Suppressing recurrence in Sonic Hedgehog subgroup medulloblastoma using the OLIG2 inhibitor CT-179

Abstract OLIG2-expressing tumor stem cells have been shown to drive recurrence in Sonic Hedgehog (SHH)-subgroup medulloblastoma (MB) and patients urgently need specific therapies to target this tumor cell population. Here, we investigate the therapeutic potential of the brain-penetrant orally bioava...

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Main Authors: Yuchen Li, Chaemin Lim, Taylor Dismuke, Daniel S. Malawsky, Sho Oasa, Zara C. Bruce, Carolin Offenhäuser, Ulrich Baumgartner, Rochelle C. J. D’Souza, Stacey L. Edwards, Juliet D. French, Lucy S. H. Ock, Sneha Nair, Haran Sivakumaran, Lachlan Harris, Andrey P. Tikunov, Duhyeong Hwang, Coral Del Mar Alicea Pauneto, Mellissa Maybury, Timothy Hassall, Brandon Wainwright, Santosh Kesari, Gregory Stein, Michael Piper, Terrance G. Johns, Marina Sokolsky-Papkov, Lars Terenius, Vladana Vukojević, Leon F. McSwain, Timothy R. Gershon, Bryan W. Day
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-54861-3
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author Yuchen Li
Chaemin Lim
Taylor Dismuke
Daniel S. Malawsky
Sho Oasa
Zara C. Bruce
Carolin Offenhäuser
Ulrich Baumgartner
Rochelle C. J. D’Souza
Stacey L. Edwards
Juliet D. French
Lucy S. H. Ock
Sneha Nair
Haran Sivakumaran
Lachlan Harris
Andrey P. Tikunov
Duhyeong Hwang
Coral Del Mar Alicea Pauneto
Mellissa Maybury
Timothy Hassall
Brandon Wainwright
Santosh Kesari
Gregory Stein
Michael Piper
Terrance G. Johns
Marina Sokolsky-Papkov
Lars Terenius
Vladana Vukojević
Leon F. McSwain
Timothy R. Gershon
Bryan W. Day
author_facet Yuchen Li
Chaemin Lim
Taylor Dismuke
Daniel S. Malawsky
Sho Oasa
Zara C. Bruce
Carolin Offenhäuser
Ulrich Baumgartner
Rochelle C. J. D’Souza
Stacey L. Edwards
Juliet D. French
Lucy S. H. Ock
Sneha Nair
Haran Sivakumaran
Lachlan Harris
Andrey P. Tikunov
Duhyeong Hwang
Coral Del Mar Alicea Pauneto
Mellissa Maybury
Timothy Hassall
Brandon Wainwright
Santosh Kesari
Gregory Stein
Michael Piper
Terrance G. Johns
Marina Sokolsky-Papkov
Lars Terenius
Vladana Vukojević
Leon F. McSwain
Timothy R. Gershon
Bryan W. Day
author_sort Yuchen Li
collection DOAJ
description Abstract OLIG2-expressing tumor stem cells have been shown to drive recurrence in Sonic Hedgehog (SHH)-subgroup medulloblastoma (MB) and patients urgently need specific therapies to target this tumor cell population. Here, we investigate the therapeutic potential of the brain-penetrant orally bioavailable, OLIG2 inhibitor CT-179, using SHH-MB explant organoids, PDX and GEM SHH-MB models. We find that CT-179 disrupts OLIG2 dimerization, phosphorylation and DNA binding and alters tumor cell-cycle kinetics, increasing differentiation and apoptosis. CT-179 prolongs survival in SHH-MB PDX and GEM models and potentiates radiotherapy (RT) in vivo. Single cell transcriptomic studies (scRNA-seq) confirm that CT-179 increases differentiation and implicate Cdk4 up-regulation in maintaining proliferation during treatment. Consistent with CDK4 mediating CT-179 resistance, CT-179 combines effectively with the CDK4/6 inhibitor palbociclib, further prolonging survival in vivo. These data support therapeutic targeting of OLIG2+ tumor stem cells in regimens for SHH-driven MB, to improve response, delay recurrence and ultimately improve MB patient outcomes.
