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Updated: Nov 25, 2025

Induction of Mesenchymal-Epithelial Transitions in Sarcoma Cells
Published on: April 7, 2017
Mithramycin induces promoter reprogramming and differentiation of rhabdoid tumor
Maggie H Chasse1, Benjamin K Johnson1, Elissa A Boguslawski1
1Van Andel Research Institute, Grand Rapids, MI, USA.
Abstract:
Rhabdoid tumor (RT) is a pediatric cancer characterized by the inactivation of SMARCB1, a subunit of the SWI/SNF chromatin remodeling complex. Although this deletion is the known oncogenic driver, there are limited effective therapeutic options for these patients. Here we use unbiased screening of cell line panels to identify a heightened sensitivity of rhabdoid tumor to mithramycin and the second-generation analogue EC8042. The sensitivity of MMA and EC8042 was superior to traditional DNA damaging agents and linked to the causative mutation of the tumor, SMARCB1 deletion. Mithramycin blocks SMARCB1-deficient SWI/SNF activity and displaces the complex from chromatin to cause an increase in H3K27me3. This triggers chromatin remodeling and enrichment of H3K27ac at chromHMM-defined promoters to restore cellular differentiation. These effects occurred at concentrations not associated with DNA damage and were not due to global chromatin remodeling or widespread gene expression changes. Importantly, a single 3-day infusion of EC8042 caused dramatic regressions of RT xenografts, recapitulated the increase in H3K27me3, and cellular differentiation described in vitro to completely cure three out of eight mice.
Insights
Pediatric rhabdoid tumors with SMARCB1 deletion show sensitivity to mithramycin and EC8042. These drugs restore cellular differentiation by targeting SWI/SNF activity, offering a promising new therapeutic avenue.
Area of Science:
- Oncology
- Epigenetics
- Chromatin Biology
Background:
- Rhabdoid tumors (RT) are aggressive pediatric cancers driven by SMARCB1 inactivation.
- Current therapeutic options for RT are limited, highlighting the need for novel treatments.
Purpose of the Study:
- To identify novel therapeutic agents for rhabdoid tumors.
- To investigate the mechanism of action of identified drugs in SMARCB1-deficient cancers.
Main Methods:
- Unbiased screening of cell line panels to identify drug sensitivities.
- In vitro assays to assess drug effects on chromatin remodeling and gene expression.
- In vivo studies using RT xenografts to evaluate therapeutic efficacy.
Main Results:
- Rhabdoid tumors exhibit heightened sensitivity to mithramycin and EC8042.
- These drugs block SMARCB1-deficient SWI/SNF activity, increasing H3K27me3 and restoring differentiation.
- EC8042 treatment led to significant tumor regression and complete cure in a subset of mice with RT xenografts.
Conclusions:
- Mithramycin and EC8042 represent a promising therapeutic strategy for rhabdoid tumors.
- The mechanism involves targeting SWI/SNF activity and restoring epigenetic regulation for cellular differentiation.
- EC8042 demonstrates significant in vivo efficacy, warranting further clinical investigation.
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