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Targeting tachykinin receptors in neuroblastoma
Anton G Henssen1, Andrea Odersky2, Annabell Szymansky3
1Molecular Pharmacology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, USA.
Abstract:
Neuroblastoma is the most common extracranial tumor in children. Despite aggressive multimodal treatment, high-risk neuroblastoma remains a clinical challenge with survival rates below 50%. Adding targeted drugs to first-line therapy regimens is a promising approach to improve survival in these patients. TACR1 activation by substance P has been reported to be mitogenic in cancer cell lines. Tachykinin receptor (TACR1) antagonists are approved for clinical use as an antiemetic remedy since 2003. Tachykinin receptor inhibition has recently been shown to effectively reduce growth of several tumor types. Here, we report that neuroblastoma cell lines express TACR1, and that targeting TACR1 activity significantly reduced cell viability and induced apoptosis in neuroblastoma cell lines. Gene expression profiling revealed that TACR1 inhibition repressed E2F2 and induced TP53 signaling. Treating mice harboring established neuroblastoma xenograft tumors with Aprepitant also significantly reduced tumor burden. Thus, we provide evidence that the targeted inhibition of tachykinin receptor signaling shows therapeutic efficacy in preclinical models for high-risk neuroblastoma.
Insights
Targeting tachykinin receptor 1 (TACR1) with antagonists shows promise for treating high-risk neuroblastoma. This approach reduced tumor cell viability and growth in preclinical models, offering a potential new therapy for this challenging childhood cancer.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Neuroblastoma, a common childhood extracranial tumor, presents a significant therapeutic challenge, particularly in high-risk cases with poor survival rates.
- Targeted therapies are crucial for improving outcomes in high-risk neuroblastoma.
- Tachykinin receptor 1 (TACR1) activation by substance P has demonstrated mitogenic effects in cancer cell lines.
Purpose of the Study:
- To investigate the expression and therapeutic potential of targeting TACR1 in neuroblastoma.
- To evaluate the efficacy of TACR1 inhibition as a novel treatment strategy for high-risk neuroblastoma.
Main Methods:
- Neuroblastoma cell lines were analyzed for TACR1 expression.
- The effects of TACR1 inhibition on cell viability and apoptosis were assessed.
- Gene expression profiling was performed to identify downstream signaling pathways.
- Preclinical studies involved treating neuroblastoma xenograft mouse models with a TACR1 antagonist (Aprepitant).
Main Results:
- Neuroblastoma cell lines express TACR1.
- Targeting TACR1 significantly reduced neuroblastoma cell viability and induced apoptosis.
- TACR1 inhibition modulated E2F2 and TP53 signaling pathways.
- Aprepitant treatment led to a significant reduction in tumor burden in vivo.
Conclusions:
- Targeted inhibition of TACR1 signaling demonstrates therapeutic efficacy in preclinical models of high-risk neuroblastoma.
- TACR1 antagonists represent a promising therapeutic avenue for improving survival in patients with high-risk neuroblastoma.
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