Discovery of HDAC6-Selective Inhibitor NN-390 with in Vitro Efficacy in Group 3 Medulloblastoma

Nabanita Nawar1,2, Shazreh Bukhari1,2, Ashley A Adile3

  • 1Department of Chemical and Physical Sciences, University of Toronto Mississauga, 3359 Mississauga Road, Mississauga, Ontario L5L 1C6, Canada.

Insights

A new drug, NN-390, selectively targets HDAC6 (histone deacetylase 6) to treat aggressive pediatric brain tumors called medulloblastoma. This HDAC6 inhibitor shows promise in targeting cancer stem cells with a good safety margin.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Histone deacetylase 6 (HDAC6) plays a role in cancer development and spread.
  • Targeting HDAC6 is a strategy explored for anticancer therapies.
  • Group 3 medulloblastoma (MB) is an aggressive pediatric brain tumor with poor outcomes, often linked to therapy resistance and metastasis.

Purpose of the Study:

  • To design and evaluate NN-390, a novel, selective HDAC6 inhibitor.
  • To assess the therapeutic potential of NN-390 against Group 3 medulloblastoma, particularly its stem cell population.

Main Methods:

  • Structure-activity relationship (SAR) study to develop NN-390.
  • In vitro assays to determine HDAC6 potency and selectivity against other HDAC isoforms.
  • Evaluation of NN-390's efficacy in cancer cell lines and patient-derived Group 3 MB cells.
  • Assessment of therapeutic margin by comparing efficacy in cancer cells versus healthy neural stem cells.

Main Results:

  • NN-390 exhibits nanomolar potency against HDAC6 with high selectivity (>200-550 fold) over other HDACs.
  • NN-390 demonstrates potent intracellular target engagement and cellular efficacy in cancer cell lines.
  • NN-390 is the first HDAC6-selective inhibitor to show therapeutic potential in metastatic Group 3 MB.
  • NN-390 selectively targets MB stem cells with a 44.3-fold therapeutic margin compared to healthy neural stem cells.
  • NN-390 is 45-fold more potent than the clinical candidate citarinostat.

Conclusions:

  • HDAC6-selective inhibition, exemplified by NN-390, shows significant in vitro therapeutic potential against Group 3 medulloblastoma.
  • NN-390 represents a promising therapeutic strategy for aggressive pediatric brain tumors by targeting cancer stem cells.

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