LUCREZIA DE SANTIS

PhD Graduate

PhD program:: XXXVIII


advisor: Carlo Presutti

Thesis title: Decoding Cancer Plasticity: Long Non-Coding RNAs and Microenvironmental Signals Driving Phenotypic Transitions in Melanoma and Prostate Cancer

Cellular plasticity is a fundamental mechanism driving cancer progression, therapeutic resistance, and lineage reprogramming. Beyond the accumulation of genetic alterations, tumour cells can undergo dynamic phenotypic transitions that enable adaptation to environmental pressures and anticancer therapies. This thesis investigates these processes in two tumour types, melanoma and prostate cancer. The first part of the study focuses on phenotype switching in melanoma. Transcriptomic analyses identified two distinct cellular states, a proliferative and an invasive state, and revealed the long non-coding RNAs (lncRNAs) LINC00504 and LINC00520 as key components of the regulatory network controlling this transition. Both lncRNAs were identified as direct MITF targets and were associated with poor patient survival. Functional studies demonstrated that they act as miRNA sponges to sustain the proliferative program, whereas their silencing promotes a switch toward a more invasive phenotype. The second part of the thesis investigates lineage plasticity in prostate cancer using the ProMPt (Prostate cancer Modelling Platform) organoid biobank. We identified Epidermal Growth Factor (EGF) as a major driver of culture-induced resistance that masks androgen receptor (AR) dependency under standard conditions. To overcome this limitation, we developed an organoids-fibroblasts co-culture system that restores sensitivity to androgen deprivation while maintaining long-term organoid growth. Using this platform in combination with CRISPR-mediated genome editing, we demonstrated that distinct genetic backgrounds direct different adaptive trajectories under therapeutic and microenvironmental stress. In particular, APC loss promoted neuroendocrine differentiation, whereas RB1 inactivation favoured the emergence of a double-negative phenotype.

Research products

11573/1742845 - 2025 - NSD2 and miRNAs as key regulators of melanoma response to Romidepsin and Interferon‐α2b treatment
De Santis, Alessandro; De Santis, Lucrezia; Rossi, Francesca; Gasparini, Silvia; Licursi, Valerio; Amico, Vito Antonio; Capone, Imerio; Fragale, Alessandra; D'atri, Stefania; De Lucia, Gabriele; Presutti, Carlo - 01a Articolo in rivista
paper: CANCER MEDICINE ([Chichester]: John Wiley & Sons Ltd Oxford : Blackwell Publishing) pp. - - issn: 2045-7634 - wos: WOS:001490931600001 (1) - scopus: 2-s2.0-105005581674 (1)

11573/1726183 - 2024 - Dissecting the role of non-coding RNAs in melanoma phenotype switching
De Santis, Lucrezia; De Santis, Alessandro; Amico, Vito Antonio; Presutti, Carlo - 04f Poster
conference: ABCD 2024 RNA Biology and Systems Medicine (Reggio Emilia, Italia)
book: ABCD 2024 RNA Biology and Systems Medicine Abstracts Book - ()

11573/1726179 - 2024 - Dissecting the role of LINC00504 and LINC00520 in melanoma phenotype switching
De Santis, Lucrezia; Licursi, Valerio; De Santis, Alessandro; Amico, Vito Antonio; Presutti, Carlo - 04f Poster
conference: RNA Therapeutics: From Concept to Clinic (Worcester, Massachusetts, USA)
book: RNA Therapeutics: From Concept to Clinic Abstracts - ()

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