Glycogen synthase kinase 3 inhibitors induce the canonical WNT/β-catenin pathway to suppress growth and self-renewal in embryonal rhabdomyosarcoma.
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| Abstract | Embryonal rhabdomyosarcoma (ERMS) is a common pediatric malignancy of muscle, with relapse being the major clinical challenge. Self-renewing tumor-propagating cells (TPCs) drive cancer relapse and are confined to a molecularly definable subset of ERMS cells. To identify drugs that suppress ERMS self-renewal and induce differentiation of TPCs, a large-scale chemical screen was completed. Glycogen synthase kinase 3 (GSK3) inhibitors were identified as potent suppressors of ERMS growth through inhibiting proliferation and inducing terminal differentiation of TPCs into myosin-expressing cells. In support of GSK3 inhibitors functioning through activation of the canonical WNT/β-catenin pathway, recombinant WNT3A and stabilized β-catenin also enhanced terminal differentiation of human ERMS cells. Treatment of ERMS-bearing zebrafish with GSK3 inhibitors activated the WNT/β-catenin pathway, resulting in suppressed ERMS growth, depleted TPCs, and diminished self-renewal capacity in vivo. Activation of the canonical WNT/β-catenin pathway also significantly reduced self-renewal of human ERMS, indicating a conserved function for this pathway in modulating ERMS self-renewal. In total, we have identified an unconventional tumor suppressive role for the canonical WNT/β-catenin pathway in regulating self-renewal of ERMS and revealed therapeutic strategies to target differentiation of TPCs in ERMS. |
| Year of Publication | 2014
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| Journal | Proc Natl Acad Sci U S A
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| Volume | 111
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| Issue | 14
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| Pages | 5349-54
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| Date Published | 2014 Apr 08
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| ISSN | 1091-6490
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| DOI | 10.1073/pnas.1317731111
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| PubMed ID | 24706870
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| PubMed Central ID | PMC3986146
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| Grant list | R21CA156056 / CA / NCI NIH HHS / United States
K08AR063165 / AR / NIAMS NIH HHS / United States
R01CA154923 / CA / NCI NIH HHS / United States
R01 CA154923 / CA / NCI NIH HHS / United States
K99CA175184 / CA / NCI NIH HHS / United States
R21 CA156056 / CA / NCI NIH HHS / United States
K99 CA175184 / CA / NCI NIH HHS / United States
U54 CA168512 / CA / NCI NIH HHS / United States
K08 AR063165 / AR / NIAMS NIH HHS / United States
U54CA168512 / CA / NCI NIH HHS / United States
R01CA143082 / CA / NCI NIH HHS / United States
R01 CA143082 / CA / NCI NIH HHS / United States
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