Children’s Nutrition Research Center Staff Publications

Publication Date

6-28-2021

Journal

Nature Communications

DOI

10.1038/s41467-021-24196-4

PMID

34183658

PMCID

PMC8238982

PubMedCentral® Posted Date

6-28-2021

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

ARNTL Transcription Factors, Animals, Antineoplastic Agents, Benzamides, Cell Line, Tumor, Cell Survival, Humans, Lipogenesis, Mice, N-Myc Proto-Oncogene Protein, Neuroblastoma, Nuclear Receptor Subfamily 1, Group F, Member 1, Promoter Regions, Genetic, Xenograft Model Antitumor Assays, Cancer, Cell biology

Abstract

MYCN activation is a hallmark of advanced neuroblastoma (NB) and a known master regulator of metabolic reprogramming, favoring NB adaptation to its microenvironment. We found that the expression of the main regulators of the molecular clock loops is profoundly disrupted in MYCN-amplified NB patients, and this disruption independently predicts poor clinical outcome. MYCN induces the expression of clock repressors and downregulates the one of clock activators by directly binding to their promoters. Ultimately, MYCN attenuates the molecular clock by suppressing BMAL1 expression and oscillation, thereby promoting cell survival. Reestablishment of the activity of the clock activator RORα via its genetic overexpression and its stimulation through the agonist SR1078, restores BMAL1 expression and oscillation, effectively blocks MYCN-mediated tumor growth and de novo lipogenesis, and sensitizes NB tumors to conventional chemotherapy. In conclusion, reactivation of RORα could serve as a therapeutic strategy for MYCN-amplified NBs by blocking the dysregulation of molecular clock and cell metabolism mediated by MYCN.

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