ONC201 exerts oncogenic effects beyond its mitochondria-disturbing role in neuroblastoma subsets

Jyun-Hong Jiang1,2, Yu-Han Lin2, Pei-Lin Liao1,2

  • 1Department of Pediatric Surgery, Kaohsiung Chang Gung Memorial Hospital, Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Kaohsiung, Taiwan.

Journal of Molecular Medicine (Berlin, Germany)
|April 10, 2025
PubMed

Insights

ONC201 did not reduce tumor growth in animal models of non-MYCN-amplified neuroblastoma. The drug increased oncogenic markers and decreased a tumor suppressor, suggesting complex effects beyond mitochondrial targets.

Area of Science:

  • Pediatric Oncology
  • Molecular Therapeutics
  • Cancer Biology

Background:

  • Neuroblastoma (NB) presents a significant challenge in pediatric oncology.
  • ONC201, an imipridone, shows anticancer potential, particularly in MYCN-amplified NB.
  • Efficacy of ONC201 in non-MYCN-amplified NB requires further investigation.

Purpose of the Study:

  • To evaluate the efficacy of ONC201 in non-MYCN-amplified neuroblastoma models.
  • To investigate the molecular mechanisms underlying ONC201's effects in this subtype.
  • To determine if ONC201's actions are solely dependent on mitochondrial targets.

Main Methods:

  • Utilized animal models with non-MYCN-amplified NB cell lines (SK-N-AS, SK-N-FI).
  • Assessed tumor growth, neovascularization, and expression of key molecular markers (c-Myc, LGR5, ATRX).
  • Investigated effects in Rho zero (ρ0)-SK-N-AS cells to explore mitochondrial independence.

Main Results:

  • ONC201 failed to reduce tumor growth in non-MYCN-amplified NB models.
  • ONC201 induced oncogenic markers c-Myc and LGR5 while downregulating tumor suppressor ATRX.
  • ONC201 did not attenuate tumor neovascularization and showed similar molecular trends in ρ0 cells.

Conclusions:

  • ONC201 monotherapy may not be effective for neuroblastoma lacking MYCN-amplification.
  • The drug's effects involve modulation of oncogenic and tumor suppressor pathways.
  • Understanding specific molecular signatures is crucial for ONC201 treatment decisions in NB.

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