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Published on: August 25, 2023
The MYCN 5' UTR as a therapeutic target in neuroblastoma
Marina P Volegova1, Lauren E Brown2, Ushashi Banerjee1
1Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Abstract:
Tumor MYCN amplification is seen in high-risk neuroblastoma, yet direct targeting of this oncogenic transcription factor has been challenging. Here, we take advantage of the dependence of MYCN-amplified neuroblastoma cells on increased protein synthesis to inhibit the activity of eukaryotic translation initiation factor 4A1 (eIF4A1) using an amidino-rocaglate, CMLD012824. Consistent with the role of this RNA helicase in resolving structural barriers in 5' untranslated regions (UTRs), CMLD012824 increased eIF4A1 affinity for polypurine-rich 5' UTRs, including that of the MYCN and associated transcripts with critical roles in cell proliferation. CMLD012824-mediated clamping of eIF4A1 spanned the full lengths of mRNAs, while translational inhibition was mediated through 5' UTR binding in a cap-dependent and -independent manner. Finally, CMLD012824 led to growth inhibition in MYCN-amplified neuroblastoma models without generalized toxicity. Our studies highlight the key role of eIF4A1 in MYCN-amplified neuroblastoma and demonstrate the therapeutic potential of disrupting its function.
Insights
Targeting MYCN-amplified neuroblastoma, researchers inhibited eukaryotic translation initiation factor 4A1 (eIF4A1) with CMLD012824. This drug reduced tumor growth without toxicity, showing therapeutic potential.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- MYCN amplification defines high-risk neuroblastoma, posing therapeutic challenges.
- Neuroblastoma cells with MYCN amplification exhibit heightened dependence on protein synthesis.
Purpose of the Study:
- To investigate the therapeutic potential of inhibiting eukaryotic translation initiation factor 4A1 (eIF4A1) in MYCN-amplified neuroblastoma.
- To explore the mechanism of action of the eIF4A1 inhibitor CMLD012824.
Main Methods:
- Utilized an amidino-rocaglate, CMLD012824, to inhibit eIF4A1 activity.
- Assessed the impact of CMLD012824 on mRNA translation, focusing on 5' untranslated regions (UTRs).
- Evaluated the efficacy and toxicity of CMLD012824 in MYCN-amplified neuroblastoma models.
Main Results:
- CMLD012824 enhanced eIF4A1 binding to polypurine-rich 5' UTRs of MYCN and proliferation-associated transcripts.
- Inhibition of translation occurred in a cap-dependent and -independent manner via 5' UTR binding.
- CMLD012824 demonstrated significant growth inhibition in neuroblastoma models with MYCN amplification, showing no generalized toxicity.
Conclusions:
- eIF4A1 plays a critical role in MYCN-amplified neuroblastoma.
- Disrupting eIF4A1 function with CMLD012824 presents a promising therapeutic strategy for high-risk neuroblastoma.
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