PMID- 37301315 OWN - NLM STAT- MEDLINE DCOM- 20230728 LR - 20230928 IS - 1873-3913 (Electronic) IS - 0898-6568 (Print) IS - 0898-6568 (Linking) VI - 109 DP - 2023 Sep TI - Repurposing a plant alkaloid homoharringtonine targets insulinoma associated-1 in N-Myc-activated neuroblastoma. PG - 110753 LID - S0898-6568(23)00167-5 [pii] LID - 10.1016/j.cellsig.2023.110753 [doi] AB - High-risk neuroblastoma (NB) is a heterogeneous and malignant childhood cancer that is frequently characterized by MYCN proto-oncogene amplification or elevated N-Myc protein (N-Myc) expression. An N-Myc downstream target gene, insulinoma associated-1 (INSM1) has emerged as a biomarker that plays a critical role in facilitating NB tumor cell growth and transformation. N-Myc activates endogenous INSM1 gene expression through binding to the E2-box of the INSM1 proximal promoter in NB. We identified a plant alkaloid, homoharringtonine (HHT), from a chemical library screening showing potent inhibition of INSM1 promoter activity. This positive-hit plant alkaloid exemplifies an effective screening approach for repurposed compound targeting INSM1 expression in NB cancer therapy. The elevated N-Myc and INSM1 expression in NB constitutes a positive-loop through INSM1 activation that promotes N-Myc stability. In the present study, the biological effects and anti-tumor properties of HHT against NB were examined. HHT either down regulates and/or interferes with the binding of N-Myc to the E2-box of the INSM1 promoter and the inhibition of PI3K/AKT-mediated N-Myc stability could lead to the NB cell apoptosis. HHT inhibition of NB cell proliferation is consistent with the INSM1 expression as higher level of INSM1 exhibits a more sensitive IC(50) value. The combination treatment of HHT and A674563 provides a better option of increasing potency and reducing cellular cytotoxicity than HHT or A674563 treatment alone. Taken together, the suppression of the INSM1-associated signaling pathway axis promotes the inhibition of NB tumor cell growth. This study developed a feasible approach for repurposing an effective anti-NB drug. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Chen, Chiachen AU - Chen C AD - Department of Genetics, Louisiana State University Health Sciences Center, 533 Bolivar St. CSRB, New Orleans, LA 70112, USA. FAU - Wu, Jiande AU - Wu J AD - Department of Genetics, Louisiana State University Health Sciences Center, 533 Bolivar St. CSRB, New Orleans, LA 70112, USA; Bioinformatics and Genomics Program, 533 Bolivar St. CSRB, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA. FAU - Hicks, Chindo AU - Hicks C AD - Department of Genetics, Louisiana State University Health Sciences Center, 533 Bolivar St. CSRB, New Orleans, LA 70112, USA; Bioinformatics and Genomics Program, 533 Bolivar St. CSRB, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA. FAU - Lan, Michael S AU - Lan MS AD - Department of Genetics, Louisiana State University Health Sciences Center, 533 Bolivar St. CSRB, New Orleans, LA 70112, USA. Electronic address: mlan@lsuhsc.edu. LA - eng GR - R21 CA218764/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20230609 PL - England TA - Cell Signal JT - Cellular signalling JID - 8904683 RN - 6FG8041S5B (Homoharringtonine) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - 147955-03-1 (INSM1 protein, human) RN - 0 (Repressor Proteins) SB - IM MH - Humans MH - Child MH - Homoharringtonine MH - *Insulinoma MH - Phosphatidylinositol 3-Kinases/metabolism MH - Drug Repositioning MH - Cell Line, Tumor MH - *Neuroblastoma/genetics MH - *Pancreatic Neoplasms/genetics MH - Gene Expression Regulation, Neoplastic MH - Repressor Proteins/metabolism PMC - PMC10527743 MID - NIHMS1907974 OTO - NOTNLM OT - Alkaloid OT - Homoharringtonine OT - INSM1 OT - MYCN proto-oncogene OT - Neuroblastoma COIS- Declaration of Competing Interest The authors declare that they have no conflicts of interest with the contents of this article. EDAT- 2023/06/11 01:06 MHDA- 2023/07/28 06:42 PMCR- 2024/09/01 CRDT- 2023/06/10 19:26 PHST- 2023/05/04 00:00 [received] PHST- 2023/05/30 00:00 [revised] PHST- 2023/06/05 00:00 [accepted] PHST- 2024/09/01 00:00 [pmc-release] PHST- 2023/07/28 06:42 [medline] PHST- 2023/06/11 01:06 [pubmed] PHST- 2023/06/10 19:26 [entrez] AID - S0898-6568(23)00167-5 [pii] AID - 10.1016/j.cellsig.2023.110753 [doi] PST - ppublish SO - Cell Signal. 2023 Sep;109:110753. doi: 10.1016/j.cellsig.2023.110753. Epub 2023 Jun 9.