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Updated: Feb 9, 2026

The Extraction of Liver Glycogen Molecules for Glycogen Structure Determination
Published on: February 8, 2022
9-ING-41, a small-molecule glycogen synthase kinase-3 inhibitor, is active in neuroblastoma
Andrey V Ugolkov1,2, Gennadiy I Bondarenko2, Oleksii Dubrovskyi2
1Department of Medicine, Developmental Therapeutic Program, Division of Hematology/Oncology.
Abstract:
Advanced stage neuroblastoma is a very aggressive pediatric cancer with limited treatment options and a high mortality rate. Glycogen synthase kinase-3β (GSK-3β) is a potential therapeutic target in neuroblastoma. Using immunohistochemical staining, we observed positive GSK-3β expression in 67% of human neuroblastomas (34 of 51 cases). Chemically distinct GSK-3 inhibitors (AR-A014418, TDZD-8, and 9-ING-41) suppressed the growth of neuroblastoma cells, whereas 9-ING-41, a clinically relevant small-molecule GSK-3β inhibitor with broad-spectrum preclinical antitumor activity, being the most potent. Inhibition of GSK-3 resulted in a decreased expression of the antiapoptotic molecule XIAP and an increase in neuroblastoma cell apoptosis. Mouse xenograft studies showed that the combination of clinically relevant doses of CPT-11 and 9-ING-41 led to greater antitumor effect than was observed with either agent alone. These data support the inclusion of patients with advanced neuroblastoma in clinical studies of 9-ING-41, especially in combination with CPT-11.
Insights
Glycogen synthase kinase-3β (GSK-3β) is a promising target for advanced neuroblastoma. Inhibiting GSK-3β with 9-ING-41 promotes cancer cell death and enhances chemotherapy effectiveness, suggesting its clinical utility.
Area of Science:
- Oncology
- Molecular Biology
- Pediatric Medicine
Background:
- Advanced stage neuroblastoma is an aggressive pediatric cancer with poor prognosis.
- Glycogen synthase kinase-3β (GSK-3β) presents a potential therapeutic target for neuroblastoma treatment.
Purpose of the Study:
- To investigate the role of GSK-3β in neuroblastoma.
- To evaluate the efficacy of GSK-3β inhibitors, particularly 9-ING-41, in neuroblastoma treatment.
- To assess the combination therapy of 9-ING-41 with CPT-11 in preclinical models.
Main Methods:
- Immunohistochemical staining to detect GSK-3β expression in neuroblastoma tissues.
- In vitro studies using GSK-3 inhibitors (AR-A014418, TDZD-8, 9-ING-41) to assess neuroblastoma cell growth.
- Analysis of apoptosis-related protein expression (XIAP) and cell apoptosis.
- In vivo mouse xenograft models to evaluate the antitumor effects of 9-ING-41 and CPT-11 combination therapy.
Main Results:
- Positive GSK-3β expression was found in 67% of neuroblastoma cases.
- GSK-3 inhibitors, especially 9-ING-41, significantly suppressed neuroblastoma cell growth.
- Inhibition of GSK-3 led to reduced XIAP expression and increased cancer cell apoptosis.
- Combination therapy with 9-ING-41 and CPT-11 demonstrated superior antitumor activity compared to monotherapy in xenograft models.
Conclusions:
- GSK-3β is a viable therapeutic target in advanced neuroblastoma.
- The small-molecule inhibitor 9-ING-41 shows potent preclinical efficacy.
- Combination therapy with 9-ING-41 and CPT-11 warrants clinical investigation for advanced neuroblastoma patients.
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