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Therapeutic targeting of the MYC signal by inhibition of histone chaperone FACT in neuroblastoma

  • Daniel R. Carter
  • , Jayne Murray
  • , Belamy B. Cheung
  • , Laura Gamble
  • , Jessica Koach
  • , Joanna Tsang
  • , Selina Sutton
  • , Heyam Kalla
  • , Sarah Syed
  • , Andrew J. Gifford
  • , Natalia Issaeva
  • , Asel Biktasova
  • , Bernard Atmadibrata
  • , Yuting Sun
  • , Nicolas Sokolowski
  • , Dora Ling
  • , Patrick Y. Kim
  • , Hannah Webber
  • , Ashleigh Clark
  • , Michelle Ruhle
  • Bing Liu, André Oberthuer, Matthias Fischer, Jennifer Byrne, Federica Saletta, Le Myo Thwe, Andrei Purmal, Gary Haderski, Catherine Burkhart, Frank Speleman, Katleen De Preter, Anneleen Beckers, David S. Ziegler, Tao Liu, Katerina V. Gurova, Andrei V. Gudkov, Murray D. Norris, Michelle Haber, Glenn M. Marshall
  • University of New South Wales
  • Prince of Wales Hospital
  • Yale University
  • University of Cologne
  • Max Planck Institute for Metabolism Research
  • The Children's Hospital at Westmead
  • The University of Sydney
  • LLC
  • Ghent University
  • Sydney Children's Hospital
  • Roswell Park Cancer Institute

Research output: Contribution to journalArticlepeer-review

121 Scopus citations

Abstract

Amplification of the MYCN oncogene predicts treatment resistance in childhood neuroblastoma. We used a MYC target gene signature that predicts poor neuroblastoma prognosis to identify the histone chaperone FACT (facilitates chromatin transcription) as a crucial mediator of the MYC signal and a therapeutic target in the disease. FACT and MYCN expression created a forward feedback loop in neuroblastoma cells that was essential for maintaining mutual high expression. FACT inhibition by the small-molecule curaxin compound CBL0137 markedly reduced tumor initiation and progression in vivo. CBL0137 exhibited strong synergy with standard chemotherapy by blocking repair of DNA damage caused by genotoxic drugs, thus creating a synthetic lethal environment in MYCN-amplified neuroblastoma cells and suggesting a treatment strategy for MYCN-driven neuroblastoma.

Original languageEnglish
Article number312ra176
JournalScience Translational Medicine
Volume7
Issue number312
DOIs
StatePublished - Nov 4 2015

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