Inositol treatment inhibits medulloblastoma through suppression of epigenetic-driven metabolic adaptation

Nat Commun. 2021 Apr 12;12(1):2148. doi: 10.1038/s41467-021-22379-7.

Abstract

Deregulation of chromatin modifiers plays an essential role in the pathogenesis of medulloblastoma, the most common paediatric malignant brain tumour. Here, we identify a BMI1-dependent sensitivity to deregulation of inositol metabolism in a proportion of medulloblastoma. We demonstrate mTOR pathway activation and metabolic adaptation specifically in medulloblastoma of the molecular subgroup G4 characterised by a BMI1High;CHD7Low signature and show this can be counteracted by IP6 treatment. Finally, we demonstrate that IP6 synergises with cisplatin to enhance its cytotoxicity in vitro and extends survival in a pre-clinical BMI1High;CHD7Low xenograft model.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Physiological* / drug effects
  • Animals
  • Cell Count
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Cell Survival / drug effects
  • Cerebellar Neoplasms / genetics*
  • Cisplatin / pharmacology
  • DNA-Binding Proteins / metabolism
  • Drug Synergism
  • Epigenesis, Genetic* / drug effects
  • Humans
  • Inositol / pharmacology*
  • Medulloblastoma / genetics*
  • Mice
  • Neural Stem Cells / metabolism
  • Oxygen Consumption / drug effects
  • Phosphatidylinositols / metabolism
  • Polycomb Repressive Complex 1 / metabolism
  • Promoter Regions, Genetic / genetics
  • Proto-Oncogene Proteins / metabolism
  • Signal Transduction
  • T-Box Domain Proteins
  • TOR Serine-Threonine Kinases / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • Bmi1 protein, mouse
  • Chd7 protein, mouse
  • DNA-Binding Proteins
  • Eomes protein, mouse
  • Phosphatidylinositols
  • Proto-Oncogene Proteins
  • T-Box Domain Proteins
  • Inositol
  • Polycomb Repressive Complex 1
  • TOR Serine-Threonine Kinases
  • Cisplatin