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Pharmacological targeting of P300/CBP reveals EWS::FLI1-mediated senescence evasion in Ewing sarcoma
Erdong Wei1,2, Ana Mitanoska1,2, Quinn O'Brien1,2
1Department of Pediatrics, University of Minnesota, 2231 6th St. SE, Minneapolis, MN 55455, USA.
Abstract:
Ewing sarcoma (ES) poses a significant therapeutic challenge due to the difficulty in targeting its main oncodriver, EWS::FLI1. We show that pharmacological targeting of the EWS::FLI1 transcriptional complex via inhibition of P300/CBP drives a global transcriptional outcome similar to direct knockdown of EWS::FLI1, and furthermore yields prognostic risk factors for ES patient outcome. We find that EWS::FLI1 upregulates LMNB1 via repetitive GGAA motif recognition and acetylation codes in ES cells and EWS::FLI1-permissive mesenchymal stem cells, which when reversed by P300 inhibition leads to senescence of ES cells. P300-inhibited senescent ES cells can then be eliminated by senolytics targeting the PI3K signaling pathway. The vulnerability of ES cells to this combination therapy suggests an appealing synergistic strategy for future therapeutic exploration.
Insights
Targeting the EWS::FLI1 oncoprotein in Ewing sarcoma (ES) with P300/CBP inhibitors induces cancer cell senescence. This senescent state, combined with PI3K pathway senolytics, offers a promising new therapeutic strategy for ES patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Ewing sarcoma (ES) is a challenging bone and soft tissue cancer.
- The primary therapeutic obstacle is targeting the EWS::FLI1 oncoprotein.
- Developing effective treatments for ES remains a critical unmet need.
Purpose of the Study:
- To investigate the effects of pharmacologically inhibiting the EWS::FLI1 transcriptional complex.
- To identify novel therapeutic strategies for targeting ES.
- To explore the role of P300/CBP inhibition in ES treatment.
Main Methods:
- Pharmacological inhibition of P300/CBP in ES cells.
- Analysis of global transcriptional outcomes.
- Investigation of LMNB1 regulation by EWS::FLI1.
- Induction of cellular senescence.
- Combination therapy with senolytics targeting the PI3K pathway.
Main Results:
- P300/CBP inhibition mimics direct EWS::FLI1 knockdown, affecting global transcription.
- EWS::FLI1 upregulates LMNB1 through GGAA motifs and acetylation.
- P300 inhibition reverses LMNB1 upregulation, inducing ES cell senescence.
- Senescent ES cells are eliminated by PI3K pathway senolytics.
Conclusions:
- Targeting P300/CBP is a viable strategy to inhibit EWS::FLI1 activity.
- The combination of P300 inhibition and PI3K senolytics presents a synergistic therapeutic approach for ES.
- This strategy offers a promising avenue for future clinical exploration in Ewing sarcoma treatment.
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