RRM2 enhances MYCN-driven neuroblastoma formation and acts as a synergistic target with CHK1 inhibition

Author:

Nunes Carolina12ORCID,Depestel Lisa12ORCID,Mus Liselot12ORCID,Keller Kaylee M.3,Delhaye Louis124ORCID,Louwagie Amber12ORCID,Rishfi Muhammad12ORCID,Whale Alex5ORCID,Kara Neesha5ORCID,Andrews Simon R.5ORCID,Dela Cruz Filemon6ORCID,You Daoqi6,Siddiquee Armaan6,Cologna Camila Takeno78ORCID,De Craemer Sam78ORCID,Dolman Emmy3ORCID,Bartenhagen Christoph910,De Vloed Fanny12ORCID,Sanders Ellen12,Eggermont Aline12,Bekaert Sarah-Lee1,Van Loocke Wouter12ORCID,Bek Jan Willem12ORCID,Dewyn Givani12,Loontiens Siebe12ORCID,Van Isterdael Gert11ORCID,Decaesteker Bieke12ORCID,Tilleman Laurentijn12ORCID,Van Nieuwerburgh Filip12ORCID,Vermeirssen Vanessa1213ORCID,Van Neste Christophe12ORCID,Ghesquiere Bart78ORCID,Goossens Steven1214,Eyckerman Sven124ORCID,De Preter Katleen12ORCID,Fischer Matthias910ORCID,Houseley Jon5ORCID,Molenaar Jan3ORCID,De Wilde Bram12ORCID,Roberts Stephen S.6ORCID,Durinck Kaat12ORCID,Speleman Frank12

Affiliation:

1. Department of Biomolecular Medicine, Ghent University, Ghent, Belgium.

2. Cancer Research Institute Ghent (CRIG), Ghent, Belgium.

3. Princess Maxima Center, Utrecht, Netherlands.

4. VIB-UGent Center for Medical Biotechnology, Ghent University, Ghent, Belgium.

5. Epigenetics Programme, Babraham Institute, Cambridge, UK.

6. Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

7. Metabolomics Expertise Center, Center for Cancer Biology (CCB), VIB, Leuven, Belgium.

8. Metabolomics Expertise Center, Department of Oncology, KU Leuven, Leuven, Belgium.

9. Center for Molecular Medicine Cologne, Cologne (CMMC), Medical Faculty, University of Cologne, Cologne, Germany.

10. Department of Experimental Pediatric Oncology, University Children’s Hospital of Cologne, Cologne, Germany.

11. VIB Flow Core Facility, Ghent University, Ghent, Belgium.

12. NXTGNT, Faculty of Pharmaceutical Sciences, Ghent University, Ghent, Belgium.

13. Department of Biomedical Molecular Biology, Ghent University, Ghent, Belgium.

14. Department of Diagnostic Sciences, Ghent University, Ghent, Belgium.

Abstract

High-risk neuroblastoma, a pediatric tumor originating from the sympathetic nervous system, has a low mutation load but highly recurrent somatic DNA copy number variants. Previously, segmental gains and/or amplifications allowed identification of drivers for neuroblastoma development. Using this approach, combined with gene dosage impact on expression and survival, we identified ribonucleotide reductase subunit M2 (RRM2) as a candidate dependency factor further supported by growth inhibition upon in vitro knockdown and accelerated tumor formation in a neuroblastoma zebrafish model coexpressing human RRM2 with MYCN. Forced RRM2 induction alleviates excessive replicative stress induced by CHK1 inhibition, while high RRM2 expression in human neuroblastomas correlates with high CHK1 activity. MYCN-driven zebrafish tumors with RRM2 co-overexpression exhibit differentially expressed DNA repair genes in keeping with enhanced ATR-CHK1 signaling activity. In vitro, RRM2 inhibition enhances intrinsic replication stress checkpoint addiction. Last, combinatorial RRM2-CHK1 inhibition acts synergistic in high-risk neuroblastoma cell lines and patient-derived xenograft models, illustrating the therapeutic potential.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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