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Inhibition of Survivin Homodimerization Decreases Neuroblastoma Cell Growth
Carmen Dorneburg1, Celimene Galiger1, Giovanna L Stadler1
1Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, 89075 Ulm, Germany.
Abstract:
Increased expression of BIRC5/survivin, a crucial regulator of the mitotic spindle checkpoint, is associated with poor prognosis in neuroblastoma (NB), the most common extracranial tumor of childhood. Transcriptional inhibitors of survivin have been tested in adult cancers and inhibitors of survivin homodimerization are emerging. We compared genetic inhibition of survivin transcription with the inhibition of survivin homodimerization by S12 and LQZ-7I, chosen from a larger panel of survivin dimerization inhibitors with activity against NB cells. Mice hemizygous for Birc5 were crossed with NB-prone TH-MYCN mice to generate Birc5+/-/MYCNtg/+ mice. The marked decrease of survivin transcription in these mice did not suffice to attenuate the aggressiveness of NB, even when tumors were transplanted into wild-type mice to assure that immune cell function was not compromised by the lack of survivin. In contrast, viability, clonogenicity and anchorage-independent growth of NB cells were markedly decreased by S12. S12 administered systemically to mice with subcutaneous NB xenotransplants decreased intratumoral hemorrhage, albeit not tumor growth. LQZ-7I, which directly targets the survivin dimerization interface, was efficacious in controlling NB cell growth in vitro at markedly lower concentrations compared to S12. LQZ-7I abrogated viability, clonogenicity and anchorage-independent growth, associated with massively distorted mitotic spindle formation. In vivo, LQZ-7I effectively reduced tumor size and cell proliferation of NB cells in CAM assays without apparent toxicity to the developing chick embryo. Collectively, these findings show that inhibiting survivin homodimerization with LQZ-7I holds promise for the treatment of NB and merits further investigation.
Insights
Inhibiting survivin homodimerization, not transcription, effectively targets neuroblastoma. LQZ-7I shows promise for treating this childhood cancer by disrupting cell growth and division.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Increased BIRC5/survivin expression correlates with poor prognosis in neuroblastoma (NB), a common childhood cancer.
- Survivin regulates the mitotic spindle checkpoint, making it a therapeutic target.
- Survivin inhibitors, including transcriptional inhibitors and homodimerization inhibitors, are under investigation.
Purpose of the Study:
- To compare the efficacy of genetic inhibition of survivin transcription versus survivin homodimerization inhibition in neuroblastoma.
- To evaluate novel survivin dimerization inhibitors, S12 and LQZ-7I, against neuroblastoma cells and in preclinical models.
Main Methods:
- Generated Birc5+/-/MYCNtg/+ mice to study genetic inhibition of survivin transcription.
- Tested survivin dimerization inhibitors S12 and LQZ-7I in vitro against NB cells and in vivo using mouse xenotransplant and chick chorioallantoic membrane (CAM) models.
- Assessed effects on cell viability, clonogenicity, anchorage-independent growth, mitotic spindle formation, tumor growth, and hemorrhage.
Main Results:
- Genetic inhibition of survivin transcription did not attenuate NB aggressiveness in mice.
- S12 decreased NB cell viability, clonogenicity, and anchorage-independent growth in vitro and reduced intratumoral hemorrhage in vivo.
- LQZ-7I demonstrated potent in vitro efficacy at lower concentrations, abrogating NB cell growth and distorting mitotic spindles; LQZ-7I reduced tumor size and proliferation in vivo without apparent toxicity.
Conclusions:
- Inhibiting survivin homodimerization, particularly with LQZ-7I, is a more effective strategy for targeting neuroblastoma than inhibiting its transcription.
- LQZ-7I shows significant therapeutic potential for neuroblastoma treatment due to its efficacy in reducing tumor growth and proliferation.
- Further investigation of LQZ-7I as a neuroblastoma therapy is warranted.
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