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Updated: Dec 6, 2025

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Computational Drug Repositioning Identifies Potentially Active Therapies for Chordoma
Jeffrey I Traylor1, Hadley E Sheppard2, Visweswaran Ravikumar3
1Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Background:
Chordomas are aggressive bone tumors that often recur despite maximal resection and adjuvant radiation. To date there are no Food and Drug Administration (FDA)-approved chemotherapies. Computational drug repositioning is an expanding approach to identify pharmacotherapies for clinical trials.
Objective:
To identify FDA-approved compounds for repurposing in chordoma.
Methods:
Previously identified highly differentially expressed genes from chordoma tissue samples at our institution were compared with pharmacogenomic interactions in the Comparative Toxicogenomics Database (CTD) using ksRepo, a drug-repositioning platform. Compounds selected by ksRepo were then validated in CH22 and UM-Chor1 human chordoma cells in Vitro.
Results:
A total of 13 chemical compounds were identified in silico from the CTD, and 6 were selected for preclinical validation in human chordoma cell lines based on their clinical relevance. Of these, 3 identified drugs are FDA-approved chemotherapies for other malignancies (cisplatin, cytarabine, and lucanthone). Cytarabine, a deoxyribonucleic acid polymerase inhibitor approved for the treatment of various leukemias, exhibited a significant concentration-dependent effect against CH22 and UM-Chor1 cells when compared to positive (THZ1) and negative (venetoclax) controls. Tretinoin exhibited a significant concentration-dependent cytotoxic effect in CH22, sacral chordoma-derived cell lines but to a much lesser extent in UM-Chor1, a cell line derived from skull base chordoma.
Conclusion:
Cytarabine administration reduces the viability of human chordoma cells. The equally effective reduction in viability seen with tretinoin seems to be cell line dependent. Based on our findings, we recommend the evaluation of cytarabine and tretinoin in an expanded set of human chordoma cell lines and animal models.
Insights
This study repurposed FDA-approved drugs for aggressive chordoma bone tumors. Cytarabine significantly reduced chordoma cell viability, while tretinoin showed cell-line-dependent effects, suggesting potential new therapies.
Area of Science:
- Oncology
- Pharmacology
- Genomics
Background:
- Chordomas are aggressive bone tumors with high recurrence rates.
- Currently, no FDA-approved chemotherapy exists for chordoma treatment.
- Computational drug repositioning offers a promising avenue for identifying novel chordoma pharmacotherapies.
Purpose of the Study:
- To identify FDA-approved compounds for repurposing in chordoma treatment.
Main Methods:
- Differential gene expression data from chordoma tissues were compared with pharmacogenomic interactions in the Comparative Toxicogenomics Database (CTD).
- The ksRepo drug-repositioning platform was utilized to identify potential compounds.
- Selected compounds underwent preclinical validation in human chordoma cell lines (CH22 and UM-Chor1).
Main Results:
- In silico analysis identified 13 chemical compounds from the CTD.
- Six compounds were selected for preclinical validation based on clinical relevance.
- Cytarabine demonstrated significant concentration-dependent cytotoxicity in both CH22 and UM-Chor1 cells.
- Tretinoin exhibited significant cytotoxicity in CH22 cells but less so in UM-Chor1 cells.
Conclusions:
- Cytarabine effectively reduces human chordoma cell viability.
- Tretinoin's efficacy is dependent on the specific chordoma cell line.
- Further evaluation of cytarabine and tretinoin in expanded cell line and animal models is recommended.
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