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Updated: Dec 16, 2025

Author Spotlight: Genetically Engineered Mouse Models and Pathological Characterization of Neurofibromatosis Type 1 Associated Tumors
Published on: May 17, 2024
Mesenchymal subtype neuroblastomas are addicted to TGF-βR2/HMGCR-driven protein geranylgeranylation
Michael E Stokes1, Jonnell Candice Small1,2, Alessandro Vasciaveo3
1Department of Biological Sciences, Columbia University, New York City, NY, 10027, USA.
Abstract:
The identification of targeted agents with high therapeutic index is a major challenge for cancer drug discovery. We found that screening chemical libraries across neuroblastoma (NBL) tumor subtypes for selectively-lethal compounds revealed metabolic dependencies that defined each subtype. Bioactive compounds were screened across cell models of mesenchymal (MESN) and MYCN-amplified (MYCNA) NBL subtypes, which revealed the mevalonate and folate biosynthetic pathways as MESN-selective dependencies. Treatment with lovastatin, a mevalonate biosynthesis inhibitor, selectively inhibited protein prenylation and induced apoptosis in MESN cells, while having little effect in MYCNA lines. Statin sensitivity was driven by HMGCR expression, the rate-limiting enzyme for cholesterol synthesis, which correlated with statin sensitivity across NBL cell lines, thus providing a drug sensitivity biomarker. Comparing expression profiles from sensitive and resistant cell lines revealed a TGFBR2 signaling axis that regulates HMGCR, defining an actionable addiction in that leads to MESN-subtype-dependent apoptotic cell death.
Insights
Targeted cancer drug discovery faces challenges. Researchers identified metabolic vulnerabilities in neuroblastoma (NBL) subtypes, revealing lovastatin as a potential therapy for mesenchymal NBL by targeting the mevalonate pathway.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Identifying targeted cancer therapies with high therapeutic indices remains a significant challenge in drug discovery.
- Neuroblastoma (NBL) is a pediatric cancer with distinct subtypes, necessitating subtype-specific therapeutic strategies.
Purpose of the Study:
- To identify subtype-specific metabolic dependencies in neuroblastoma (NBL) using chemical library screening.
- To discover novel therapeutic targets and biomarkers for NBL subtypes.
Main Methods:
- Screening of chemical libraries across mesenchymal (MESN) and MYCN-amplified (MYCNA) NBL cell models.
- Utilizing lovastatin, a mevalonate biosynthesis inhibitor, to assess pathway dependencies.
- Analyzing gene expression profiles to identify regulatory pathways and potential biomarkers.
Main Results:
- The mevalonate and folate biosynthetic pathways were identified as MESN-selective dependencies.
- Lovastatin selectively inhibited protein prenylation and induced apoptosis in MESN cells, correlating with HMGCR expression as a biomarker for statin sensitivity.
- A TGFBR2 signaling axis regulating HMGCR was identified, representing an actionable addiction in MESN-NBL.
Conclusions:
- Metabolic profiling of NBL subtypes can reveal distinct dependencies and guide targeted therapy development.
- Targeting the mevalonate pathway with statins, like lovastatin, shows promise for treating MESN-NBL, with HMGCR expression serving as a predictive biomarker.
- The TGFBR2-HMGCR axis represents a novel therapeutic vulnerability in MESN-NBL.
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