Netrin-DCC inhibition suppresses neuroendocrine neoplasm growth in vivo

Liav Sela Peremen1, Alona Telerman2, Yuval Kahan Yossef1,2

  • 1Gray Faculty of Medical & Health Sciences, Tel-Aviv University, Tel Aviv-Yafo, Israel.

Endocrine-Related Cancer
|October 21, 2025
PubMed

Insights

Netrin-3 (NTN-3), Netrin-1 (NTN-1), and DCC protein promote pancreatic neuroendocrine tumor (PNEN) growth. Blocking NTN binding to DCC inhibits PNEN progression, offering a potential therapeutic strategy for this cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • DCC protein acts as a tumor suppressor, crucial in neuroendocrine neoplasms.
  • DCC functions as a dependence receptor, regulating apoptosis based on Netrin (NTN) ligand presence.
  • The roles of NTNs and DCC in pancreatic neuroendocrine neoplasms (PNENs) require further investigation.

Purpose of the Study:

  • To investigate the expression and function of DCC and netrins in PNENs.
  • To determine the effect of netrin on PNEN cell viability and tumor growth.
  • To evaluate the therapeutic potential of blocking NTN-DCC interactions in PNENs.

Main Methods:

  • Assessed DCC and netrin expression in PNEN BON-1 cells.
  • Utilized DCC knockdown and a netrin-inhibiting antibody (NP137) to study cell viability.
  • In vivo studies involved xenograft models treated with NP137, followed by RNA sequencing.
  • Population-based analysis using TCGA data evaluated DCC and NTN3 expression impact on survival.

Main Results:

  • PNEN BON-1 cells showed elevated DCC and NTN-3 expression.
  • NTN-1 enhanced cell viability, which was reduced by NTN blockade or DCC knockdown.
  • NP137 treatment significantly inhibited PNEN xenograft growth in vivo.
  • TCGA data revealed a negative correlation between NTN3 expression and patient survival.

Conclusions:

  • NTN-3, NTN-1, and DCC exhibit interdependent oncogenic roles in PNENs.
  • Blocking NTN binding to DCC demonstrates therapeutic potential by reversing these oncogenic roles.
  • Targeting the NTN-DCC pathway represents a promising strategy for PNEN treatment.