Gou Pan, Fang Chencheng, Xu Man, Zhang Dandan, Wu Xuanxuan, Zhang Li, Li Xiao, Li Man, Gan Lu, Luo Jinjin, Cui Hongjuan, Liang Ping
Department of Neurosurgery Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders, Chongqing, China.
Jinfeng Laboratory, Chongqing, China.
Cell Death Discov. 2025 Apr 14;11(1):172. doi: 10.1038/s41420-025-02470-4.
Metastatic Group 3 medulloblastoma (G3 MB) have been shown in several studies to be very high risk, particularly those harboring MYC amplification. More effective therapies are especially important for these patients. CUDC-907, a novel dual inhibitor targeting the MYC upstream pathway (HDAC/PI3K), shows significant antitumor efficacy across multiple cancer types. However, the antitumor effects and underlying mechanisms of CUDC-907 in MB, particularly in very high-risk MB, remain unexplored. In this study, we showed that MYC amplified G3 MB cells, patient-derived organoids and xenograft models were sensitive to CUDC-907. CUDC-907 inhibited MYC expression through the HDAC and PI3K pathways, and then induced G0/G1 phase arrest through the MYC-P21/P27-CDKs/cyclins axis. Furthermore, when CUDC-907 was combined with chemotherapeutic drug cisplatin, G0/G1 phase blocking effect was further enhanced. CUDC-907 in combination with radiotherapy (RT) inhibited DNA damage repair and increased DNA damage. These findings indicate that CUDC-907, either as a monotherapy or in combination with chemoradiotherapy, represents a promising therapeutic strategy for MYC amplified G3 MB, potentially influencing future clinical trials targeting this patient population.
多项研究表明,转移性3组髓母细胞瘤(G3 MB)具有很高的风险,尤其是那些存在MYC扩增的肿瘤。对于这些患者而言,更有效的治疗方法尤为重要。CUDC-907是一种新型双靶点抑制剂,可作用于MYC上游通路(HDAC/PI3K),在多种癌症类型中均显示出显著的抗肿瘤疗效。然而,CUDC-907在髓母细胞瘤,特别是在高危髓母细胞瘤中的抗肿瘤作用及潜在机制仍未得到充分研究。在本研究中,我们发现MYC扩增的G3 MB细胞、患者来源的类器官和异种移植模型对CUDC-907敏感。CUDC-907通过HDAC和PI3K通路抑制MYC表达,然后通过MYC-P21/P27-CDKs/细胞周期蛋白轴诱导G0/G1期阻滞。此外,当CUDC-907与化疗药物顺铂联合使用时,G0/G1期阻滞作用进一步增强。CUDC-907与放射治疗(RT)联合使用可抑制DNA损伤修复并增加DNA损伤。这些发现表明,CUDC-907无论是作为单一疗法还是与放化疗联合使用,都是治疗MYC扩增G3 MB的一种有前景的治疗策略,可能会影响未来针对该患者群体的临床试验。