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spelling doaj-art-61daa0c730804b8182b59c81b561bf162025-02-09T12:45:13ZengNature PortfolioNature Communications2041-17232025-02-0116112310.1038/s41467-024-54861-3Suppressing recurrence in Sonic Hedgehog subgroup medulloblastoma using the OLIG2 inhibitor CT-179Yuchen Li0Chaemin Lim1Taylor Dismuke2Daniel S. Malawsky3Sho Oasa4Zara C. Bruce5Carolin Offenhäuser6Ulrich Baumgartner7Rochelle C. J. D’Souza8Stacey L. Edwards9Juliet D. French10Lucy S. H. Ock11Sneha Nair12Haran Sivakumaran13Lachlan Harris14Andrey P. Tikunov15Duhyeong Hwang16Coral Del Mar Alicea Pauneto17Mellissa Maybury18Timothy Hassall19Brandon Wainwright20Santosh Kesari21Gregory Stein22Michael Piper23Terrance G. Johns24Marina Sokolsky-Papkov25Lars Terenius26Vladana Vukojević27Leon F. McSwain28Timothy R. Gershon29Bryan W. Day30QIMR Berghofer Medical Research InstituteCenter for Nanotechnology in Drug Delivery and Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel HillDepartment of Neurology, University of North Carolina School of MedicineDepartment of Neurology, University of North Carolina School of MedicineDepartment of Clinical Neuroscience, Center for Molecular Medicine (CMM), Karolinska InstitutetQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteDepartment of Neurology, University of North Carolina School of MedicineCenter for Nanotechnology in Drug Delivery and Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel HillDepartment of Neurology, University of North Carolina School of MedicineChild Health Research Centre, The University of QueenslandThe Faculty of Medicine, The University of QueenslandThe Faculty of Medicine, The University of QueenslandCurtana Pharmaceuticals, IncTelethon Kids InstituteThe Faculty of Medicine, The University of QueenslandTelethon Kids InstituteCenter for Nanotechnology in Drug Delivery and Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel HillDepartment of Clinical Neuroscience, Center for Molecular Medicine (CMM), Karolinska InstitutetDepartment of Clinical Neuroscience, Center for Molecular Medicine (CMM), Karolinska InstitutetDepartment of Pediatrics, Emory UniversityDepartment of Pediatrics, Emory UniversityQIMR Berghofer Medical Research InstituteAbstract OLIG2-expressing tumor stem cells have been shown to drive recurrence in Sonic Hedgehog (SHH)-subgroup medulloblastoma (MB) and patients urgently need specific therapies to target this tumor cell population. Here, we investigate the therapeutic potential of the brain-penetrant orally bioavailable, OLIG2 inhibitor CT-179, using SHH-MB explant organoids, PDX and GEM SHH-MB models. We find that CT-179 disrupts OLIG2 dimerization, phosphorylation and DNA binding and alters tumor cell-cycle kinetics, increasing differentiation and apoptosis. CT-179 prolongs survival in SHH-MB PDX and GEM models and potentiates radiotherapy (RT) in vivo. Single cell transcriptomic studies (scRNA-seq) confirm that CT-179 increases differentiation and implicate Cdk4 up-regulation in maintaining proliferation during treatment. Consistent with CDK4 mediating CT-179 resistance, CT-179 combines effectively with the CDK4/6 inhibitor palbociclib, further prolonging survival in vivo. These data support therapeutic targeting of OLIG2+ tumor stem cells in regimens for SHH-driven MB, to improve response, delay recurrence and ultimately improve MB patient outcomes.https://doi.org/10.1038/s41467-024-54861-3
spellingShingle Yuchen Li
Chaemin Lim
Taylor Dismuke
Daniel S. Malawsky
Sho Oasa
Zara C. Bruce
Carolin Offenhäuser
Ulrich Baumgartner
Rochelle C. J. D’Souza
Stacey L. Edwards
Juliet D. French
Lucy S. H. Ock
Sneha Nair
Haran Sivakumaran
Lachlan Harris
Andrey P. Tikunov
Duhyeong Hwang
Coral Del Mar Alicea Pauneto
Mellissa Maybury
Timothy Hassall
Brandon Wainwright
Santosh Kesari
Gregory Stein
Michael Piper
Terrance G. Johns
Marina Sokolsky-Papkov
Lars Terenius
Vladana Vukojević
Leon F. McSwain
Timothy R. Gershon
Bryan W. Day
Suppressing recurrence in Sonic Hedgehog subgroup medulloblastoma using the OLIG2 inhibitor CT-179
Nature Communications
title Suppressing recurrence in Sonic Hedgehog subgroup medulloblastoma using the OLIG2 inhibitor CT-179
title_full Suppressing recurrence in Sonic Hedgehog subgroup medulloblastoma using the OLIG2 inhibitor CT-179
title_fullStr Suppressing recurrence in Sonic Hedgehog subgroup medulloblastoma using the OLIG2 inhibitor CT-179
title_full_unstemmed Suppressing recurrence in Sonic Hedgehog subgroup medulloblastoma using the OLIG2 inhibitor CT-179
title_short Suppressing recurrence in Sonic Hedgehog subgroup medulloblastoma using the OLIG2 inhibitor CT-179
title_sort suppressing recurrence in sonic hedgehog subgroup medulloblastoma using the olig2 inhibitor ct 179
url https://doi.org/10.1038/s41467-024-54861-3
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