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Updated: Sep 22, 2025

A Protocol for Rapid Post-mortem Cell Culture of Diffuse Intrinsic Pontine Glioma DIPG
Published on: March 7, 2017
Therapeutic targeting of prenatal pontine ID1 signaling in diffuse midline glioma
Dana Messinger1, Micah K Harris1, Jessica R Cummings1
1Division of Pediatric Hematology-Oncology, Department of Pediatrics, University of Michigan Medical School (UMMS), Ann Arbor, Michigan, USA.
Background:
Diffuse midline gliomas (DMG) are highly invasive brain tumors with rare survival beyond two years past diagnosis and limited understanding of the mechanism behind tumor invasion. Previous reports demonstrate upregulation of the protein ID1 with H3K27M and ACVR1 mutations in DMG, but this has not been confirmed in human tumors or therapeutically targeted.
Methods:
Whole exome, RNA, and ChIP-sequencing was performed on the ID1 locus in DMG tissue. Scratch-assay migration and transwell invasion assays of cultured cells were performed following shRNA-mediated ID1-knockdown. In vitro and in vivo genetic and pharmacologic [cannabidiol (CBD)] inhibition of ID1 on DMG tumor growth was assessed. Patient-reported CBD dosing information was collected.
Results:
Increased ID1 expression in human DMG and in utero electroporation (IUE) murine tumors is associated with H3K27M mutation and brainstem location. ChIP-sequencing indicates ID1 regulatory regions are epigenetically active in human H3K27M-DMG tumors and prenatal pontine cells. Higher ID1-expressing astrocyte-like DMG cells share a transcriptional program with oligo/astrocyte-precursor cells (OAPCs) from the developing human brain and demonstrate upregulation of the migration regulatory protein SPARCL1. Genetic and pharmacologic (CBD) suppression of ID1 decreases tumor cell invasion/migration and tumor growth in H3.3/H3.1K27M PPK-IUE and human DIPGXIIIP* in vivo models of pHGG. The effect of CBD on cell proliferation appears to be non-ID1 mediated. Finally, we collected patient-reported CBD treatment data, finding that a clinical trial to standardize dosing may be beneficial.
Conclusions:
H3K27M-mediated re-activation of ID1 in DMG results in a SPARCL1+ migratory transcriptional program that is therapeutically targetable with CBD.
Insights
Diffuse midline gliomas (DMG) invasion is linked to ID1 protein upregulation. Cannabidiol (CBD) effectively targets ID1, reducing tumor growth and invasion in preclinical models.
Area of Science:
- Neuro-oncology
- Molecular biology
- Genetics
Background:
- Diffuse midline gliomas (DMG) are aggressive brain tumors with poor prognosis.
- The mechanism of DMG invasion is poorly understood.
- ID1 protein upregulation is observed in DMG, potentially linked to H3K27M mutations.
Purpose of the Study:
- Investigate the role of ID1 in DMG invasion.
- Determine if ID1 is a viable therapeutic target.
- Assess the efficacy of cannabidiol (CBD) in targeting ID1 and DMG growth.
Main Methods:
- Whole exome, RNA, and ChIP-sequencing of DMG tissue.
- In vitro cell migration and invasion assays after ID1 knockdown.
- In vitro and in vivo assessment of genetic and pharmacologic ID1 inhibition (CBD).
Main Results:
- Increased ID1 expression correlates with H3K27M mutation and brainstem location in human DMG.
- ID1 suppression reduces DMG cell invasion and tumor growth in preclinical models.
- Cannabidiol (CBD) demonstrates therapeutic potential against DMG by targeting ID1.
Conclusions:
- H3K27M-mediated ID1 re-activation drives a migratory program in DMG.
- ID1 is a therapeutically targetable protein in DMG.
- Cannabidiol (CBD) shows promise as a treatment for diffuse midline gliomas.

