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Activation of Apoptosis by Cytoplasmic Microinjection of Cytochrome c
Published on: June 29, 2011
MYCN sensitizes human neuroblastoma to apoptosis by HIPK2 activation through a DNA damage response
Marialaura Petroni1, Veronica Veschi, Andrea Prodosmo
1Department of Experimental Medicine, Sapienza University of Rome, Policlinico Umberto I, Viale Regina Elena, 324, 00161, Rome, Italy.
Abstract:
MYCN amplification occurs in approximately 20% of human neuroblastomas and is associated with early tumor progression and poor outcome, despite intensive multimodal treatment. However, MYCN overexpression also sensitizes neuroblastoma cells to apoptosis. Thus, uncovering the molecular mechanisms linking MYCN to apoptosis might contribute to designing more efficient therapies for MYCN-amplified tumors. Here we show that MYCN-dependent sensitization to apoptosis requires activation of p53 and its phosphorylation at serine 46. The p53(S46) kinase HIPK2 accumulates on MYCN expression, and its depletion by RNA interference impairs p53(S46) phosphorylation and apoptosis. Remarkably, MYCN induces a DNA damage response that accounts for the inhibition of HIPK2 degradation through an ATM- and NBS1-dependent pathway. Prompted by the rare occurrence of p53 mutations and by the broad expression of HIPK2 in our human neuroblastoma series, we evaluated the effects of the p53-reactivating compound Nutlin-3 on this pathway. At variance from other tumor histotypes, in MYCN-amplified neuroblastoma, Nutlin-3 further induced HIPK2 accumulation, p53(S46) phosphorylation, and apoptosis, and in combination with clastogenic agents purged virtually the entire cell population. Altogether, our data uncover a novel mechanism linking MYCN to apoptosis that can be triggered by the p53-reactivating compound Nutlin-3, supporting its use in the most difficult-to-treat subset of neuroblastoma.
Insights
MYCN amplification in neuroblastoma sensitizes cells to apoptosis via p53 activation. The drug Nutlin-3 enhances this effect, offering a new therapy for difficult-to-treat neuroblastoma tumors.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- MYCN amplification is a key driver of neuroblastoma progression, linked to poor patient outcomes.
- Despite intensive treatments, MYCN-amplified neuroblastomas remain challenging, necessitating novel therapeutic strategies.
- MYCN overexpression paradoxically sensitizes neuroblastoma cells to apoptosis, suggesting a targetable vulnerability.
Purpose of the Study:
- To elucidate the molecular mechanisms connecting MYCN to apoptosis induction in neuroblastoma.
- To identify potential therapeutic targets for MYCN-amplified neuroblastoma.
- To evaluate the efficacy of p53-reactivating compounds in this context.
Main Methods:
- Investigated the role of p53 and its phosphorylation at serine 46 (p53(S46)) in MYCN-driven apoptosis.
- Utilized RNA interference to deplete HIPK2, a p53(S46) kinase.
- Examined the impact of MYCN on DNA damage response pathways, including ATM and NBS1.
- Assessed the effects of Nutlin-3, a p53-reactivating compound, alone and with clastogenic agents.
Main Results:
- MYCN-dependent apoptosis requires p53 activation and p53(S46) phosphorylation.
- HIPK2 kinase accumulates upon MYCN expression and is crucial for p53(S46) phosphorylation and apoptosis.
- MYCN induces a DNA damage response that stabilizes HIPK2 by inhibiting its degradation via ATM and NBS1.
- Nutlin-3 treatment in MYCN-amplified neuroblastoma promotes HIPK2 accumulation, p53(S46) phosphorylation, and apoptosis, especially when combined with clastogenic agents.
Conclusions:
- A novel mechanism links MYCN to apoptosis through HIPK2-mediated p53(S46) phosphorylation.
- The p53-reactivating compound Nutlin-3 effectively triggers apoptosis in MYCN-amplified neuroblastoma.
- This pathway offers a promising therapeutic avenue for treating aggressive neuroblastoma.
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