Nagaraja Surya, Vitanza Nicholas A, Woo Pamelyn J, Taylor Kathryn R, Liu Fang, Zhang Lei, Li Meng, Meng Wei, Ponnuswami Anitha, Sun Wenchao, Ma Jie, Hulleman Esther, Swigut Tomek, Wysocka Joanna, Tang Yujie, Monje Michelle
Department of Neurology, Stanford University, Palo Alto, CA 94305, USA.
Key Laboratory of Cell Differentiation and Apoptosis of National Ministry of Education, Department of Pathophysiology, Shanghai Jiao Tong University School of Medicine, 280 South Chongqing Road, Shanghai 200025, P.R. China.
Cancer Cell. 2017 May 8;31(5):635-652.e6. doi: 10.1016/j.ccell.2017.03.011. Epub 2017 Apr 20.
Diffuse intrinsic pontine glioma (DIPG) is a fatal pediatric cancer with limited therapeutic options. The majority of cases of DIPG exhibit a mutation in histone-3 (H3K27M) that results in oncogenic transcriptional aberrancies. We show here that DIPG is vulnerable to transcriptional disruption using bromodomain inhibition or CDK7 blockade. Targeting oncogenic transcription through either of these methods synergizes with HDAC inhibition, and DIPG cells resistant to HDAC inhibitor therapy retain sensitivity to CDK7 blockade. Identification of super-enhancers in DIPG provides insights toward the cell of origin, highlighting oligodendroglial lineage genes, and reveals unexpected mechanisms mediating tumor viability and invasion, including potassium channel function and EPH receptor signaling. The findings presented demonstrate transcriptional vulnerabilities and elucidate previously unknown mechanisms of DIPG pathobiology.
弥漫性脑桥内在型胶质瘤(DIPG)是一种致命的儿科癌症,治疗选择有限。大多数DIPG病例表现出组蛋白-3(H3K27M)突变,导致致癌性转录异常。我们在此表明,使用溴结构域抑制或CDK7阻断,DIPG易受转录破坏影响。通过这两种方法中的任何一种靶向致癌转录与HDAC抑制协同作用,并且对HDAC抑制剂疗法耐药的DIPG细胞对CDK7阻断保持敏感性。DIPG中超增强子的鉴定为起源细胞提供了见解,突出了少突胶质细胞谱系基因,并揭示了介导肿瘤生存能力和侵袭的意外机制,包括钾通道功能和EPH受体信号传导。所呈现的研究结果证明了转录易感性,并阐明了DIPG病理生物学以前未知的机制。