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Defining Gene Functions in Tumorigenesis by Ex vivo Ablation of Floxed Alleles in Malignant Peripheral Nerve Sheath Tumor Cells
Published on: August 25, 2021
Myc proteins as therapeutic targets
1Department of Pediatrics, University of California, San Francisco, CA 94158-9001, USA. GustafsonC@peds.ucsf.edu
Abstract:
Myc proteins (c-myc, Mycn and Mycl) target proliferative and apoptotic pathways vital for progression in cancer. Amplification of the MYCN gene has emerged as one of the clearest indicators of aggressive and chemotherapy-refractory disease in children with neuroblastoma, the most common extracranial solid tumor of childhood. Phosphorylation and ubiquitin-mediated modulation of Myc protein influence stability and represent potential targets for therapeutic intervention. Phosphorylation of Myc proteins is controlled in-part by the receptor tyrosine kinase/phosphatidylinositol 3-kinase/Akt/mTOR signaling, with additional contributions from Aurora A kinase. Myc proteins regulate apoptosis in part through interactions with the p53/Mdm2/Arf signaling pathway. Mutation in p53 is commonly observed in patients with relapsed neuroblastoma, contributing to both biology and therapeutic resistance. This review examines Myc function and regulation in neuroblastoma, and discusses emerging therapies that target Mycn.
Insights
Myc proteins are crucial in cancer progression. Targeting Mycn, amplified in aggressive neuroblastoma, offers new therapeutic strategies for this childhood cancer.
Area of Science:
- Oncology
- Molecular Biology
- Pediatric Cancer Research
Background:
- Myc proteins (c-myc, Mycn, Mycl) regulate cell proliferation and apoptosis, critical in cancer development.
- MYCN gene amplification is a key marker for aggressive, treatment-resistant neuroblastoma in children.
- Myc protein stability, influenced by phosphorylation and ubiquitination, presents therapeutic targets.
Purpose of the Study:
- To review the function and regulation of Myc proteins in neuroblastoma.
- To discuss emerging therapeutic strategies targeting Mycn in neuroblastoma.
Main Methods:
- Literature review of Myc protein function, regulation, and therapeutic targeting in neuroblastoma.
- Analysis of signaling pathways involved in Myc regulation, including RTK/PI3K/Akt/mTOR and Aurora A kinase.
- Examination of Myc's role in apoptosis via the p53/Mdm2/Arf pathway and p53 mutations in relapsed neuroblastoma.
Main Results:
- Myc proteins are central to neuroblastoma's aggressive nature and refractoriness to chemotherapy.
- Phosphorylation and ubiquitin-mediated modulation of Myc proteins are key regulatory mechanisms.
- Interactions with the p53 pathway, often mutated in relapsed neuroblastoma, contribute to therapeutic resistance.
Conclusions:
- Understanding Myc protein regulation is vital for developing effective neuroblastoma treatments.
- Targeting Mycn and its associated pathways holds promise for overcoming chemotherapy resistance in pediatric neuroblastoma.
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