Evidence map›Paper›PMID 36357906›Full record

ArticleJournal of experimental & clinical cancer research : CR2022

A novel dual epigenetic approach targeting BET proteins and HDACs in Group 3 (MYC-driven) Medulloblastoma.

Matthew J Kling, Varun Kesherwani, Nitish K Mishra, Gracey Alexander, Erin M McIntyre, Sutapa Ray, Kishore B Challagundla, Shantaram S Joshi, Don W Coulter, Nagendra K Chaturvedi

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 21 citations in OpenAlex.

  1. From developmental origins to relapse: molecular and therapeutic insights in medulloblastoma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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  7. Small-Molecule Drugs in Pediatric Neuro-Oncology.Current oncology (Toronto, Ont.) · 2025
    Review
  8. Article
  9. Histone Phosphorylation in DNA Damage Response.International journal of molecular sciences · 2025
    Review
  10. Review
  11. Medulloblastoma: biology and immunotherapy.Frontiers in immunology · 2025
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  12. Review
  13. Article
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Matthew J KlingDepartment of Oral Biology, Creighton University, School of Dentistry, Omaha, NE, 68102, USA.
Varun KesherwaniChild Health Research Institute, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Nitish K MishraDepartment of Genetics, Cell Biology and Anatomy, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Gracey AlexanderDepartment of Pediatrics, Hematology/Oncology Division, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Erin M McIntyreDepartment of Pediatrics, Hematology/Oncology Division, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Sutapa RayChild Health Research Institute, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Kishore B ChallagundlaDepartment of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Shantaram S JoshiDepartment of Genetics, Cell Biology and Anatomy, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Don W CoulterChild Health Research Institute, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Nagendra K ChaturvediChild Health Research Institute, University of Nebraska Medical Center, Omaha, NE, 68198, USA. nchaturvedi@unmc.edu.ORCID http://orcid.org/0000-0001-7037-898X
University of Nebraska Medical Center · USCreighton University · USNebraska Medical Center · US

Funding

CHRI-PCRG Funds, The State of Nebraska (US) LB905-Pediatric Cancer Research Grant Funds
6 · The paper itself

Abstract

backgroundMedulloblastoma (MB) patients with MYC oncogene amplification or overexpression exhibit extremely poor clinical outcomes and respond poorly to current therapies. Epigenetic deregulation is very common in MYC-driven MB. The bromodomain extra-terminal (BET) proteins and histone deacetylases (HDACs) are epigenetic regulators of MYC transcription and its associated tumorigenic programs. This study aimed to investigate the therapeutic potential of inhibiting the BET proteins and HDACs together in MB.

methodsUsing clinically relevant BET inhibitors (JQ1 or OTX015) and a pan-HDAC inhibitor (panobinostat), we evaluated the effects of combined inhibition on cell growth/survival in MYC-amplified MB cell lines and xenografts and examined underlying molecular mechanism(s).

resultsCo-treatment of JQ1 or OTX015 with panobinostat synergistically suppressed growth/survival of MYC-amplified MB cells by inducing G2 cell cycle arrest and apoptosis. Mechanistic investigation using RNA-seq revealed that co-treatment of JQ1 with panobinostat synergistically modulated global gene expression including MYC/HDAC targets. SYK and MSI1 oncogenes were among the top 50 genes synergistically downregulated by JQ1 and panobinostat. RT-PCR and western blot analyses confirmed that JQ1 and panobinostat synergistically inhibited the mRNA and protein expression of MSI1/SYK along with MYC expression. Reduced SYK/MSI expression after BET (specifically, BRD4) gene-knockdown further confirmed the epigenetic regulation of SYK and MSI1 genes. In addition, the combination of OTX015 and panobinostat significantly inhibited tumor growth in MYC-amplified MB xenografted mice by downregulating expression of MYC, compared to single-agent therapy.

conclusionsTogether, our findings demonstrated that dual-inhibition of BET and HDAC proteins of the epigenetic pathway can be a novel therapeutic approach against MYC-driven MB.

Indexed as

Cerebellar NeoplasmsMedulloblastomaAcetanilidesAnimalsApoptosisAzepinesBromodomain Containing ProteinsCell Cycle ProteinsCell Line, TumorCell ProliferationEpigenesis, GeneticHeterocyclic Compounds, 3-RingHistone DeacetylasesHumansMiceNerve Tissue ProteinsAcetanilidesAzepinesBRD4 protein, humanBromodomain Containing ProteinsCell Cycle ProteinsHeterocyclic Compounds, 3-RingHistone DeacetylasesMSI1 protein, humanNerve Tissue ProteinsNuclear ProteinsOTX015PanobinostatProto-Oncogene Proteins c-mycRNA-Binding ProteinsTranscription FactorsTriazolesBET-HDAC inhibitorsBET proteinsGene transcriptionHDACsMedulloblastomaMYC

Identifiers

PMID36357906
PMCPMC9650837
OpenAlexW4308695173

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.