Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • Conversations with Giants in Medicine
    • Video Abstracts
  • Reviews
    • View all reviews ...
    • Pancreatic Cancer (Jul 2025)
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • Sex Differences in Medicine (Sep 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • Conversations with Giants in Medicine
  • Video Abstracts
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
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.
View: Text | PDF
Research Article Oncology Article has an altmetric score of 142

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

  • Text
  • PDF
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

×

Figure 7

The triptolide prodrug, Minnelide, attenuates G3 MB growth.

Options: View larger image (or click on image) Download as PowerPoint
The triptolide prodrug, Minnelide, attenuates G3 MB growth.
(A) Schemati...
(A) Schematic showing Minnelide hydrolyzation into active triptolide. (B) Mice were implanted with HD:MB03 cells 15 days before being treated with either vehicle or Minnelide (0.4 mg/kg, i.p., daily) for 4 days (n = 4). (C) HD:MB03 cells were allowed to form orthotopic tumors for 3 days before similarly dosing mice for 7 days. Tumor size was quantified by IVIS imaging (vehicle n = 9, Minnelide n = 10). (D) HD:MB03 cells were allowed to form orthotopic tumors for 15 days before similarly dosing mice for 4 days. MYC expression in harvested brains was determined by RT-qPCR (vehicle n = 4, Minnelide n = 5). (E) Immunostaining for indicated proteins in brain tumors from similar mice (n = 3). (F) Measurement of metastatic lesions located outside of the posterior fossa of similar mice (vehicle n = 4, Minnelide n = 5). (G) Tumors located in the spinal cord of mice similarly dosed for 21 days were measured (n = 5). (H) mG3-2929 cells were implanted 3 days before similar dosing, and symptom-free survival was determined using log-rank (Mantel-Cox) tests (vehicle n = 9, Minnelide n = 10). (I) Symptom-free survival was determined using log-rank (Mantel-Cox) tests in similarly dosed mice but harboring HD:MB03 tumors (vehicle n = 8, Minnelide n = 15). (J) Mice were similarly treated for 21 days before examining cerebellar tissues (n = 5). (K) Displayed are body weights of 2-week-old wild-type mice similarly dosed for 10 days (vehicle n = 5, Minnelide n = 6). All tumor area measurements were performed in ×2.5-magnified H&E-stained slides. All images are representative. Arrows indicate tumor presence. All tissues were harvested 6 hours after the last injection. Results are presented as mean ± SEM of data normalized to 1 vehicle-treated animal. Scale bars: 400 μm (B, F, G, and J) and 50 μm (E). Statistical significance was assessed using 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)

Sign up for email alerts

Picked up by 18 news outlets
Blogged by 2
Posted by 4 X users
8 readers on Mendeley
See more details