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Therapeutic targeting of circ-CUX1/EWSR1/MAZ axis inhibits glycolysis and neuroblastoma progression
Huanhuan Li1, Feng Yang1, Anpei Hu1
1Department of Pediatric Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Abstract:
Aerobic glycolysis is a hallmark of metabolic reprogramming in tumor progression. However, the mechanisms regulating glycolytic gene expression remain elusive in neuroblastoma (NB), the most common extracranial malignancy in childhood. Herein, we identify that CUT-like homeobox 1 (CUX1) and CUX1-generated circular RNA (circ-CUX1) contribute to aerobic glycolysis and NB progression. Mechanistically, p110 CUX1, a transcription factor generated by proteolytic processing of p200 CUX1, promotes the expression of enolase 1, glucose-6-phosphate isomerase, and phosphoglycerate kinase 1, while circ-CUX1 binds to EWS RNA-binding protein 1 (EWSR1) to facilitate its interaction with MYC-associated zinc finger protein (MAZ), resulting in transactivation of MAZ and transcriptional alteration of CUX1 and other genes associated with tumor progression. Administration of an inhibitory peptide blocking circ-CUX1-EWSR1 interaction or lentivirus mediating circ-CUX1 knockdown suppresses aerobic glycolysis, growth, and aggressiveness of NB cells. In clinical NB cases, CUX1 is an independent prognostic factor for unfavorable outcome, and patients with high circ-CUX1 expression have lower survival probability. These results indicate circ-CUX1/EWSR1/MAZ axis as a therapeutic target for aerobic glycolysis and NB progression.
Insights
CUT-like homeobox 1 (CUX1) and its circular RNA (circ-CUX1) drive aerobic glycolysis and neuroblastoma progression. Targeting the circ-CUX1/EWSR1/MAZ axis offers a new therapeutic strategy for this childhood cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Aerobic glycolysis is a key feature of tumor progression.
- Mechanisms of glycolytic gene regulation in neuroblastoma (NB) are not fully understood.
Purpose of the Study:
- To investigate the role of CUT-like homeobox 1 (CUX1) and circular RNA CUX1 (circ-CUX1) in regulating aerobic glycolysis and neuroblastoma progression.
- To elucidate the molecular mechanisms underlying CUX1 and circ-CUX1 function in NB.
Main Methods:
- Investigated the function of p110 CUX1 as a transcription factor.
- Characterized the interaction of circ-CUX1 with EWSR1 and MAZ.
- Utilized inhibitory peptides and lentiviral knockdown to block circ-CUX1 activity.
- Analyzed CUX1 and circ-CUX1 expression in clinical NB samples.
Main Results:
- p110 CUX1 enhances expression of key glycolytic enzymes (enolase 1, glucose-6-phosphate isomerase, phosphoglycerate kinase 1).
- circ-CUX1 facilitates EWSR1-MAZ interaction, promoting MAZ transactivation and altered gene expression.
- Inhibition of circ-CUX1-EWSR1 interaction or circ-CUX1 knockdown suppressed NB cell growth and aggressiveness.
- CUX1 is an independent prognostic factor for unfavorable NB outcome; high circ-CUX1 correlates with lower survival.
Conclusions:
- The circ-CUX1/EWSR1/MAZ axis is a critical regulator of aerobic glycolysis and neuroblastoma progression.
- This axis represents a potential therapeutic target for neuroblastoma treatment.
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