CDK4/6 inhibitors display a class effect in inducing differentiation of neuroblastoma cells

Kirsty M Ferguson1, Fiona M Y Abou Grealy1, Anna Philpott1,2

  • 1Jeffrey Cheah Biomedical Centre, Cambridge Stem Cell Institute, Cambridge, CB2 0AW, UK.

Wellcome Open Research
|October 28, 2025
PubMed
Abstract

Insights

Cyclin-dependent kinase (CDK) 4/6 inhibitors, including palbociclib, abemaciclib, and ribociclib, enhance retinoic acid-induced neuroblastoma cell differentiation. This finding supports CDK inhibitor-based differentiation therapy for neuroblastoma.

Area of Science:

  • Oncology
  • Cell Biology
  • Developmental Biology

Background:

  • Neuroblastoma is a common pediatric cancer with a subset of tumors undergoing spontaneous regression.
  • Differentiation therapy, guiding cancer cells to normal developmental pathways, is a promising strategy.
  • Previous research showed palbociclib (a CDK4/6 inhibitor) promotes neuroblastoma cell differentiation and proliferation reduction, enhanced by retinoic acid.

Purpose of the Study:

  • To investigate the efficacy of additional CDK4/6 inhibitors (abemaciclib, ribociclib) in inducing neuroblastoma cell differentiation.
  • To assess the combined effect of these inhibitors with retinoic acid on neuroblastoma cell differentiation.
  • To evaluate differentiation in both standard cell culture and advanced 3D spheroid models.

Main Methods:

  • Utilized the relapsed, high-risk MYCN-amplified neuroblastoma cell line SK-N-BE(2)C.
  • Cultured cells in both adherent and three-dimensional (3D) spheroid formats.
  • Monitored proliferation and differentiation using live-imaging, immunocytochemistry, qRT-PCR, and EdU incorporation assays.

Main Results:

  • All tested CDK4/6 inhibitors (palbociclib, abemaciclib, ribociclib) significantly enhanced retinoic acid-induced neuronal differentiation.
  • This enhancement was observed in both adherent SK-N-BE(2)C cells and 3D tumor spheroids.
  • CDK4/6 inhibitors demonstrated a class effect in promoting differentiation.

Conclusions:

  • CDK4/6 inhibitors, in combination with retinoic acid, effectively induce neuronal differentiation in neuroblastoma cells.
  • The observed class effect suggests a broader therapeutic potential for CDK inhibitors in neuroblastoma differentiation therapy.
  • These findings hold significant implications for developing novel clinical strategies targeting neuroblastoma.

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