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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.
BMI1 and CHD7 are chromatin remodelling genes with a role in medulloblastoma pathogenesis. Here, the authors demonstrate that the BMI1High/CHD7Low signature mediates metabolic adaptation in G4 MB and predicts response to inositol treatment either alone or in combination with chemotherapy.
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1 Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK (GRID:grid.4868.2) (ISNI:0000 0001 2171 1133)
2 Centre for Craniofacial and Regenerative Biology, King’s College London, London, UK (GRID:grid.13097.3c) (ISNI:0000 0001 2322 6764)
3 Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK (GRID:grid.4868.2) (ISNI:0000 0001 2171 1133); University of Bath, Centre for Therapeutic Innovation (CTI-Bath), Department of Pharmacy & Pharmacology, Bath, UK (GRID:grid.7340.0) (ISNI:0000 0001 2162 1699)
4 UCL Queen Square Institute of Neurology and The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK (GRID:grid.52996.31) (ISNI:0000 0000 8937 2257)
5 The University of Edinburgh, Centre for Regenerative Medicine & Cancer Research UK Edinburgh Centre, Edinburgh, UK (GRID:grid.4305.2) (ISNI:0000 0004 1936 7988)
6 Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK (GRID:grid.6572.6) (ISNI:0000 0004 1936 7486); Birmingham Women and Children’s Hospital, Birmingham, UK (GRID:grid.415246.0) (ISNI:0000 0004 0399 7272)
7 Newcastle University Centre for Cancer, Wolfson Childhood Cancer Research Centre, Translational and Clinical Research Institute, Newcastle upon Tyne, UK (GRID:grid.1006.7) (ISNI:0000 0001 0462 7212)
8 Centre for Craniofacial and Regenerative Biology, King’s College London, London, UK (GRID:grid.13097.3c) (ISNI:0000 0001 2322 6764); MRC Centre for Neurodevelopmental Disorders, King’s College London, London, UK (GRID:grid.13097.3c) (ISNI:0000 0001 2322 6764)