Neuroblastoma (NB) is the most common extracranial pediatric tumor. NB patients over 18 months of age at the time of diagnosis are often in the later stages of the disease, present with widespread dissemination, and often possess MYCN tumor gene amplification. MYCN is a transcription factor that regulates the expression of a number of genes including ornithine decarboxylase (ODC), a rate-limiting enzyme in the biosynthesis of polyamines. Inhibiting ODC in NB cells produces many deleterious effects including G1 cell cycle arrest, inhibition of cell proliferation, and decreased tumor growth, making ODC a promising target for drug interference. DFMO treatment leads to the accumulation of the cyclin-dependent kinase inhibitor p27Kip1protein and causes p27Kip1/Rb-coupled G1 cell cycle arrest in MYCN-amplified NB tumor cells through a process that involves p27Kip1phosphorylation at residues Ser10 and Thr198. While p27Kip1is well known for its role as a cyclin-dependent kinase inhibitor, recent studies have revealed a novel function of p27Kip1as a regulator of cell migration and invasion. In the present study we found that p27Kip1regulates the migration and invasion in NB and that these events are dependent on the state of phosphorylation of p27Kip1. DFMO treatments induced MYCN protein downregulation and phosphorylation of Akt/PKB (Ser473) and GSK3-β (Ser9), and polyamine supplementation alleviated the DFMO-induced effects. Importantly, we provide strong evidence that p27Kip1mRNA correlates with clinical features and the survival probability of NB patients.

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International Journal of Clinical Oncology
Erasmus MC: University Medical Center Rotterdam

Koomoa, D.-L., Geerts, D., Lange, I., Koster, J., Pegg, A., Feith, D., & Bachmann, A. (2013). DFMO/eflornithine inhibits migration and invasion downstream of MYCN and involves p27Kip1 activity in neuroblastoma. International Journal of Clinical Oncology, 42(4), 1219–1228. doi:10.3892/ijo.2013.1835