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Cyclin-Dependent Kinase Inhibitor AT7519 as a Potential Drug for MYCN-Dependent Neuroblastoma
M Emmy M Dolman1, Evon Poon2, Marli E Ebus3
1Department of Oncogenomics, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. memdolman@gmail.com.
Purpose:
MYCN-dependent neuroblastomas have low cure rates with current multimodal treatment regimens and novel therapeutic drugs are therefore urgently needed. In previous preclinical studies, we have shown that targeted inhibition of cyclin-dependent kinase 2 (CDK2) resulted in specific killing of MYCN-amplified neuroblastoma cells. This study describes the in vivo preclinical evaluation of the CDK inhibitor AT7519.
Experimental Design:
Preclinical drug testing was performed using a panel of MYCN-amplified and MYCN single copy neuroblastoma cell lines and different MYCN-dependent mouse models of neuroblastoma.
Results:
AT7519 killed MYCN-amplified neuroblastoma cell lines more potently than MYCN single copy cell lines with a median LC50 value of 1.7 compared to 8.1 micromol/L (P = 0.0053) and a significantly stronger induction of apoptosis. Preclinical studies in female NMRI homozygous (nu/nu) mice with neuroblastoma patient-derived MYCN-amplified AMC711T xenografts revealed dose-dependent growth inhibition, which correlated with intratumoral AT7519 levels. CDK2 target inhibition by AT7519 was confirmed by significant reductions in levels of phosphorylated retinoblastoma (p-Rb) and nucleophosmin (p-NPM). AT7519 treatment of Th-MYCN transgenic mice resulted in improved survival and clinically significant tumor regression (average tumor size reduction of 86% at day 7 after treatment initiation). The improved efficacy of AT7519 observed in Th-MYCN mice correlated with higher tumor exposure to the drug.
Conclusions:
This study strongly suggests that AT7519 is a promising drug for the treatment of high-risk neuroblastoma patients with MYCN amplification.
Insights
The cyclin-dependent kinase 2 (CDK2) inhibitor AT7519 shows promise for treating high-risk neuroblastoma. It effectively kills MYCN-amplified neuroblastoma cells and reduces tumor growth in preclinical models.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Neuroblastomas with MYCN amplification have poor prognoses, necessitating new treatments.
- Targeting cyclin-dependent kinase 2 (CDK2) has shown potential for selectively killing these cancer cells.
Purpose of the Study:
- To evaluate the efficacy of the CDK inhibitor AT7519 in preclinical models of MYCN-amplified neuroblastoma.
- To assess AT7519's impact on tumor growth, survival, and target inhibition in vivo.
Main Methods:
- Preclinical testing of AT7519 on MYCN-amplified and MYCN single copy neuroblastoma cell lines.
- In vivo studies using neuroblastoma xenografts and transgenic mouse models.
- Analysis of tumor growth inhibition, apoptosis induction, and target engagement (p-Rb, p-NPM).
Main Results:
- AT7519 demonstrated greater potency against MYCN-amplified neuroblastoma cells compared to MYCN single copy cells (LC50 1.7 vs 8.1 µmol/L).
- Significant tumor growth inhibition and apoptosis induction were observed in xenograft models.
- Treatment of Th-MYCN mice led to improved survival and substantial tumor regression (86% reduction).
- Drug efficacy correlated with intratumoral AT7519 concentration and inhibition of CDK2 targets.
Conclusions:
- AT7519 is a potent inhibitor of MYCN-amplified neuroblastoma.
- The drug shows significant preclinical efficacy, supporting its potential as a novel therapeutic for high-risk neuroblastoma.
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