Exploitation of the Apoptosis-Primed State of MYCN-Amplified Neuroblastoma to Develop a Potent and Specific Targeted Therapy Combination

Fewer than half of children with high-risk neuroblastoma survive. Many of these tumors harbor high-level amplification of MYCN, which correlates with poor disease outcome. Using data from our large drug screen we predicted, and subsequently demonstrated, that MYCN-amplified neuroblastomas are sensit...

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Veröffentlicht in:Cancer cell 2016-02, Vol.29 (2), p.159-172
Hauptverfasser: Ham, Jungoh, Costa, Carlotta, Sano, Renata, Lochmann, Timothy L., Sennott, Erin M., Patel, Neha U., Dastur, Anahita, Gomez-Caraballo, Maria, Krytska, Kateryna, Hata, Aaron N., Floros, Konstantinos V., Hughes, Mark T., Jakubik, Charles T., Heisey, Daniel A.R., Ferrell, Justin T., Bristol, Molly L., March, Ryan J., Yates, Craig, Hicks, Mark A., Nakajima, Wataru, Gowda, Madhu, Windle, Brad E., Dozmorov, Mikhail G., Garnett, Mathew J., McDermott, Ultan, Harada, Hisashi, Taylor, Shirley M., Morgan, Iain M., Benes, Cyril H., Engelman, Jeffrey A., Mossé, Yael P., Faber, Anthony C.
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container_end_page 172
container_issue 2
container_start_page 159
container_title Cancer cell
container_volume 29
creator Ham, Jungoh
Costa, Carlotta
Sano, Renata
Lochmann, Timothy L.
Sennott, Erin M.
Patel, Neha U.
Dastur, Anahita
Gomez-Caraballo, Maria
Krytska, Kateryna
Hata, Aaron N.
Floros, Konstantinos V.
Hughes, Mark T.
Jakubik, Charles T.
Heisey, Daniel A.R.
Ferrell, Justin T.
Bristol, Molly L.
March, Ryan J.
Yates, Craig
Hicks, Mark A.
Nakajima, Wataru
Gowda, Madhu
Windle, Brad E.
Dozmorov, Mikhail G.
Garnett, Mathew J.
McDermott, Ultan
Harada, Hisashi
Taylor, Shirley M.
Morgan, Iain M.
Benes, Cyril H.
Engelman, Jeffrey A.
Mossé, Yael P.
Faber, Anthony C.
description Fewer than half of children with high-risk neuroblastoma survive. Many of these tumors harbor high-level amplification of MYCN, which correlates with poor disease outcome. Using data from our large drug screen we predicted, and subsequently demonstrated, that MYCN-amplified neuroblastomas are sensitive to the BCL-2 inhibitor ABT-199. This sensitivity occurs in part through low anti-apoptotic BCL-xL expression, high pro-apoptotic NOXA expression, and paradoxical, MYCN-driven upregulation of NOXA. Screening for enhancers of ABT-199 sensitivity in MYCN-amplified neuroblastomas, we demonstrate that the Aurora Kinase A inhibitor MLN8237 combines with ABT-199 to induce widespread apoptosis. In diverse models of MYCN-amplified neuroblastoma, including a patient-derived xenograft model, this combination uniformly induced tumor shrinkage, and in multiple instances led to complete tumor regression. [Display omitted] •Amplified MYCN is synthetic lethal with the BCL-2 inhibitor ABT-199 in neuroblastoma•MYCN upregulates the MCL-1 inhibitor, NOXA•MYCN-amplified neuroblastomas are further sensitized to ABT-199 with MLN8237•ABT-199 with MLN8237 induce tumor regressions in MYCN-amplified neuroblastoma mice Ham et al. show that MYCN-amplified neuroblastomas are sensitive to treatment with the BCL-2 inhibitor ABT-199 due to MYCN-driven increase of NOXA. Combination treatment with the Aurora Kinase A inhibitor MLN8237 and ABT-199 is synergistic in xenograft models of this tumor type, in part via reducing MCL-1.
