ATR inhibition enables complete tumour regression in ALK-driven NB mouse models

Joanna Szydzik1, Dan E Lind1, Badrul Arefin1

  • 1Department of Medical Biochemistry and Cell Biology, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, SE-40530, Gothenburg, Sweden.

Nature Communications
|November 25, 2021
PubMed

Insights

Targeting ATR in neuroblastoma (NB) shows promise. Inhibiting ATR, a key player in DNA damage response, significantly reduced NB cell growth and led to complete tumor regression in mouse models, suggesting a new therapeutic avenue for high-risk patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • High-risk neuroblastoma (NB) is challenging to treat, often driven by MYCN amplification and ALK mutations.
  • Oncogenes like MYCN and ALK induce replication stress, creating therapeutic vulnerabilities.
  • Current treatment options for high-risk NB are limited, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To investigate the role of ATR activity in ALK-driven neuroblastoma.
  • To evaluate the efficacy of the ATR inhibitor BAY1895344 in neuroblastoma models.
  • To characterize the molecular responses of neuroblastoma cells and tumors to ATR inhibition.

Main Methods:

  • Phosphoproteomic analysis to identify ATR activity in NB cells.
  • Treatment of NB cells and mouse models with the ATR inhibitor BAY1895344.
  • RNA-Seq, proteomics, and phosphoproteomics to analyze cellular and tumor responses.
  • Combination therapy studies with ATR and ALK inhibitors in mouse models.

Main Results:

  • Phosphoproteomic analysis revealed significant ATR activity in ALK-driven NB cells.
  • BAY1895344 potently inhibited NB cell growth and proliferation.
  • ATR inhibition modulated key DNA damage response pathways in NB cells.
  • Combined ATR and ALK inhibition resulted in complete tumor regression in mouse models.

Conclusions:

  • ATR inhibition is a promising therapeutic strategy for neuroblastoma, particularly high-risk subtypes.
  • Targeting oncogene-induced replication stress via ATR inhibition offers a viable treatment approach.
  • Combined ATR and ALK inhibition demonstrates potent anti-tumor activity and warrants further clinical investigation.