Blocking CDK7-Mediated NOTCH1-cMYC Signaling Attenuates Cancer Stem Cell Activity in Anaplastic Thyroid Cancer

Woo Kyung Lee Doolittle1, Li Zhao1, Sheue-Yann Cheng1

  • 1Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.

Insights

Blocking cyclin-dependent protein 7 (CDK7) inhibits anaplastic thyroid cancer (ATC) by targeting the NOTCH1-cMYC pathway. This approach reduces cancer stem cell activity and tumor growth, offering a new therapeutic strategy for aggressive ATC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • Anaplastic thyroid cancer (ATC) is an aggressive malignancy with limited therapeutic options.
  • Aberrant gene transcription is implicated in ATC progression.
  • Cancer stem cells (CSCs) play a crucial role in ATC aggressiveness and treatment resistance.

Purpose of the Study:

  • To investigate if inhibiting cyclin-dependent protein 7 (CDK7) can impede ATC progression by reducing CSC activity.
  • To identify the molecular mechanisms underlying CDK7 inhibition's effects on ATC.
  • To evaluate the therapeutic potential of targeting the NOTCH1-cMYC signaling axis in ATC.

Main Methods:

  • Treatment of human ATC cell lines (THJ-11T, -16T) and xenograft mouse models with the CDK7 inhibitor THZ1.
  • Integrative transcriptome analysis to identify molecular targets of CDK7 inhibition.
  • Evaluation of a selective NOTCH1 inhibitor, crenigacestat, on CSC properties.
  • Assessment of cell proliferation, apoptosis, cell cycle progression, tumorsphere formation, aldehyde dehydrogenase activity, and in vivo tumor initiation and growth.

Main Results:

  • THZ1 significantly inhibited ATC cell proliferation and xenograft tumor growth by inducing apoptosis and blocking cell cycle progression.
  • CDK7 inhibition suppressed the NOTCH1-cMYC signaling axis, a key regulator of CSCs in ATC.
  • Both THZ1 and crenigacestat treatments reduced CSC capacities, including tumorsphere formation and in vivo tumorigenicity.
  • Low CDK7 expression correlated with improved disease-free survival in thyroid cancer patients.

Conclusions:

  • NOTCH1 is a critical regulator of CSC activity in anaplastic thyroid cancer.
  • Targeting the NOTCH1-cMYC signaling pathway represents a promising therapeutic strategy for ATC.
  • CDK7 inhibition effectively targets CSCs and offers a potential treatment avenue for aggressive thyroid cancer.

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