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Triptolide and its prodrug Minnelide target high-risk MYC-amplified medulloblastoma in preclinical models
Jezabel Rodriguez-Blanco, … , Nagi G. Ayad, David J. Robbins
Jezabel Rodriguez-Blanco, … , Nagi G. Ayad, David J. Robbins
Published June 17, 2024
Citation Information: J Clin Invest. 2024;134(15):e171136. https://doi.org/10.1172/JCI171136.
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Research Article Oncology Article has an altmetric score of 142

Triptolide and its prodrug Minnelide target high-risk MYC-amplified medulloblastoma in preclinical models

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Abstract

Most children with medulloblastoma (MB) achieve remission, but some face very aggressive metastatic tumors. Their dismal outcome highlights the critical need to advance therapeutic approaches that benefit such high-risk patients. Minnelide, a clinically relevant analog of the natural product triptolide, has oncostatic activity in both preclinical and early clinical settings. Despite its efficacy and tolerable toxicity, this compound has not been evaluated in MB. Utilizing a bioinformatic data set that integrates cellular drug response data with gene expression, we predicted that Group 3 (G3) MB, which has a poor 5-year survival, would be sensitive to triptolide/Minnelide. We subsequently showed that both triptolide and Minnelide attenuate the viability of G3 MB cells ex vivo. Transcriptomic analyses identified MYC signaling, a pathologically relevant driver of G3 MB, as a downstream target of this class of drugs. We validated this MYC dependency in G3 MB cells and showed that triptolide exerts its efficacy by reducing both MYC transcription and MYC protein stability. Importantly, Minnelide acted on MYC to reduce tumor growth and leptomeningeal spread, which resulted in improved survival of G3 MB animal models. Moreover, Minnelide improved the efficacy of adjuvant chemotherapy, further highlighting its potential for the treatment of MYC-driven G3 MB.

Authors

Jezabel Rodriguez-Blanco, April D. Salvador, Robert K. Suter, Marzena Swiderska-Syn, Isabel Palomo-Caturla, Valentin Kliebe, Pritika Shahani, Kendell Peterson, Maria Turos-Cabal, Megan E. Vieira, Daniel T. Wynn, Ashley J. Howell, Fan Yang, Yuguang Ban, Heather J. McCrea, Frederique Zindy, Etienne Danis, Rajeev Vibhakar, Anna Jermakowicz, Vanesa Martin, Christopher C. Coss, Brent T. Harris, Aguirre de Cubas, X. Steven Chen, Thibaut Barnoud, Martine F. Roussel, Nagi G. Ayad, David J. Robbins

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Figure 6

Triptolide attenuates G3 MB metastatic dissemination.

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Triptolide attenuates G3 MB metastatic dissemination.
(A) MYC levels wer...
(A) MYC levels were determined in D425 (primary) and D458 (metastatic) tumor cells treated with triptolide for 16 hours. Representative immunoblots are shown. (B) Similar cells were exposed to triptolide for 48 hours and cell viability was determined by MTT reduction. Nonlinear regression analyses on the mean ± SEM of data normalized to DMSO were performed (n = 3). (C) Wound healing assays were performed in HD:MB03 cultures treated with 10 nM triptolide. A wound healing ratio was calculated relative to initial measurement. Mean ± SEM of the wound ratio per day (n = 3) and representative images (scale bars: 400 μm) are shown. (D) mG3-2929 sphere cultures exposed to 10 nM triptolide were plated on poly-D-lysine–coated wells for 24 hours. The ratio of viable attached cells, as determined by MTT reduction, to total viable cells was calculated. Mean ± SEM of data normalized to DMSO was plotted (n = 3). Representative images (scale bars: 50 μm) are shown. (E) mG3-2929 cells were implanted into mice 15 days before starting vehicle or triptolide (0.4 mg/kg, i.p., daily) dosing for 5 days. Metastatic lesions outside of the posterior fossa were quantified in ×2.5-magnified H&E-stained brains (vehicle n = 4, triptolide n = 5). Detail of metastatic lesions in representative images is shown. Arrows indicate tumor presence. (F) Mice harboring mG3-2929 tumors were similarly treated with vehicle or triptolide for 5 days, before quantifying numbers of positive cells in metastatic regions by IHC analyses (MYC n = 4, Ki67/C-Casp3 n = 3). Representative images (scale bars: 50 μm) are shown. In all cases, brains were harvested 6 hours after the last injection. Unless otherwise indicated, all results are presented as mean ± SEM of data normalized to 1 vehicle-treated animal. Statistical significance was assessed using an unpaired, 1-tailed Student’s t test. *P < 0.05; **P < 0.01; ***P < 0.001.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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