Identification of novel pathways and molecules able to down-regulate PHOX2B gene expression by in vitro drug

Eleonora Di Zanni1, Diego Fornasari2, Roberto Ravazzolo3

  • 1U.O.C. Genetica Medica, Istituto Giannina Gaslini, Italy.

Insights

This study screened compounds to target PHOX2B overexpression in neuroblastoma (NB). Curcumin, SAHA, and trichostatin A reduced PHOX2B expression, with curcumin affecting key transcription factors, showing potential for combination therapy.

Area of Science:

  • Molecular Biology
  • Genetics
  • Oncology

Background:

  • PHOX2B is a crucial transcription factor for autonomic nervous system development.
  • PHOX2B mutations and overexpression are implicated in neuroblastoma (NB) pathogenesis.
  • Overexpression of PHOX2B and its target ALK is observed in NB tumors.

Purpose of the Study:

  • To identify compounds that down-regulate PHOX2B expression as a therapeutic strategy for NB.
  • To investigate the molecular mechanisms by which these compounds affect PHOX2B transcription.
  • To evaluate the efficacy of combined drug treatments targeting PHOX2B and ALK.

Main Methods:

  • In vitro drug screening of 70 compounds using a PHOX2B promoter-luciferase reporter assay in IMR-32 NB cells.
  • Analysis of PHOX2B protein and mRNA levels following compound treatment.
  • Investigation of curcumin's effect on transcription factor complexes (PBX-1/MEIS-1, NF-κB, AP-1).
  • Assessment of combined drug treatment effects on PHOX2B and ALK expression.

Main Results:

  • Curcumin, SAHA, and trichostatin A significantly down-regulated PHOX2B promoter activity, protein, and mRNA expression.
  • Curcumin was found to interfere with PBX-1/MEIS-1, NF-κB, and AP-1 transcription factor complexes regulating PHOX2B.
  • Combined drug treatments effectively reduced the expression of both PHOX2B and its target ALK.

Conclusions:

  • PHOX2B is a viable therapeutic target in neuroblastoma.
  • Curcumin, SAHA, and trichostatin A show promise in down-regulating PHOX2B expression.
  • Combination therapy targeting PHOX2B and ALK offers a potential strategy for NB treatment.

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