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Published on: September 13, 2019
CDK8 Inhibition Releases the Muscle Differentiation Block in Fusion-driven Alveolar Rhabdomyosarcoma
Susu Zhang1, Kathleen L Engel2, Assil Fahs3
1Dana-Farber Cancer Institute Boston, MA United States.
Abstract:
Alveolar rhabdomyosarcoma (aRMS) is a fusion-driven pediatric cancer with poor survival and limited therapeutic options. To uncover novel vulnerabilities, we employed complex-based analysis of the DepMap functional genomic data, identifying CDK8 as a dependency in aRMS. Both CDK8 knockout and pharmacologic inhibition impaired tumor cell growth and induced myogenic differentiation in vitro and in vivo. Compared to genetic loss, CDK8 pharmacologic inhibition induced more dynamic transcriptional changes. With a genome-scale CRISPR-Cas9 drug modifier screen, we determined that the maximal anti-tumor activity of the CDK8 inhibitor requires the presence of the Mediator kinase module, including CDK8, and transcriptional cooperation with the SAGA complex. We further identified SIX4 as a key transcription factor mediating CDK8 inhibitor-induced transcriptional activation of myogenic differentiation genes and impaired tumor proliferation. These findings suggest a distinct gain-of-function mechanism of the CDK8 inhibitor and establish a strong rationale for CDK8 inhibition as a differentiation-inducing therapeutic strategy in aRMS.
Insights
This study identifies CDK8 as a key vulnerability in alveolar rhabdomyosarcoma (aRMS), a pediatric cancer. Targeting CDK8 shows promise as a new therapeutic strategy by inducing tumor cell differentiation.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Alveolar rhabdomyosarcoma (aRMS) is an aggressive pediatric cancer with limited treatment options.
- Fusion-driven aRMS presents unique therapeutic challenges and necessitates novel drug targets.
Purpose of the Study:
- To identify novel therapeutic vulnerabilities in aRMS using functional genomic data.
- To investigate the role of CDK8 as a potential drug target in aRMS.
Main Methods:
- Complex-based analysis of DepMap functional genomic data.
- In vitro and in vivo studies involving CDK8 knockout and pharmacologic inhibition.
- Genome-scale CRISPR-Cas9 drug modifier screens.
- Identification of key transcription factors using molecular assays.
Main Results:
- CDK8 was identified as a dependency in aRMS, with its inhibition impairing tumor growth and inducing differentiation.
- Pharmacologic inhibition of CDK8 elicited more dynamic transcriptional changes than genetic knockout.
- Maximal anti-tumor activity of CDK8 inhibitors requires the Mediator kinase module and SAGA complex.
- SIX4 was identified as a transcription factor mediating CDK8 inhibitor effects on differentiation and proliferation.
Conclusions:
- CDK8 inhibition represents a promising differentiation-inducing therapeutic strategy for aRMS.
- Findings suggest a gain-of-function mechanism for CDK8 inhibitors in aRMS treatment.
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