RUVBL1 and RUVBL2 are druggable MYC effector regulators in neuroblastoma cells

Joachim Tetteh Siaw1,2,3, Arne Claeys1,2,3, Wei-Yun Lai3

  • 1Department of Human Structure and Repair, Anatomy and Embryology Unit, Ghent University, Ghent, Belgium.

Iscience
|April 6, 2026
PubMed

Insights

Targeting RUVBL1 and RUVBL2 proteins shows promise for treating high-risk neuroblastoma by reducing MYC(N) signaling and inducing cell death. These RUVBL genes are also identified as potential biomarkers for patient prognosis.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • High-risk neuroblastoma features MYCN amplification and poor prognosis, necessitating novel therapeutic strategies.
  • Directly targeting MYC proteins has proven challenging, shifting focus to alternative targets like ATR in DNA damage response.
  • ATR inhibitors are being explored for neuroblastoma, with potential off-target effects or associated pathways needing investigation.

Purpose of the Study:

  • To investigate the role of RUVBL1 and RUVBL2 in MYCN-driven neuroblastoma.
  • To evaluate the therapeutic potential of inhibiting the RUVBL complex in neuroblastoma.
  • To identify RUVBL genes as prognostic biomarkers in human neuroblastoma.

Main Methods:

  • Transcriptomic analysis of MYCN-driven mouse tumors treated with ATR inhibitors.
  • Pharmacological inhibition of the RUVBL1/RUVBL2 complex using small molecules.
  • Assessment of MYC(N) signaling, cell-cycle progression, DNA damage, and apoptosis.
  • Validation of RUVBL gene association with MYCN and prognostic significance in human neuroblastoma datasets.

Main Results:

  • A significant RUVBL1 and RUVBL2 gene expression signature was identified in MYCN-driven tumors treated with ATR inhibitors.
  • Pharmacological inhibition of the RUVBL complex effectively reduced MYC(N) signaling, induced cell-cycle arrest, DNA damage, and apoptosis.
  • The RUVBL proteins were confirmed to associate with MYCN.
  • RUVBL1 and RUVBL2 were identified as independent prognostic biomarkers in human primary neuroblastoma.

Conclusions:

  • The RUVBL1/RUVBL2 complex is a critical mediator in MYCN-driven neuroblastoma and a viable therapeutic target.
  • Inhibiting the RUVBL complex offers a promising strategy for treating high-risk neuroblastoma.
  • RUVBL genes serve as valuable prognostic biomarkers for neuroblastoma patients.