ALK positively regulates MYCN activity through repression of HBP1 expression
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Published on: January 23, 2019
Shana Claeys1,2, Geertrui Denecker1,2, Kaat Durinck1,2
1Center for Medical Genetics Ghent (CMGG), Ghent University, Ghent, Belgium.
Abstract:
ALK mutations occur in 10% of primary neuroblastomas and represent a major target for precision treatment. In combination with MYCN amplification, ALK mutations infer an ultra-high-risk phenotype resulting in very poor patient prognosis. To open up opportunities for future precision drugging, a deeper understanding of the molecular consequences of constitutive ALK signaling and its relationship to MYCN activity in this aggressive pediatric tumor entity will be essential. We show that mutant ALK downregulates the 'HMG-box transcription factor 1' (HBP1) through the PI3K-AKT-FOXO3a signaling axis. HBP1 inhibits both the transcriptional activating and repressing activity of MYCN, the latter being mediated through PRC2 activity. HBP1 itself is under negative control of MYCN through miR-17~92. Combined targeting of HBP1 by PI3K antagonists and MYCN signaling by BET- or HDAC-inhibitors blocks MYCN activity and significantly reduces tumor growth, suggesting a novel targeted therapy option for high-risk neuroblastoma.
Insights
Mutant anaplastic lymphoma kinase (ALK) signaling in neuroblastoma downregulates HMG-box transcription factor 1 (HBP1). Targeting HBP1 and MYCN offers a novel therapeutic strategy for high-risk pediatric tumors.
Area of Science:
- Oncology
- Molecular Biology
- Pediatric Cancer Research
Background:
- Anaplastic lymphoma kinase (ALK) mutations are found in 10% of neuroblastomas, often associated with MYCN amplification, indicating an ultra-high-risk phenotype and poor prognosis.
- Understanding the molecular mechanisms of constitutive ALK signaling and its interplay with MYCN is crucial for developing precision therapies for aggressive pediatric neuroblastoma.
Purpose of the Study:
- To elucidate the molecular consequences of mutant ALK signaling in neuroblastoma.
- To investigate the relationship between ALK signaling, MYCN activity, and the HMG-box transcription factor 1 (HBP1) in high-risk neuroblastoma.
Main Methods:
- Investigated the role of the PI3K-AKT-FOXO3a signaling axis in mediating ALK's effect on HBP1.
- Assessed the inhibitory effects of HBP1 on both transcriptional activation and repression by MYCN, including MYCN-mediated PRC2 activity.
- Examined the negative regulation of HBP1 by MYCN via the miR-17~92 cluster.
Main Results:
- Mutant ALK signaling was found to downregulate HBP1 expression through the PI3K-AKT-FOXO3a pathway.
- HBP1 inhibits both activating and repressing functions of MYCN, with repression mediated by PRC2.
- MYCN negatively regulates HBP1 through the miR-17~92 microRNA cluster.
Conclusions:
- Combined inhibition of HBP1 using PI3K antagonists and MYCN signaling via BET or HDAC inhibitors effectively blocks MYCN activity.
- This combined therapeutic approach significantly reduces tumor growth in preclinical models.
- Suggests a novel targeted therapy strategy for high-risk neuroblastoma patients with ALK mutations and MYCN amplification.
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