Dual targeting of the epigenome via FACT complex and histone deacetylase is a potent treatment strategy for DIPG

Cell Rep. 2021 Apr 13;35(2):108994. doi: 10.1016/j.celrep.2021.108994.

Abstract

Diffuse intrinsic pontine glioma (DIPG) is an aggressive and incurable childhood brain tumor for which new treatments are needed. CBL0137 is an anti-cancer compound developed from quinacrine that targets facilitates chromatin transcription (FACT), a chromatin remodeling complex involved in transcription, replication, and DNA repair. We show that CBL0137 displays profound cytotoxic activity against a panel of patient-derived DIPG cultures by restoring tumor suppressor TP53 and Rb activity. Moreover, in an orthotopic model of DIPG, treatment with CBL0137 significantly extends animal survival. The FACT subunit SPT16 is found to directly interact with H3.3K27M, and treatment with CBL0137 restores both histone H3 acetylation and trimethylation. Combined treatment of CBL0137 with the histone deacetylase inhibitor panobinostat leads to inhibition of the Rb/E2F1 pathway and induction of apoptosis. The combination of CBL0137 and panobinostat significantly prolongs the survival of mice bearing DIPG orthografts, suggesting a potential treatment strategy for DIPG.

Keywords: DIPG; E2F1; EZH2; H3K27M; HDAC; anticancer therapy; brainstem glioma; facilitates chromatin transcription complex; pediatric cancer; xenograft model.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylation
  • Animals
  • Antineoplastic Agents / pharmacology*
  • Brain Stem Neoplasms / drug therapy*
  • Brain Stem Neoplasms / genetics
  • Brain Stem Neoplasms / mortality
  • Brain Stem Neoplasms / pathology
  • Carbazoles / pharmacology
  • Cell Cycle Proteins / genetics
  • Cell Cycle Proteins / metabolism
  • Cell Line, Tumor
  • Child
  • Chromatin / chemistry
  • Chromatin / metabolism
  • DNA-Binding Proteins / genetics*
  • DNA-Binding Proteins / metabolism
  • Diffuse Intrinsic Pontine Glioma / drug therapy*
  • Diffuse Intrinsic Pontine Glioma / genetics
  • Diffuse Intrinsic Pontine Glioma / mortality
  • Diffuse Intrinsic Pontine Glioma / pathology
  • Drug Synergism
  • E2F1 Transcription Factor / genetics
  • E2F1 Transcription Factor / metabolism
  • Epigenesis, Genetic*
  • Epigenome
  • High Mobility Group Proteins / genetics*
  • High Mobility Group Proteins / metabolism
  • Histones / antagonists & inhibitors
  • Histones / genetics*
  • Histones / metabolism
  • Humans
  • Methylation
  • Mice
  • Neuroglia / drug effects*
  • Neuroglia / metabolism
  • Neuroglia / pathology
  • Panobinostat / pharmacology
  • Primary Cell Culture
  • Retinoblastoma Protein / genetics
  • Retinoblastoma Protein / metabolism
  • Signal Transduction
  • Survival Analysis
  • Transcription Factors / genetics
  • Transcription Factors / metabolism
  • Transcriptional Elongation Factors / genetics*
  • Transcriptional Elongation Factors / metabolism
  • Tumor Suppressor Protein p53 / genetics
  • Tumor Suppressor Protein p53 / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • Antineoplastic Agents
  • CBLC137
  • Carbazoles
  • Cell Cycle Proteins
  • Chromatin
  • DNA-Binding Proteins
  • E2F1 Transcription Factor
  • E2F1 protein, human
  • High Mobility Group Proteins
  • Histones
  • Retinoblastoma Protein
  • SSRP1 protein, human
  • SUPT16H protein, human
  • TP53 protein, human
  • Transcription Factors
  • Transcriptional Elongation Factors
  • Tumor Suppressor Protein p53
  • Panobinostat