Department of Oncology and Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland.
Department of Surgical Pathology, University Hospital Zurich, Zurich, Switzerland.
Cancer Res. 2015 Jan 1;75(1):98-110. doi: 10.1158/0008-5472.CAN-14-1246. Epub 2014 Nov 14.
Pediatric tumors harbor very low numbers of somatic mutations and therefore offer few targets to improve therapeutic management with targeted drugs. In particular, outcomes remain dismal for patients with metastatic alveolar rhabdomyosarcoma (aRMS), where the chimeric transcription factor PAX3/7-FOXO1 has been implicated but problematic to target. In this report, we addressed this challenge by developing a two-armed screen for druggable upstream regulatory kinases in the PAX3/7-FOXO1 pathway. Screening libraries of kinome siRNA and small molecules, we defined PLK1 as an upstream-acting regulator. Mechanistically, PLK1 interacted with and phosphorylated PAX3-FOXO1 at the novel site S503, leading to protein stabilization. Notably, PLK1 inhibition led to elevated ubiquitination and rapid proteasomal degradation of the PAX3-FOXO1 chimeric oncoprotein. On this basis, we embarked on a preclinical validation of PLK1 as a target in a xenograft mouse model of aRMS, where the PLK1 inhibitor BI 2536 reduced PAX3-FOXO1-mediated gene expression and elicited tumor regression. Clinically, analysis of human aRMS tumor biopsies documented high PLK1 expression to offer prognostic significance for both event-free survival and overall survival. Taken together, these preclinical studies validate the PLK1-PAX3-FOXO1 axis as a rational target to treat aRMS.
儿科肿瘤的体细胞突变数量非常少,因此很少有靶点可以用靶向药物来改善治疗效果。特别是,转移性肺泡横纹肌肉瘤(aRMS)患者的预后仍然很差,其中涉及嵌合转录因子 PAX3/7-FOXO1,但靶向该因子存在问题。在本报告中,我们通过开发针对 PAX3/7-FOXO1 通路中可用药的上游调节激酶的双管齐下的筛选方法来应对这一挑战。我们筛选了激酶组 siRNA 和小分子文库,将 PLK1 定义为上游作用调节剂。从机制上讲,PLK1 与 PAX3-FOXO1 相互作用,并在新位点 S503 磷酸化 PAX3-FOXO1,导致蛋白质稳定。值得注意的是,PLK1 抑制导致 PAX3-FOXO1 嵌合癌蛋白的泛素化和快速蛋白酶体降解增加。在此基础上,我们在 aRMS 的异种移植小鼠模型中对 PLK1 作为靶点进行了临床前验证,其中 PLK1 抑制剂 BI 2536 降低了 PAX3-FOXO1 介导的基因表达并引发肿瘤消退。临床上,对人类 aRMS 肿瘤活检的分析表明,PLK1 表达水平高,对无事件生存和总生存都具有预后意义。综上所述,这些临床前研究验证了 PLK1-PAX3-FOXO1 轴作为治疗 aRMS 的合理靶点。
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