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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.
Abstract:
MYC-driven medulloblastomas are highly aggressive childhood brain tumors, however, the molecular and genetic events triggering MYC amplification and malignant transformation remain elusive. Here we report that mutations in CTDNEP1, a CTD nuclear-envelope-phosphatase, are the most significantly enriched recurrent alterations in MYC-driven medulloblastomas, and define high-risk subsets with poorer prognosis. Ctdnep1 ablation promotes the transformation of murine cerebellar progenitors into Myc-amplified medulloblastomas, resembling their human counterparts. CTDNEP1 deficiency stabilizes and activates MYC activity by elevating MYC serine-62 phosphorylation, and triggers chromosomal instability to induce p53 loss and Myc amplifications. Further, phosphoproteomics reveals that CTDNEP1 post-translationally modulates the activities of key regulators for chromosome segregation and mitotic checkpoint regulators including topoisomerase TOP2A and checkpoint kinase CHEK1. Co-targeting MYC and CHEK1 activities synergistically inhibits CTDNEP1-deficient MYC-amplified tumor growth and prolongs animal survival. Together, our studies demonstrate that CTDNEP1 is a tumor suppressor in highly aggressive MYC-driven medulloblastomas by controlling MYC activity and mitotic fidelity, pointing to a CTDNEP1-dependent targetable therapeutic vulnerability.
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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