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Mitochondrial Dysfunction Is a Driver of SP-2509 Drug Resistance in Ewing Sarcoma
E John Tokarsky1, Jesse C Crow1, Lillian M Guenther2
1Center for Childhood Cancer and Blood Diseases, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Molecular Cancer Research : MCR
|March 17, 2022
Summary
Mitochondrial dysfunction can cause resistance to lysine-specific demethylase-1 (LSD1) inhibitors in Ewing sarcoma. Combining LSD1 inhibitors with agents that prevent mitochondrial dysfunction may improve patient outcomes.
Area of Science:
- Oncology
- Epigenetics
- Mitochondrial Biology
Background:
- Ewing sarcoma is an aggressive pediatric cancer driven by the EWS/FLI oncoprotein and characterized by epigenetic alterations.
- Lysine-specific demethylase-1 (LSD1) inhibitors are a novel therapeutic strategy targeting these epigenetic changes and are in early clinical trials.
- Therapy resistance is a significant challenge, necessitating the understanding of resistance mechanisms for developing effective combination treatments.
Purpose of the Study:
- To identify genes conferring resistance to the LSD1 inhibitor SP-2509 in Ewing sarcoma using a genome-scale CRISPR-Cas9 screen.
- To investigate the role of mitochondrial function in mediating resistance to LSD1 inhibition.
- To explore potential combination therapies for Ewing sarcoma.
Main Methods:
- Genome-scale CRISPR-Cas9 loss-of-function screening in Ewing sarcoma cell lines.
- Validation of hits using genetic (CRISPR knockout) and chemical approaches (ETC inhibitors, mitochondrial depletion).
- Global transcriptional profiling to assess the impact of mitochondrial dysfunction on oncogenic pathways and drug response.
Main Results:
- Genes essential for mitochondrial electron transport chain (ETC) complexes III and IV function were identified as conferring resistance to SP-2509.
- Disruption of mitochondrial complex III/IV function was shown to impair the EWS/FLI oncogenic program and blunt the response to SP-2509.
- Mitochondrial dysfunction was demonstrated to modulate the efficacy of the LSD1 inhibitor SP-2509.
Conclusions:
- Mitochondrial dysfunction plays a critical role in resistance to LSD1 inhibitors in Ewing sarcoma.
- Combination strategies involving LSD1 inhibitors and agents targeting mitochondrial function may offer a promising therapeutic approach for Ewing sarcoma patients.
- Further research into the interplay between epigenetic regulation and mitochondrial metabolism in cancer is warranted.
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