Senescence Induced by BMI1 Inhibition Is a Therapeutic Vulnerability in H3K27M-Mutant DIPG

Ilango Balakrishnan1, Etienne Danis1, Angela Pierce2

  • 1Department of Pediatrics and Section of Pediatric Hematology/Oncology/BMT, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA; The Morgan Adams Foundation Pediatric Brain Tumor Research Program, Children's Hospital Colorado, Aurora, CO, USA.

Cell Reports
|October 21, 2020
PubMed

Insights

Researchers identified BMI1 as a key factor in diffuse intrinsic pontine glioma (DIPG) maintenance. Inhibiting BMI1 and clearing senescent cells shows promise for treating this childhood brain tumor.

Area of Science:

  • Oncology
  • Epigenetics
  • Pediatric Cancer Research

Background:

  • Diffuse intrinsic pontine glioma (DIPG) is an aggressive childhood brain tumor with no effective treatments.
  • Histone mutations (H3K27) in DIPG lead to widespread epigenomic dysregulation.
  • Targeting epigenomic regulators is a potential therapeutic strategy for DIPG.

Purpose of the Study:

  • To identify critical factors for DIPG tumor maintenance.
  • To evaluate BMI1 as a therapeutic target in DIPG.
  • To explore combination strategies for enhancing DIPG treatment.

Main Methods:

  • Conducted a combined RNAi and chemical screen targeting epigenomic regulators.
  • Assessed BMI1 chromatin occupancy in DIPG cells.
  • Inhibited BMI1 in DIPG models and evaluated tumor growth, senescence, and recurrence.
  • Utilized BH3 mimetics to clear senescent cells in combination with BMI1 inhibition.

Main Results:

  • Identified BMI1, a Polycomb Repressive Complex 1 (PRC1) component, as essential for DIPG maintenance in vivo.
  • BMI1 is enriched at differentiation and tumor suppressor genes in DIPG.
  • BMI1 inhibition reduced self-renewal and tumor growth by inducing senescence.
  • Prolonged BMI1 inhibition led to a senescence-associated secretory phenotype, promoting tumor recurrence.
  • Co-inhibition of BMI1 and clearance of senescent cells enhanced tumor cell killing.

Conclusions:

  • BMI1 is a critical therapeutic target for DIPG.
  • Targeting BMI1 induces senescence, but combination therapy is needed to overcome recurrence.
  • Combining BMI1 inhibition with senescent cell clearance offers a promising strategy for DIPG treatment.