Super-enhancer-driven TCF4 orchestrates neuroblastoma metastasis by sphingolipid-dependent membrane remodeling and

Enzhe Lou1,2, Liling Jiang2, Yueyuan Zheng1,3

  • 1The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.

Neuro-Oncology
|February 3, 2026
PubMed
Abstract

Insights

Super-enhancer-driven Transcription Factor 4 (TCF4) promotes neuroblastoma (NB) metastasis by activating sphingolipid synthesis. Targeting TCF4 with ACY-1215 may offer a new therapeutic strategy for NB patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Metastasis is a key factor in neuroblastoma (NB) patient survival.
  • The role of super-enhancer (SE)-driven transcriptional dysregulation in NB metastasis is unclear.

Purpose of the Study:

  • Identify SE-driven transcription factors promoting NB metastasis.
  • Discover potential targeted drugs for NB metastasis.

Main Methods:

  • Integrated bioinformatic analysis of H3K27ac ChIP-seq and scRNA-seq to identify metastatic SE-driven Transcription Factor 4 (TCF4).
  • In vivo and in vitro functional experiments to assess TCF4's effect on NB metastasis.
  • CUT&Tag and transcriptome sequencing to investigate TCF4's molecular mechanism.

Main Results:

  • TCF4 correlates with poor prognosis and enhances NB cell metastasis.
  • TCF4 activates SPTLC1, promoting ganglioside GM3 synthesis, which remodels membranes and activates FAK signaling via ITGB1.
  • The HDAC6 inhibitor ACY-1215 reduces NB malignancy by destabilizing TCF4.

Conclusions:

  • SE-driven TCF4 orchestrates metastatic transcriptional networks in NB.
  • ACY-1215 is a potential therapeutic candidate for clinical intervention in NB.

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