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Dormant SOX9-Positive Cells Facilitate MYC-Driven Recurrence of Medulloblastoma

Borgenvik, Anna, 1987- (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Neuroonkologi och neurodegeneration
Holmberg, Karl O. (author)
Uppsala universitet,Institutionen för immunologi, genetik och patologi,Science for Life Laboratory, SciLifeLab
Bolin, Sara, 1988- (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Institutionen för immunologi, genetik och patologi
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Zhao, Miao (author)
Uppsala universitet,Neuroonkologi och neurodegeneration,Science for Life Laboratory, SciLifeLab
Savov, Vasil (author)
Uppsala universitet,Institutionen för immunologi, genetik och patologi,Science for Life Laboratory, SciLifeLab
Rosén, Gabriela (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Neuroonkologi och neurodegeneration
Hutter, Sonja (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Neuroonkologi och neurodegeneration
Garancher, Alexandra (author)
Sanford Burnham Prebys Med Discovery Inst, Tumor Initiat & Maintenance Program, San Diego, CA USA.
Rahmanto, Aldwin Suryo (author)
Karolinska Inst, Dept Cell & Mol Biol, Stockholm, Sweden.
Bergström, Tobias, 1980- (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Neuroonkologi och neurodegeneration
Olsen, Thale Kristin (author)
Uppsala universitet,Neuroonkologi och neurodegeneration,Science for Life Laboratory, SciLifeLab
Mainwaring, Oliver (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Neuroonkologi och neurodegeneration
Sattanino, Damiana (author)
Uppsala universitet,Institutionen för immunologi, genetik och patologi,Science for Life Laboratory, SciLifeLab
Verbaan, Annemieke D. (author)
Uppsala universitet,Institutionen för immunologi, genetik och patologi,Science for Life Laboratory, SciLifeLab
Rusert, Jessica M. (author)
Sanford Burnham Prebys Med Discovery Inst, Tumor Initiat & Maintenance Program, San Diego, CA USA.
Sundström, Anders (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Neuroonkologi och neurodegeneration
Ballester Bravo, Mar (author)
Uppsala universitet,Neuroonkologi och neurodegeneration,Science for Life Laboratory, SciLifeLab
Dang, Yonglong (author)
Uppsala universitet,Institutionen för immunologi, genetik och patologi,Science for Life Laboratory, SciLifeLab
Wenz, Amelie S. (author)
Uppsala universitet,Institutionen för immunologi, genetik och patologi,Science for Life Laboratory, SciLifeLab
Richardson, Stacey (author)
Newcastle Univ Ctr Canc, Wolfson Childhood Canc Res Ctr, Translat & Clin Res Inst, Newcastle Upon Tyne, Tyne & Wear, England.
Fotaki, Grammatiki (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Institutionen för immunologi, genetik och patologi
Hill, Rebecca M. (author)
Newcastle Univ Ctr Canc, Wolfson Childhood Canc Res Ctr, Translat & Clin Res Inst, Newcastle Upon Tyne, Tyne & Wear, England.
Dubuc, Adrian M. (author)
Hosp Sick Children, Arthur & Sonia Labatt Brain Tumor Res Ctr, Toronto, ON, Canada.
Kalushkova, Antonia (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin
Remke, Marc (author)
Hosp Sick Children, Arthur & Sonia Labatt Brain Tumor Res Ctr, Toronto, ON, Canada.
Čančer, Matko (author)
Uppsala universitet,Institutionen för immunologi, genetik och patologi,Science for Life Laboratory, SciLifeLab
Jernberg Wiklund, Helena (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin
Giraud, Geraldine (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Neuroonkologi och neurodegeneration
Chen, Xingqi (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Molekylära verktyg och funktionsgenomik
Taylor, Michael D. (author)
Hosp Sick Children, Arthur & Sonia Labatt Brain Tumor Res Ctr, Toronto, ON, Canada.
Sangfelt, Olle (author)
Karolinska Institutet
Clifford, Steven C. (author)
Newcastle Univ Ctr Canc, Wolfson Childhood Canc Res Ctr, Translat & Clin Res Inst, Newcastle Upon Tyne, Tyne & Wear, England.
Schueller, Ulrich (author)
Univ Med Ctr Hamburg Eppendorf, Inst Neuropathol, Hamburg, Germany.;Univ Med Ctr Hamburg Eppendorf, Dept Paediat Hematol & Oncol, Hamburg, Germany.;Res Inst Childrens Canc Ctr Hamburg, Hamburg, Germany.
Wechsler-Reya, Robert J. (author)
Sanford Burnham Prebys Med Discovery Inst, Tumor Initiat & Maintenance Program, San Diego, CA USA.
Weishaupt, Holger (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Neuroonkologi och neurodegeneration
Swartling, Fredrik J., 1975- (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Neuroonkologi och neurodegeneration
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 (creator_code:org_t)
AMER ASSOC CANCER RESEARCH, 2022
2022
English.
In: Cancer Research. - : AMER ASSOC CANCER RESEARCH. - 0008-5472 .- 1538-7445. ; 82:24, s. 4586-4603
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Relapse is the leading cause of death in patients with medulloblas-toma, the most common malignant pediatric brain tumor. A better understanding of the mechanisms underlying recurrence could lead to more effective therapies for targeting tumor relapses. Here, we observed that SOX9, a transcription factor and stem cell/glial fate marker, is limited to rare, quiescent cells in high-risk medulloblastoma with MYC amplification. In paired primary-recurrent patient samples, SOX9-positive cells accumulated in medulloblastoma relapses. SOX9 expression anti-correlated with MYC expression in murine and human medulloblastoma cells. However, SOX9-positive cells were plastic and could give rise to a MYC high state. To follow relapse at the single-cell level, an inducible dual Tet model of medulloblastoma was developed, in which MYC expression was redirected in vivo from treatment-sensitive bulk cells to dormant SOX9-positive cells using doxycycline treatment. SOX9 was essential for relapse initiation and depended on suppression of MYC activity to promote therapy resistance, epithelial-mesenchymal transition, and immune escape. p53 and DNA repair pathways were downregulated in recurrent tumors, whereas MGMT was upregulated. Recurrent tumor cells were found to be sensitive to treatment with an MGMT inhibitor and doxorubicin. These findings suggest that recurrence-specific targeting coupled with DNA repair inhibition comprises a potential therapeutic strategy in patients affected by medulloblastoma relapse.Significance: SOX9 facilitates therapy escape and recurrence in medulloblastoma via temporal inhibition of MYC/MYCN genes, revealing a strategy to specifically target SOX9-positive cells to prevent tumor relapse.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

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