RITA downregulates Hedgehog-GLI in medulloblastoma and rhabdomyosarcoma via JNK-dependent but p53-independent

Ani Azatyan1, Gabriel Gallo-Oller2, Yumei Diao1

  • 1Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.

Cancer Letters
|November 18, 2018
PubMed

Insights

The small molecule RITA downregulates Hedgehog (HH) signaling in cancer cells, independent of p53 status. Combination therapy with RITA and GANT61 shows synergistic effects on cancer cell death and proliferation.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Signaling Pathways

Background:

  • Aberrant Hedgehog (HH) signaling is a key driver in numerous cancers, including medulloblastoma and rhabdomyosarcoma.
  • Targeting HH signaling is a promising therapeutic strategy for these malignancies.

Purpose of the Study:

  • To investigate the effect of RITA, a p53 activator, on HH signaling in cancer cells.
  • To evaluate the combined efficacy of RITA and the GLI antagonist GANT61 in preclinical cancer models.

Main Methods:

  • Treatment of human medulloblastoma and rhabdomyosarcoma cell lines with RITA and/or GANT61.
  • Assessment of HH signaling pathway components and downstream targets.
  • Evaluation of cell proliferation, apoptosis, and tumor growth in xenograft models.
  • RNA sequencing (RNA-seq) to analyze global gene expression changes.

Main Results:

  • RITA downregulated HH signaling in cancer cells irrespective of p53 status, via ROS-independent JNK activation.
  • In vitro, RITA sensitized cells to GANT61, enhancing apoptosis and reducing proliferation.
  • In vivo, RITA and GANT61 suppressed tumor growth, but co-administration did not yield additive benefits.
  • Combined treatment paradoxically reduced RITA's effect on HH target gene expression, despite broader pathway modulation and tumor reduction.

Conclusions:

  • RITA effectively inhibits HH signaling in relevant cancer cells through a p53-independent mechanism.
  • Combination therapy with RITA and GANT61 demonstrates complex interactions, with potential benefits beyond direct HH pathway inhibition.
  • Further research is warranted to elucidate the mechanisms underlying the observed synergistic effects and to optimize combination strategies for cancer treatment.

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