Cai Jing, Wang Yue, Wang Xinfa, Ai Zihe, Li Tianyuan, Pu Xiaohong, Yang Xin, Yao Yixing, He Junping, Cheng Steven Y, Yu Tingting, Liu Chen, Yue Shen
Department of Medical Genetics, Jiangsu Key Laboratory of Xenotransplantation, Nanjing Medical University, Nanjing, 211166, China.
Department of Neurosurgery, Children's Hospital of Nanjing Medical University, Nanjing, 210093, China.
Cell Biosci. 2023 Jan 22;13(1):15. doi: 10.1186/s13578-023-00963-2.
Medulloblastoma (MB) is one of the most common malignant pediatric brain tumors. Metastasis and relapse are the leading causes of death in MB patients. The initiation of the SHH subgroup of MB (SHH-MB) is due to the aberrant activation of Sonic Hedgehog (Shh) signaling. However, the mechanisms for its metastasis are still unknown.
AMP-dependent protein kinase (AMPK) restrains the activation of Shh signaling pathway, thereby impeding the proliferation of SHH-MB cells. More importantly, AMPK also hinders the growth and metastasis of SHH-MB cells by regulating NF-κB signaling pathway. Furthermore, Vismodegib and TPCA-1, which block the Shh and NF-κB pathways, respectively, synergistically restrained the growth, migration, and invasion of SHH-MB cells.
This work demonstrates that AMPK functions through two signaling pathways, SHH-GLI1 and NF-κB. AMPK-NF-κB axis is a potential target for molecular therapy of SHH-MB, and the combinational blockade of NF-κB and Shh pathways confers synergy for SHH-MB therapy.
髓母细胞瘤(MB)是最常见的儿童恶性脑肿瘤之一。转移和复发是MB患者死亡的主要原因。MB的SHH亚组(SHH-MB)的发生是由于 Sonic Hedgehog(Shh)信号通路的异常激活。然而,其转移机制仍不清楚。
AMP依赖的蛋白激酶(AMPK)抑制Shh信号通路的激活,从而阻碍SHH-MB细胞的增殖。更重要的是,AMPK还通过调节NF-κB信号通路来阻碍SHH-MB细胞的生长和转移。此外,分别阻断Shh和NF-κB通路的维莫德吉和TPCA-1协同抑制SHH-MB细胞的生长、迁移和侵袭。
这项工作表明AMPK通过SHH-GLI1和NF-κB两条信号通路发挥作用。AMPK-NF-κB轴是SHH-MB分子治疗的潜在靶点,NF-κB和Shh通路的联合阻断为SHH-MB治疗带来协同作用。