Functional screening identifies kinesin spindle protein inhibitor filanesib as a potential treatment option for

Ruth Nousiainen1,2,3, Katja Eloranta4,5,6, Jani Saarela2

  • 1Pediatric Research Center, Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

NPJ Precision Oncology
|April 25, 2025
PubMed

Insights

Filanesib, a Kinesin Spindle Protein (KSP) inhibitor, shows promise for treating hepatoblastoma, a rare pediatric liver cancer. This drug effectively reduced tumor growth in preclinical models, suggesting its potential for clinical trials.

Area of Science:

  • Oncology
  • Pharmacology
  • Pediatric Medicine

Background:

  • Hepatoblastoma is a rare pediatric liver malignancy.
  • Current treatments include surgery and chemotherapy.
  • Novel therapeutic strategies are needed for aggressive hepatoblastoma.

Purpose of the Study:

  • To identify novel therapeutic agents for hepatoblastoma.
  • To evaluate the efficacy of the KSP inhibitor filanesib in hepatoblastoma models.

Main Methods:

  • Drug screening of 527 compounds across six hepatoblastoma cell models and healthy hepatocytes.
  • In vitro evaluation of filanesib, including cell cycle arrest and apoptosis assays.
  • In vivo assessment of filanesib efficacy in four hepatoblastoma mouse models.

Main Results:

  • 98 compounds showed cancer-selective activity; filanesib was effective in all hepatoblastoma models.
  • Filanesib induced G2/M arrest and apoptosis in hepatoblastoma cells at safe concentrations.
  • Filanesib significantly reduced tumor growth in 4/5 mouse models, with one showing complete growth arrest.

Conclusions:

  • Filanesib demonstrates significant preclinical efficacy against hepatoblastoma.
  • Filanesib represents a potential therapeutic candidate for hepatoblastoma.
  • Further clinical investigation of filanesib for hepatoblastoma treatment is warranted.

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