doi_str_mv 10.1016/j.ccell.2016.01.002
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Many of these tumors harbor high-level amplification of MYCN, which correlates with poor disease outcome. Using data from our large drug screen we predicted, and subsequently demonstrated, that MYCN-amplified neuroblastomas are sensitive to the BCL-2 inhibitor ABT-199. This sensitivity occurs in part through low anti-apoptotic BCL-xL expression, high pro-apoptotic NOXA expression, and paradoxical, MYCN-driven upregulation of NOXA. Screening for enhancers of ABT-199 sensitivity in MYCN-amplified neuroblastomas, we demonstrate that the Aurora Kinase A inhibitor MLN8237 combines with ABT-199 to induce widespread apoptosis. In diverse models of MYCN-amplified neuroblastoma, including a patient-derived xenograft model, this combination uniformly induced tumor shrinkage, and in multiple instances led to complete tumor regression. [Display omitted] •Amplified MYCN is synthetic lethal with the BCL-2 inhibitor ABT-199 in neuroblastoma•MYCN upregulates the MCL-1 inhibitor, NOXA•MYCN-amplified neuroblastomas are further sensitized to ABT-199 with MLN8237•ABT-199 with MLN8237 induce tumor regressions in MYCN-amplified neuroblastoma mice Ham et al. show that MYCN-amplified neuroblastomas are sensitive to treatment with the BCL-2 inhibitor ABT-199 due to MYCN-driven increase of NOXA. 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Many of these tumors harbor high-level amplification of MYCN, which correlates with poor disease outcome. Using data from our large drug screen we predicted, and subsequently demonstrated, that MYCN-amplified neuroblastomas are sensitive to the BCL-2 inhibitor ABT-199. This sensitivity occurs in part through low anti-apoptotic BCL-xL expression, high pro-apoptotic NOXA expression, and paradoxical, MYCN-driven upregulation of NOXA. Screening for enhancers of ABT-199 sensitivity in MYCN-amplified neuroblastomas, we demonstrate that the Aurora Kinase A inhibitor MLN8237 combines with ABT-199 to induce widespread apoptosis. In diverse models of MYCN-amplified neuroblastoma, including a patient-derived xenograft model, this combination uniformly induced tumor shrinkage, and in multiple instances led to complete tumor regression. [Display omitted] •Amplified MYCN is synthetic lethal with the BCL-2 inhibitor ABT-199 in neuroblastoma•MYCN upregulates the MCL-1 inhibitor, NOXA•MYCN-amplified neuroblastomas are further sensitized to ABT-199 with MLN8237•ABT-199 with MLN8237 induce tumor regressions in MYCN-amplified neuroblastoma mice Ham et al. show that MYCN-amplified neuroblastomas are sensitive to treatment with the BCL-2 inhibitor ABT-199 due to MYCN-driven increase of NOXA. Combination treatment with the Aurora Kinase A inhibitor MLN8237 and ABT-199 is synergistic in xenograft models of this tumor type, in part via reducing MCL-1.</description><subject>Aniline Compounds - therapeutic use</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Apoptosis - genetics</subject><subject>Cell Line, Tumor</subject><subject>Humans</subject><subject>N-Myc Proto-Oncogene Protein</subject><subject>Neuroblastoma - drug therapy</subject><subject>Neuroblastoma - genetics</subject><subject>Neuroblastoma - pathology</subject><subject>Nuclear Proteins</subject><subject>Oncogene Proteins</subject><subject>Sulfonamides - therapeutic use</subject><issn>1535-6108</issn><issn>1878-3686</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctu1DAUhiMEoqXwBEjISzZJ7Vx8WYA0GgpFKqUSw4KV5TgnHY-SONieEX0DHpsznVLRTcXKl_P_5_Zl2WtGC0YZP90U1sIwFCU-CsoKSssn2TGTQuYVl_wp3puqyTmj8ih7EeOGopAJ9Tw7KrlsVN3w4-z32a958C6Z5PxEfE_SGshi9nPy0cX8KrgROvIN47CPfvmxvMwX4zy43uH_JWyDbwcTkx8NSZ58gB0MfiaGXPkEUyJmQvcMFvWWrEy4hoS-1RqCmW_I0o-tm25rv8ye9WaI8OruPMm-fzxbLc_zi6-fPi8XF7ltGpnyTgKAMKVVQqimM6IXLWsZdEwJrkTFDeOKMmlr6E0tJReSl6yvWQvcCkGrk-z9Ie-8bXE0i00GM-gZBzXhRnvj9MPI5Nb62u90LWrV1CUmeHuXIPifW4hJjy7uQZgJ_DZqJnC5XLLyv6Q1VwiiQWl1kNrgYwzQ33fEqN7j1ht9i1vvcWvKNOJG15t_h7n3_OWLgncHAeBKdw6CjtbBZKFzAWzSnXePFvgDJ-q-6A</recordid><startdate>20160208</startdate><enddate>20160208</enddate><creator>Ham, Jungoh</creator><creator>Costa, Carlotta</creator><creator>Sano, Renata</creator><creator>Lochmann, Timothy L.</creator><creator>Sennott, Erin M.</creator><creator>Patel, Neha U.</creator><creator>Dastur, Anahita</creator><creator>Gomez-Caraballo, Maria</creator><creator>Krytska, Kateryna</creator><creator>Hata, Aaron N.