酒精滥用药物双硫仑通过降解 MLL 靶向小儿神经胶质瘤。
Alcohol-abuse drug disulfiram targets pediatric glioma via MLL degradation.
机构信息
Cancer Section, Development Biology and Cancer Programme, UCL Great Ormond Street Institute of Child Health, London, UK.
Centre for Therapeutic Innovation, Department of Pharmacy & Pharmacology, University of Bath, Bath, UK.
出版信息
Cell Death Dis. 2021 Aug 11;12(8):785. doi: 10.1038/s41419-021-04078-9.
Pediatric gliomas comprise a broad range of brain tumors derived from glial cells. While high-grade gliomas are often resistant to therapy and associated with a poor outcome, children with low-grade gliomas face a better prognosis. However, the treatment of low-grade gliomas is often associated with severe long-term adverse effects. This shows that there is a strong need for improved treatment approaches. Here, we highlight the potential for repurposing disulfiram to treat pediatric gliomas. Disulfiram is a drug used to support the treatment of chronic alcoholism and was found to be effective against diverse cancer types in preclinical studies. Our results show that disulfiram efficiently kills pediatric glioma cell lines as well as patient-derived glioma stem cells. We propose a novel mechanism of action to explain disulfiram's anti-oncogenic activities by providing evidence that disulfiram induces the degradation of the oncoprotein MLL. Our results further reveal that disulfiram treatment and MLL downregulation induce similar responses at the level of histone modifications and gene expression, further strengthening that MLL is a key target of the drug and explaining its anti-oncogenic properties.
小儿神经胶质瘤包括源自神经胶质细胞的广泛脑肿瘤。虽然高级别神经胶质瘤通常对治疗具有耐药性,且预后较差,但患有低级别神经胶质瘤的儿童预后较好。然而,低级别神经胶质瘤的治疗往往与严重的长期不良影响有关。这表明,需要改进治疗方法。在这里,我们强调了将戒酒硫重新用于治疗小儿神经胶质瘤的潜力。戒酒硫是一种用于支持慢性酒精中毒治疗的药物,在临床前研究中被发现对多种癌症类型有效。我们的结果表明,戒酒硫能够有效地杀死小儿神经胶质瘤细胞系和患者来源的神经胶质瘤干细胞。我们提出了一种新的作用机制来解释戒酒硫的抗肿瘤活性,提供证据表明戒酒硫诱导致癌蛋白 MLL 的降解。我们的结果进一步表明,戒酒硫治疗和 MLL 下调在组蛋白修饰和基因表达水平上诱导相似的反应,进一步证实 MLL 是药物的关键靶点,并解释了其抗肿瘤特性。
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