Arsenic Trioxide exerts cytotoxic and radiosensitizing effects in pediatric Medulloblastoma cell lines of SHH

Paulo Henrique Dos Santos Klinger1,2, Lara Elis Alberici Delsin3, Gustavo Alencastro Veiga Cruzeiro3

  • 1Department of Pediatrics, University of São Paulo, Ribeirão Preto, Brazil.

Scientific Reports
|April 24, 2020
PubMed

Insights

Arsenic trioxide (ATO) demonstrates significant cytotoxicity in pediatric Sonic Hedgehog-medulloblastoma (SHH-MB) cell lines, particularly those with TP53 mutations. ATO also enhances the radiosensitivity of these aggressive medulloblastoma cells.

Area of Science:

  • Pediatric oncology
  • Molecular biology
  • Cancer therapeutics

Background:

  • Medulloblastoma (MB) is a primary brain tumor in children.
  • Sonic Hedgehog (SHH) subgroup MB has distinct molecular features and therapeutic challenges.
  • TP53 mutations are common in SHH-MB and associated with poorer prognosis.

Purpose of the Study:

  • To evaluate the efficacy of arsenic trioxide (ATO) in pediatric SHH-MB cell lines.
  • To investigate the combined effect of ATO and radiotherapy.
  • To explore the role of TP53 status and gene expression profiles in treatment response.

Main Methods:

  • Cultured pediatric SHH-MB cell lines (TP53-wild type and TP53-mutated).
  • Assessed cell viability, clonogenicity, and apoptosis following ATO treatment (1-16 µM) alone and combined with irradiation (0.5-4 Gy).
  • Evaluated DNA damage repair proteins (Rad51, Ku86) by Western blot; performed in silico gene expression analysis.

Main Results:

  • ATO reduced cell viability, clonogenicity, and induced apoptosis in all tested SHH-MB cell lines.
  • Cell death was significantly higher (>70%) in TP53-mutated SHH-MB cells.
  • Combined ATO and irradiation showed a radiosensitizing effect, independent of Rad51 and Ku86, particularly in TP53-mutated cells.

Conclusions:

  • ATO exhibits significant cytotoxicity against pediatric SHH-MB cell lines.
  • ATO demonstrates a marked radiosensitizing effect on TP53-mutated SHH-MB cells.
  • ATO holds potential as a therapeutic agent, alone or with radiotherapy, warranting further clinical investigation.

Related Concept Videos