Footnote:
Hinweis: Link zur Erstveröffentlichung URL: https://doi.org/10.3390/ijms23073815
Description:
Children with high-risk SHH/TP53-mut and Group 3 medulloblastoma (MB) have a 5-year
overall survival of only 40%. Innovative approaches to enhance survival while preventing adverse
effects are urgently needed. We investigated an innovative therapy approach combining irradia-
tion (RT), decitabine (DEC), and abacavir (ABC) in a patient-derived orthotopic SHH/TP53-mut
and Group 3 MB mouse model. MB-bearing mice were treated with DEC, ABC and RT. Mouse
survival, tumor growth (BLI, MRT) tumor histology (H/E), proliferation (Ki-67), and endothelial
(CD31) staining were analyzed. Gene expression was examined by microarray and RT-PCR (Ki-67,
VEGF, CD31, CD15, CD133, nestin, CD68, IBA). The RT/DEC/ABC therapy inhibited tumor growth
and enhanced mouse survival. Ki-67 decreased in SHH/TP53-mut MBs after RT, DEC, RT/ABC,
and RT/DEC/ABC therapy. CD31 was higher in SHH/TP53-mut compared to Group 3 MBs and
decreased after RT/DEC/ABC. Microarray analyses showed a therapy-induced downregulation of
cell cycle genes. By RT-PCR, no therapy-induced effect on stem cell fraction or immune cell inva-
sion/activation could be shown. We showed for the first time that RT/DEC/ABC therapy improves
survival of orthotopic SHH/TP53-mut and Group 3 MB-bearing mice without inducing adverse
effects suggesting the potential for an adjuvant application of this multimodal therapy approach in
the human clinic.