Synthesis and evaluation of small molecule inhibitors of LSD1 for use against MYCN-expressing neuroblastoma

Catherine M Mills1, Jonathan Turner1, Ivett C Piña1

  • 1Department of Drug Discovery and Biomedical Sciences, Medical University of South Carolina, 70 President St, Charleston, SC, 29425, USA.

Insights

New reversible inhibitors targeting lysine specific demethylase 1 (LSD1) show promise for treating aggressive neuroblastoma. Compound 48 demonstrates potent inhibition and synergistic effects with bortezomib, offering a potential new therapeutic strategy.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Lysine specific demethylase 1 (LSD1) is an epigenetic regulator and MYCN cofactor implicated in neuroblastoma malignancy.
  • High LSD1 expression correlates with poor prognosis in MYCN-expressing neuroblastoma, suggesting it as a therapeutic target.

Purpose of the Study:

  • To identify novel, reversible LSD1 inhibitors for treating MYCN-expressing neuroblastoma.
  • To evaluate the efficacy and safety of new LSD1 inhibitor scaffolds.

Main Methods:

  • Synthesis and characterization of novel LSD1 inhibitor scaffolds: 2-(arylsulfonamido)benzoic acid, N-(2-(1H-tetrazol-5-yl)phenyl)benzenesulfonamide, and 2-(arylcarboxamido)benzoic acid analogues.
  • In vitro evaluation of inhibitory activity and selectivity against LSD1.
  • Assessment of compound effects on global H3K4me2 levels in neuroblastoma cells.
  • Combination treatment studies with bortezomib.

Main Results:

  • Three novel scaffolds for reversible LSD1 inhibition were identified.
  • Compound 48 demonstrated potent and selective mixed reversible inhibition of LSD1 (IC50 = 0.58 μM).
  • Compound 48 treatment increased global H3K4me2 in neuroblastoma cells and showed synergistic effects when combined with bortezomib.

Conclusions:

  • Novel reversible LSD1 inhibitors represent a promising therapeutic strategy for treatment-resistant MYCN-expressing neuroblastoma.
  • Compound 48 is a potent and selective LSD1 inhibitor with potential for combination therapy.

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