</creator><creator>Floros, Konstantinos V.</creator><creator>Hughes, Mark T.</creator><creator>Jakubik, Charles T.</creator><creator>Heisey, Daniel A.R.</creator><creator>Ferrell, Justin T.</creator><creator>Bristol, Molly L.</creator><creator>March, Ryan J.</creator><creator>Yates, Craig</creator><creator>Hicks, Mark A.</creator><creator>Nakajima, Wataru</creator><creator>Gowda, Madhu</creator><creator>Windle, Brad E.</creator><creator>Dozmorov, Mikhail G.</creator><creator>Garnett, Mathew J.</creator><creator>McDermott, Ultan</creator><creator>Harada, Hisashi</creator><creator>Taylor, Shirley M.</creator><creator>Morgan, Iain M.</creator><creator>Benes, Cyril H.</creator><creator>Engelman, Jeffrey A.</creator><creator>Mossé, Yael P.</creator><creator>Faber, Anthony C.</creator><general>Elsevier Inc</general><general>Cell Press</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TO</scope><scope>H94</scope><scope>5PM</scope></search><sort><creationdate>20160208</creationdate><title>Exploitation of the Apoptosis-Primed State of MYCN-Amplified Neuroblastoma to Develop a Potent and Specific Targeted Therapy Combination</title><author>Ham, Jungoh ; Costa, Carlotta ; Sano, Renata ; Lochmann, Timothy L. ; Sennott, Erin M. ; Patel, Neha U. ; Dastur, Anahita ; Gomez-Caraballo, Maria ; Krytska, Kateryna ; Hata, Aaron N. ; Floros, Konstantinos V. ; Hughes, Mark T. ; Jakubik, Charles T. ; Heisey, Daniel A.R. ; Ferrell, Justin T. ; Bristol, Molly L. ; March, Ryan J. ; Yates, Craig ; Hicks, Mark A. ; Nakajima, Wataru ; Gowda, Madhu ; Windle, Brad E. ; Dozmorov, Mikhail G. ; Garnett, Mathew J. ; McDermott, Ultan ; Harada, Hisashi ; Taylor, Shirley M. ; Morgan, Iain M. ; Benes, Cyril H. ; Engelman, Jeffrey A. ; Mossé, Yael P. ; Faber, Anthony C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c558t-d8eee7a2c97795da7f7b1b1ed19769736a169018c4efa488678621f41be6c7703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aniline Compounds - 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Many of these tumors harbor high-level amplification of MYCN, which correlates with poor disease outcome. Using data from our large drug screen we predicted, and subsequently demonstrated, that MYCN-amplified neuroblastomas are sensitive to the BCL-2 inhibitor ABT-199. This sensitivity occurs in part through low anti-apoptotic BCL-xL expression, high pro-apoptotic NOXA expression, and paradoxical, MYCN-driven upregulation of NOXA. Screening for enhancers of ABT-199 sensitivity in MYCN-amplified neuroblastomas, we demonstrate that the Aurora Kinase A inhibitor MLN8237 combines with ABT-199 to induce widespread apoptosis. In diverse models of MYCN-amplified neuroblastoma, including a patient-derived xenograft model, this combination uniformly induced tumor shrinkage, and in multiple instances led to complete tumor regression. [Display omitted] •Amplified MYCN is synthetic lethal with the BCL-2 inhibitor ABT-199 in neuroblastoma•MYCN upregulates the MCL-1 inhibitor, NOXA•MYCN-amplified neuroblastomas are further sensitized to ABT-199 with MLN8237•ABT-199 with MLN8237 induce tumor regressions in MYCN-amplified neuroblastoma mice Ham et al. show that MYCN-amplified neuroblastomas are sensitive to treatment with the BCL-2 inhibitor ABT-199 due to MYCN-driven increase of NOXA. Combination treatment with the Aurora Kinase A inhibitor MLN8237 and ABT-199 is synergistic in xenograft models of this tumor type, in part via reducing MCL-1.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26859456</pmid><doi>10.1016/j.ccell.2016.01.002</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1535-6108
ispartof Cancer cell, 2016-02, Vol.29 (2), p.159-172
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1878-3686
language eng
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source MEDLINE; Cell Press Archives; Elsevier ScienceDirect Journals Complete; EZB Electronic Journals Library
subjects Aniline Compounds - therapeutic use
Antineoplastic Agents - therapeutic use
Apoptosis - genetics
Cell Line, Tumor
Humans
N-Myc Proto-Oncogene Protein
Neuroblastoma - drug therapy
Neuroblastoma - genetics
Neuroblastoma - pathology
Nuclear Proteins
Oncogene Proteins
Sulfonamides - therapeutic use
title Exploitation of the Apoptosis-Primed State of MYCN-Amplified Neuroblastoma to Develop a Potent and Specific Targeted Therapy Combination
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