Disulfiram and copper combination therapy targets NPL4, cancer stem cells and extends survival in a medulloblastoma model

Medulloblastoma (MB) is the most common brain malignancy in children, and is still responsible for significant mortality and morbidity. The aim of this study was to assess the safety and efficacy of Disulfiram (DSF), an FDA-approved inhibitor of Aldehyde-Dehydrogenase (ALDH), and Copper (Cu++) in hu...

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Veröffentlicht in:PloS one 2021-11, Vol.16 (11), p.e0251957-e0251957
Hauptverfasser: Serra, Riccardo, Zhao, Tianna, Huq, Sakibul, Gorelick, Noah Leviton, Casaos, Joshua, Cecia, Arba, Mangraviti, Antonella, Eberhart, Charles, Bai, Renyuan, Olivi, Alessandro, Brem, Henry, Jackson, Eric M, Tyler, Betty
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container_end_page e0251957
container_issue 11
container_start_page e0251957
container_title PloS one
container_volume 16
creator Serra, Riccardo
Zhao, Tianna
Huq, Sakibul
Gorelick, Noah Leviton
Casaos, Joshua
Cecia, Arba
Mangraviti, Antonella
Eberhart, Charles
Bai, Renyuan
Olivi, Alessandro
Brem, Henry
Jackson, Eric M
Tyler, Betty
description Medulloblastoma (MB) is the most common brain malignancy in children, and is still responsible for significant mortality and morbidity. The aim of this study was to assess the safety and efficacy of Disulfiram (DSF), an FDA-approved inhibitor of Aldehyde-Dehydrogenase (ALDH), and Copper (Cu++) in human SSH-driven and Group 3 MB. The molecular mechanisms, effect on cancer-stem-cells (CSC) and DNA damage were investigated in xenograft models. The cytotoxic and anti-CSC effects of DSF/Cu++ were evaluated with clonogenic assays, flow-cytometry, immunofluorescence, western-blotting. ONS76, UW228 (SHH-driven with Tp53m), D425med, D283 and D341 (Group 3) cell-lines were used. In vivo survival and nuclear protein localization protein-4 (NPL4), Ki67, Cleaved-Caspase-3, GFAP and NeuN expression were assessed in two Group 3 MB xenografts with immunohistochemistry and western-blotting. Significant in vitro cytotoxicity was demonstrated at nanomolar concentrations. DSF/Cu++ induced cell-death through NPL4 accumulation in cell-nucleus and buildup of poly-ubiquitylated proteins. Flow-cytometry demonstrated a significant decrease in ALDH+, Nestin+ and CD133+ following treatment, anti-CSC effect was confirmed in vitro and in vivo. DSF/Cu++ prolonged survival, and increased nuclear NPL4 expression in vivo. Our data suggest that this combination may serve as a novel treatment, as monotherapy or in combination with existing therapies, for aggressive subtypes of pediatric MB.
