Loss of phosphatase CTDNEP1 potentiates aggressive medulloblastoma by triggering MYC amplification and genomic

Zaili Luo1, Dazhuan Xin1, Yunfei Liao1

  • 1Brain Tumor Center, Division of Experimental Hematology and Cancer Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 45229, USA.

Nature Communications
|February 10, 2023
PubMed

Insights

Mutations in CTDNEP1 are linked to aggressive MYC-driven medulloblastomas. CTDNEP1 loss promotes tumor growth by stabilizing MYC and causing instability, suggesting CTDNEP1 as a therapeutic target.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • MYC-driven medulloblastomas are aggressive childhood brain tumors.
  • The molecular drivers of MYC amplification and malignant transformation are not fully understood.

Purpose of the Study:

  • Investigate the role of CTDNEP1 mutations in MYC-driven medulloblastomas.
  • Determine the functional impact of CTDNEP1 deficiency on tumor development and progression.
  • Identify potential therapeutic strategies for CTDNEP1-deficient tumors.

Main Methods:

  • Genomic analysis of medulloblastoma patient samples to identify recurrent mutations.
  • Murine models to study the functional consequences of Ctdnep1 ablation.
  • Phosphoproteomic analysis to identify CTDNEP1-regulated pathways.
  • In vivo studies to evaluate combination therapy efficacy.

Main Results:

  • Mutations in CTDNEP1 are significantly enriched in MYC-driven medulloblastomas, defining high-risk subsets.
  • Ctdnep1 ablation in mice promotes cerebellar progenitor transformation into MYC-amplified medulloblastomas.
  • CTDNEP1 deficiency stabilizes and activates MYC by increasing S62 phosphorylation, leading to chromosomal instability, p53 loss, and MYC amplification.
  • CTDNEP1 regulates key mitotic regulators, including TOP2A and CHEK1.
  • Combined targeting of MYC and CHEK1 synergistically inhibits tumor growth and improves survival in preclinical models.

Conclusions:

  • CTDNEP1 acts as a tumor suppressor in MYC-driven medulloblastomas.
  • CTDNEP1 controls MYC activity and mitotic fidelity.
  • Targeting CTDNEP1-dependent pathways represents a potential therapeutic strategy for aggressive medulloblastomas.

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