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Publication : Therapeutic targeting of the MYC signal by inhibition of histone chaperone FACT in neuroblastoma.

First Author  Carter DR Year  2015
Journal  Sci Transl Med Volume  7
Issue  312 Pages  312ra176
PubMed ID  26537256 Mgi Jnum  J:234050
Mgi Id  MGI:5788827 Doi  10.1126/scitranslmed.aab1803
Citation  Carter DR, et al. (2015) Therapeutic targeting of the MYC signal by inhibition of histone chaperone FACT in neuroblastoma. Sci Transl Med 7(312):312ra176
abstractText  Amplification of the MYCN oncogene predicts treatment resistance in childhood neuroblastoma. We used a MYC target gene signature that predicts poor neuroblastoma prognosis to identify the histone chaperone FACT (facilitates chromatin transcription) as a crucial mediator of the MYC signal and a therapeutic target in the disease. FACT and MYCN expression created a forward feedback loop in neuroblastoma cells that was essential for maintaining mutual high expression. FACT inhibition by the small-molecule curaxin compound CBL0137 markedly reduced tumor initiation and progression in vivo. CBL0137 exhibited strong synergy with standard chemotherapy by blocking repair of DNA damage caused by genotoxic drugs, thus creating a synthetic lethal environment in MYCN-amplified neuroblastoma cells and suggesting a treatment strategy for MYCN-driven neuroblastoma.
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