doi_str_mv 10.1371/journal.pone.0251957
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The aim of this study was to assess the safety and efficacy of Disulfiram (DSF), an FDA-approved inhibitor of Aldehyde-Dehydrogenase (ALDH), and Copper (Cu++) in human SSH-driven and Group 3 MB. The molecular mechanisms, effect on cancer-stem-cells (CSC) and DNA damage were investigated in xenograft models. The cytotoxic and anti-CSC effects of DSF/Cu++ were evaluated with clonogenic assays, flow-cytometry, immunofluorescence, western-blotting. ONS76, UW228 (SHH-driven with Tp53m), D425med, D283 and D341 (Group 3) cell-lines were used. In vivo survival and nuclear protein localization protein-4 (NPL4), Ki67, Cleaved-Caspase-3, GFAP and NeuN expression were assessed in two Group 3 MB xenografts with immunohistochemistry and western-blotting. Significant in vitro cytotoxicity was demonstrated at nanomolar concentrations. DSF/Cu++ induced cell-death through NPL4 accumulation in cell-nucleus and buildup of poly-ubiquitylated proteins. 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Serra, Riccardo</au><au>Zhao, Tianna</au><au>Huq, Sakibul</au><au>Gorelick, Noah Leviton</au><au>Casaos, Joshua</au><au>Cecia, Arba</au><au>Mangraviti, Antonella</au><au>Eberhart, Charles</au><au>Bai, Renyuan</au><au>Olivi, Alessandro</au><au>Brem, Henry</au><au>Jackson, Eric M</au><au>Tyler, Betty</au><au>Ulasov, Ilya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disulfiram and copper combination therapy targets NPL4, cancer stem cells and extends survival in a medulloblastoma model</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-11-03</date><risdate>2021</risdate><volume>16</volume><issue>11</issue><spage>e0251957</spage><epage>e0251957</epage><pages>e0251957-e0251957</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Medulloblastoma (MB) is the most common brain malignancy in children, and is still responsible for significant mortality and morbidity. The aim of this study was to assess the safety and efficacy of Disulfiram (DSF), an FDA-approved inhibitor of Aldehyde-Dehydrogenase (ALDH), and Copper (Cu++) in human SSH-driven and Group 3 MB. The molecular mechanisms, effect on cancer-stem-cells (CSC) and DNA damage were investigated in xenograft models. The cytotoxic and anti-CSC effects of DSF/Cu++ were evaluated with clonogenic assays, flow-cytometry, immunofluorescence, western-blotting. ONS76, UW228 (SHH-driven with Tp53m), D425med, D283 and D341 (Group 3) cell-lines were used. In vivo survival and nuclear protein localization protein-4 (NPL4), Ki67, Cleaved-Caspase-3, GFAP and NeuN expression were assessed in two Group 3 MB xenografts with immunohistochemistry and western-blotting. Significant in vitro cytotoxicity was demonstrated at nanomolar concentrations. DSF/Cu++ induced cell-death through NPL4 accumulation in cell-nucleus and buildup of poly-ubiquitylated proteins. Flow-cytometry demonstrated a significant decrease in ALDH+, Nestin+ and CD133+ following treatment, anti-CSC effect was confirmed in vitro and in vivo. DSF/Cu++ prolonged survival, and increased nuclear NPL4 expression in vivo. Our data suggest that this combination may serve as a novel treatment, as monotherapy or in combination with existing therapies, for aggressive subtypes of pediatric MB.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34731160</pmid><doi>10.1371/journal.pone.0251957</doi><tpages>e0251957</tpages><orcidid>https://orcid.org/0000-0002-1975-393X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aldehyde Dehydrogenase - metabolism
Aldehydes
Animals
Apoptosis
Apoptosis - drug effects
Biocompatibility
Biology and Life Sciences
Brain cancer
Brain Neoplasms - metabolism
Brain Neoplasms - pathology
Brain research
Brain tumors
Cancer
Cancer therapies
Care and treatment
Caspase-3
Cell Cycle - drug effects
Cell death
Cell Proliferation - drug effects
Cell survival
Combination therapy
Copper
Copper - pharmacology
Cytometry
Cytotoxicity
Dehydrogenases
Deoxyribonucleic acid
Diagnosis
Disulfiram
Disulfiram - pharmacology
DNA
DNA damage
Glial fibrillary acidic protein
Health aspects
Immunofluorescence
Immunohistochemistry
Laboratories
Localization
Medical prognosis
Medicine
Medicine and Health Sciences
Medulloblastoma
Medulloblastoma - metabolism
Medulloblastoma - pathology
Molecular modelling
Morbidity
Neoplastic Stem Cells - drug effects
Neoplastic Stem Cells - metabolism
Neoplastic Stem Cells - pathology
Nestin
Neurosurgery
Nuclear safety
Pediatrics
Proteins
Radiation
Research funding
Stem cells
Survival
Toxicity
Tumors
Xenografts
Xenotransplantation
title Disulfiram and copper combination therapy targets NPL4, cancer stem cells and extends survival in a medulloblastoma model
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