BAF Complex Maintains Glioma Stem Cells in Pediatric H3K27M Glioma.

Panditharatna E., Marques JG., Wang T., Trissal MC., Liu I., Jiang L., Beck A., Groves A., Dharia NV., Li D., Hoffman SE., Kugener G., Shaw ML., Mire HM., Hack OA., Dempster JM., Lareau C., Dai L., Sigua LH., Quezada MA., Stanton A-CJ., Wyatt M., Kalani Z., Goodale A., Vazquez F., Piccioni F., Doench JG., Root DE., Anastas JN., Jones KL., Conway AS., Stopka S., Regan MS., Liang Y., Seo H-S., Song K., Bashyal P., Jerome WP., Mathewson ND., Dhe-Paganon S., Suvà ML., Carcaboso AM., Lavarino C., Mora J., Nguyen Q-D., Ligon KL., Shi Y., Agnihotri S., Agar NYR., Stegmaier K., Stiles CD., Monje M., Golub TR., Qi J., Filbin MG.

Diffuse midline gliomas are uniformly fatal pediatric central nervous system cancers that are refractory to standard-of-care therapeutic modalities. The primary genetic drivers are a set of recurrent amino acid substitutions in genes encoding histone H3 (H3K27M), which are currently undruggable. These H3K27M oncohistones perturb normal chromatin architecture, resulting in an aberrant epigenetic landscape. To interrogate for epigenetic dependencies, we performed a CRISPR screen and show that patient-derived H3K27M-glioma neurospheres are dependent on core components of the mammalian BAF (SWI/SNF) chromatin remodeling complex. The BAF complex maintains glioma stem cells in a cycling, oligodendrocyte precursor cell-like state, in which genetic perturbation of the BAF catalytic subunit SMARCA4 (BRG1), as well as pharmacologic suppression, opposes proliferation, promotes progression of differentiation along the astrocytic lineage, and improves overall survival of patient-derived xenograft models. In summary, we demonstrate that therapeutic inhibition of the BAF complex has translational potential for children with H3K27M gliomas.SignificanceEpigenetic dysregulation is at the core of H3K27M-glioma tumorigenesis. Here, we identify the BRG1-BAF complex as a critical regulator of enhancer and transcription factor landscapes, which maintain H3K27M glioma in their progenitor state, precluding glial differentiation, and establish pharmacologic targeting of the BAF complex as a novel treatment strategy for pediatric H3K27M glioma. See related commentary by Beytagh and Weiss, p. 2730. See related article by Mo et al., p. 2906.

DOI

10.1158/2159-8290.cd-21-1491

Type

Journal article

Publication Date

2022-12-01T00:00:00+00:00

Volume

12

Pages

2880 - 2905

Total pages

25

Addresses

Department of Pediatric Oncology, Dana-Farber Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts.

Keywords

Animals, Mammals, Humans, Glioma, DNA Helicases, Nuclear Proteins, Transcription Factors, Mutation, Neoplastic Stem Cells, Epigenome

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