2019
DOI: 10.1038/s41467-019-09470-w
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A NOTCH feed-forward loop drives reprogramming from adrenergic to mesenchymal state in neuroblastoma

Abstract: Transition between differentiation states in development occurs swift but the mechanisms leading to epigenetic and transcriptional reprogramming are poorly understood. The pediatric cancer neuroblastoma includes adrenergic (ADRN) and mesenchymal (MES) tumor cell types, which differ in phenotype, super-enhancers (SEs) and core regulatory circuitries. These cell types can spontaneously interconvert, but the mechanism remains largely unknown. Here, we unravel how a NOTCH3 intracellular domain reprogrammed the ADR… Show more

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Cited by 134 publications
(171 citation statements)
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“…10 The Notch signaling pathway plays an important role in the maintenance of CSCs 565,566 and can induce CSC differentiation. Abnormal activity of the Notch signaling pathway has been observed in many cancers, such as leukemia, 567 glioblastoma, 568,569 breast cancer, 570 lung cancer, 571 ovarian cancer, 572 pancreatic cancer, 573 and colon cancer. 574 At present, there are three major clinical methods used to inhibit Notch signaling, secretase inhibition (γ-secretase inhibitor (GSI)), Notch receptor or ligand antibodies, and combination therapy with other pathways.…”
Section: Agents Targeting Csc-associated Signaling Pathways In Clinicmentioning
confidence: 99%
See 1 more Smart Citation
“…10 The Notch signaling pathway plays an important role in the maintenance of CSCs 565,566 and can induce CSC differentiation. Abnormal activity of the Notch signaling pathway has been observed in many cancers, such as leukemia, 567 glioblastoma, 568,569 breast cancer, 570 lung cancer, 571 ovarian cancer, 572 pancreatic cancer, 573 and colon cancer. 574 At present, there are three major clinical methods used to inhibit Notch signaling, secretase inhibition (γ-secretase inhibitor (GSI)), Notch receptor or ligand antibodies, and combination therapy with other pathways.…”
Section: Agents Targeting Csc-associated Signaling Pathways In Clinicmentioning
confidence: 99%
“…576 MK-0752 is well tolerated and shows targeted inhibition in recurrent pediatric central nervous system tumors. 577 In addition, combining MK-0752 with cisplatin treatment for ovarian cancer, 578,579 docetaxel treatment for locally advanced or metastatic breast cancer, 569 and gemcitabine treatment for ductal adenocarcinoma of the pancreas 580 has shown good efficacy. However, the clinical effect was minimal in patients with advanced solid tumors, 576,581 including metastatic pancreatic cancer.…”
Section: Agents Targeting Csc-associated Signaling Pathways In Clinicmentioning
confidence: 99%
“…Prior studies have speculated that adrenergic/noradrenergic cells transdifferentiate to mesenchymal/neural crest cells and vice versa 7,8,36,37,41 . This theory was primarily based on spontaneous state polarization of isogenic pairs of cells and forced overexpression experiments using strong lineage associated transcription factors to reprogram cell phenotype such as PHOX2B, PRRX1, ASCL1 and NOTCH3 7,8,36,41 . Our trajectory modelling using single-cell RNA-seq data, and our reclassification approach for H3K27ac landscapes in neuroblastoma cell lines is in support of this theory, albeit by a slightly more complex mechanism involving transitional cells as a transdifferentiation intermediate cell state.…”
Section: Pntsmentioning
confidence: 99%
“…The ability of the two lineages to interconvert may contribute further to therapeutic resistance. In vitro studies of cell lines suggest that adrenergic-to-mesenchymal transitions may be enabled by activation of the NOTCH signaling pathway which is also involved in cell identity choices in development 7 . Despite the clinical relevance, however, the mechanisms underlying plasticity of neuroblastoma tumors remain poorly understood.…”
mentioning
confidence: 99%