hu, S., Liao, J., Yu, C., Wang, Z., Liu, X., Pei, X., Chan, K., Liu, Z. & Gan, H. (2023) Nature Communications 14, 3429 PMID: 37301892

Gao, Y., Gan, H., Lou, Z., and Zhang, Z. (2018) Proceedings of the National Academy of Sciences of the United States of America 115(27): E6162-E6171. PMID: 29915027