Caution Called for in Development of Drugs for Most Common Malignant Paediatric Brain Tumour

Researchers led by St. Jude Children’s Research Hospital scientists have worked out how a crucial cancer-related protein, a “histone writer” called Ezh2, plays a role in suppressing as well as driving the most aggressive form of the brain tumour medulloblastoma.

Ezh2 is a histone writer, an enzyme that can tag or label other proteins in a way that turns off genes. The new findings, which appear online in Cell Reports, show that unlike in some earlier studies where the protein helped to advance disease, Ezh2 can also suppress cancer. This dichotomy has implications for the potential use of drugs intended to inhibit this enzyme, some of which are being tested in clinical trials.

The enzyme looked at in this study is the histone H3K27 mono-, di- and trimethylase of polycomb repressive complex 2, or Ezh2 for short. This histone writer adds methyl groups to specific histone proteins leading to epigenetic modifications that affect gene expression. The team used CRISPR gene editing to knock out the activity of the protein in a mouse model. Loss of function of this protein due to gene editing resulted in acceleration of the development of medulloblastoma tumours.

Medulloblastoma, which starts in the cerebellum of the brain at the base of the skull, is the most common malignant brain tumour of childhood, accounting for about 20% of all childhood brain tumours. Grade 3 medulloblastoma is one of the most aggressive forms of the tumour and accounts for almost 33% of cases. The researchers used a mouse model that allowed them to study similar tumours in an experimental system.

We expected Ezh2 to be an oncogene in this aggressive tumour, but our gene-editing work revealed it to be a tumour suppressor,” said corresponding author Martine Roussel, Ph.D., a member of the Department of Tumour Cell Biology at St. Jude Children’s Research Hospital. “Clearly this poses questions about the use of inhibitors to target this protein in a way that stops the progress of this aggressive form of medulloblastoma.”

The new work revealed that several proteins are involved in the development of medulloblastoma tumors–the well-known oncogene Myc, the histone writer Ezh2 and another protein known as Gfi1.

It appears that a conspiracy among three proteins is required to drive this most aggressive form of medulloblastoma, but the precise details of interaction still need to be worked out,” said co-author Charles J. Sherr, M.D., Ph.D., chair of the St. Jude Department of Tumor Cell Biology and a Howard Hughes Medical Institute (HHMI) investigator.

By inactivating Ezh2 in Group 3 medulloblastoma, the researchers were able to implicate Gfi1. Cancer was enhanced when Ezh2 declined and Gfi1 increased.

Earlier work revealed that two genes, Gfi1 and Gfi1b, cooperate with Myc to promote the development of Group 3 medulloblastoma,” said Paul Northcott, Ph.D., a study author and assistant member of the St. Jude Department of Developmental Neurobiology.

The new study further substantiates the tumorigenic role of Gfi1 in medulloblastoma, and reveals that this oncogene is normally repressed by Ezh2. The loss of this regulation by Ezh2 ‘releases the brakes’ on Gfi1 and leads to uncontrolled cell growth.

The findings in the current study help refine our knowledge of some of the important molecular mechanisms involved in Group 3 medulloblastoma and will be useful for probing therapeutic potential.”

Other studies have revealed that Ezh2 is linked to a wide range of aggressive and advanced forms of cancer. Proteins that act as molecular switches for cancer are emerging as attractive targets for new drugs. Ezh2, which acts as an epigenetic switch, is no exception. Scientists have succeeded in developing potent inhibitors of this protein that put the brakes on cancer in early preclinical and phase I/II studies. The new findings suggest that inhibiting Ezh2 could be counterproductive for cancer treatment in certain situations.

Scientists have known that Ezh2 behaves in different ways depending on the specific type of cancer. The new system will be able to tease out the details of how the different proteins drive medulloblastoma development.

The model system we have developed will be extremely useful to reveal the mechanisms that cause this cancer to progress and to study the different options for potential therapeutic interventions before proceeding to more advanced preclinical studies,” Roussel said.

The other authors are BaoHan Vo, Chunliang Li, Ilan Theurillat, David Finkelstein, Shaela Wright, Judith Hyle, Stephanie Smith, Yiping Fan, Yong-Dong Wang, Gang Wu, and Brent Orr, all of St. Jude; and Marc Morgan and Ali Shilatifard, both of Northwestern University.

The research was funded in part by grants (CA096832, CA21765) from the National Institutes of Health, HHMI and ALSAC, the fundraising arm of St. Jude.


Article: Inactivation of Ezh2 Upregulates Gfi1 and Drives Aggressive Myc-Driven Group 3 Medulloblastoma, Martine F. Roussel et al., Cell Reports, doi: 10.1016/j.celrep.2017.02.073, published 21 March 2017.



About LFCT

This is a blog about CHILDHOOD CANCER and CHILDHOOD CANCER AWARENESS Little Fighters Cancer Trust is a non-profit organisation that offers support and aid to Children with Cancer and their families. When a child is diagnosed with cancer it affects the whole family. One of the parents, usually the mother, must give up their job to care for the child and this creates financial problems for the family. In South Africa especially the majority of these families are not well-to-do; many of them are rural. A diagnosis of cancer can wipe out any family’s finances, let alone a poor family. The costs of special medications, special diets, hospital stays, transport to and from the hospital or clinic and accommodation and food costs for the mother who spends most of the time at her child’s bedside are astronomical. These are the people and problems that fall through the cracks, and these are the people that Little Fighters Cancer Trust has pledged to help in any way possible. LFCT takes a holistic approach to assisting the Children with Cancer and their Families, with the main aim to be the preservation of individual dignity and pride. Little Fighters Cancer Trust also focuses on promotion and advocacy of National Childhood Cancer Awareness in an effort to increase awareness of Early Warning Signs of Childhood Cancer. This would result in earlier diagnosis, giving the Child with Cancer more of a chance at Treatment and Survival. See "About" for more Background info

Posted on 4 April, 2017, in Blog, Research and tagged , , , , , , , , , . Bookmark the permalink. Leave a comment.

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