Functional screening reveals genetic dependencies and diverging cell cycle control in atypical teratoid rhabdoid
Daniel J Merk1,2, Foteini Tsiami1,2, Sophie Hirsch1,2,3
1Department of Neurology and Interdisciplinary Neuro-Oncology, Hertie Institute for Clinical Brain Research, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, 72076, Germany.
Background:
Atypical teratoid rhabdoid tumors (ATRT) are incurable high-grade pediatric brain tumors. Despite intensive research efforts, the prognosis for ATRT patients under currently established treatment protocols is poor. While novel therapeutic strategies are urgently needed, the generation of molecular-driven treatment concepts is a challenge mainly due to the absence of actionable genetic alterations.
Results:
We here use a functional genomics approach to identify genetic dependencies in ATRT, validate selected hits using a functionally instructed small molecule drug library, and observe preferential activity in ATRT cells without subgroup-specific selectivity. CDK4/6 inhibitors are among the most potent drugs and display anti-tumor efficacy due to mutual exclusive dependency on CDK4 or CDK6. Chemogenetic interactor screens reveal a broad spectrum of G1 phase cell cycle regulators that differentially enable cell cycle progression and modulate response to CDK4/6 inhibition in ATRT cells. In this regard, we find that the ubiquitin ligase substrate receptor AMBRA1 acts as a context-specific inhibitor of cell cycle progression by regulating key components of mitosis including aurora kinases.
Conclusions:
Our data provide a comprehensive resource of genetic and chemical dependencies in ATRTs, which will inform further preclinical evaluation of novel targeted therapies for this tumor entity. Furthermore, this study reveals a unique mechanism of cell cycle inhibition as the basis for tumor suppressive functions of AMBRA1.
Insights
Atypical teratoid rhabdoid tumors (ATRTs) lack actionable mutations. This study identifies CDK4/6 inhibitors as potent drugs against ATRTs by targeting cell cycle regulators like AMBRA1.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Atypical teratoid rhabdoid tumors (ATRTs) are aggressive pediatric brain cancers with poor prognoses.
- Current treatments are insufficient, and identifying new therapeutic targets is crucial due to a lack of actionable genetic alterations.
Purpose of the Study:
- To identify genetic dependencies and potential therapeutic targets in ATRTs using a functional genomics approach.
- To validate drug candidates and understand their mechanisms of action in ATRT cells.
Main Methods:
- Functional genomics screens to identify ATRT vulnerabilities.
- Validation of hits using a small molecule drug library.
- Chemogenetic interactor screens to map cell cycle regulation.
Main Results:
- CDK4/6 inhibitors demonstrated potent anti-tumor activity in ATRT cells, independent of specific genetic subgroups.
- Cell cycle regulators were identified as key dependencies, influencing response to CDK4/6 inhibition.
- AMBRA1 was found to regulate mitosis and act as a context-specific inhibitor of cell cycle progression.
Conclusions:
- The study provides a valuable resource of genetic and chemical dependencies for developing targeted ATRT therapies.
- A novel mechanism of cell cycle inhibition involving AMBRA1 was uncovered, highlighting its tumor-suppressive role.
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