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Disrupting polyamine homeostasis as a therapeutic strategy for neuroblastoma
Nicholas F Evageliou1, Michael D Hogarty
1Division of Oncology, The Children's Hospital of Philadelphia and Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104-4318, USA.
Abstract:
MYC genes are deregulated in a plurality of human cancers. Through direct and indirect mechanisms, the MYC network regulates the expression of > 15% of the human genome, including both protein-coding and noncoding RNAs. This complexity has complicated efforts to define the principal pathways mediating MYC's oncogenic activity. MYC plays a central role in providing for the bioenergetic and biomass needs of proliferating cells, and polyamines are essential cell constituents supporting many of these functions. The rate-limiting enzyme in polyamine biosynthesis, ODC, is a bona fide MYC target, as are other regulatory enzymes in this pathway. A wealth of data link enhanced polyamine biosynthesis to cancer progression, and polyamine depletion may limit the malignant transformation of preneoplastic lesions. Studies with transgenic cancer models also support the finding that the effect of MYC on tumor initiation and progression can be attenuated through the repression of polyamine production. High-risk neuroblastomas (an often lethal embryonal tumor in which MYC activation is paramount) deregulate numerous polyamine enzymes to promote the expansion of intracellular polyamine pools. Selective inhibition of key enzymes in this pathway, e.g., using DFMO and/or SAM486, reduces tumorigenesis and synergizes with chemotherapy to regress tumors in preclinical models. Here, we review the potential clinical application of these and additional polyamine depletion agents to neuroblastoma and other advanced cancers in which MYC is operative.
Insights
MYC gene deregulation drives cancer by boosting polyamine production. Inhibiting polyamine synthesis, particularly in neuroblastoma, shows promise for cancer treatment and synergizes with chemotherapy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- MYC network deregulation is implicated in numerous human cancers, influencing over 15% of the genome.
- MYC is crucial for cellular bioenergetics and biomass, with polyamines being essential for these functions.
- Enhanced polyamine biosynthesis is linked to cancer progression, and its inhibition may impede malignant transformation.
Purpose of the Study:
- To review the role of MYC in regulating polyamine biosynthesis in cancer.
- To explore the therapeutic potential of polyamine depletion agents in MYC-driven cancers, including neuroblastoma.
Main Methods:
- Review of existing literature on MYC, polyamine metabolism, and cancer.
- Analysis of studies involving polyamine synthesis inhibitors like DFMO and SAM486 in preclinical cancer models.
- Examination of the impact of MYC activation on polyamine pathway enzymes.
Main Results:
- ODC, the rate-limiting enzyme in polyamine biosynthesis, is a direct MYC target.
- Repressing polyamine production can attenuate MYC's role in tumor initiation and progression.
- Selective inhibition of polyamine enzymes reduces tumorigenesis and enhances chemotherapy efficacy in preclinical models, notably in neuroblastoma.
Conclusions:
- Targeting polyamine biosynthesis represents a promising therapeutic strategy for MYC-driven cancers.
- Polyamine depletion agents show potential for clinical application in neuroblastoma and other advanced cancers where MYC is operative.
- Further investigation into polyamine depletion agents could lead to novel cancer treatment regimens.
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