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Updated: May 17, 2025

An Automated Differential Nuclear Staining Assay for Accurate Determination of Mitocan Cytotoxicity
Published on: May 12, 2020
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.
Abstract:
Neuroblastoma (NB) is a formidable challenge in pediatric oncology due to its intricate molecular landscape, necessitating multifaceted therapeutic approaches. ONC201 is an imipridone antibiotic compound with a promising drug candidate leveraging its potent anticancer properties against the mitochondrial proteases ClpP and ClpX. Despite demonstrating early clinical promise, particularly in MYCN-amplified NB, its efficacy in non-MYCN-amplified NB remains a subject worthy of investigation. In this study, we extended the coverage of ONC201 to treat non-MYCN-amplified NB, and our data implicated ONC201's inability to reduce tumor growth in animal models harboring SK-N-AS or SK-N-FI cell lines. Interestingly, ONC201 induced the expression of oncogenic markers c-Myc and LGR5 while downregulating the tumor suppressor ATRX. While it fails to attenuate tumor neovascularization in non-MYCN-amplified NB xenografts, its effectiveness differs from that of its MYCN-amplified counterpart. Rho zero (ρ0)-SK-N-AS cells treated with ONC201 showed comparable observed trends in parental SK-N-AS cells, including LGR5 upregulation and ATRX downregulation, suggesting that ONC201's multifaceted actions extend beyond mitochondrial targets. Our elucidation highlights the need to discern molecular signatures when deploying ONC201 monotherapy against NB, which lacks MYCN-amplification.
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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