Abstract
<div>Abstract<p><b>Purpose:</b> Rhabdomyosarcomas are a major cause of cancer death in children, described with <i>MYCN</i> amplification and, in the alveolar subtype, transcription driven by the PAX3-FOXO1 fusion protein. Our aim was to determine the prevalence of N-Myc protein expression and the potential therapeutic effects of reducing expression in rhabdomyosarcomas, including use of an antigene strategy that inhibits transcription.</p><p><b>Experimental Design:</b> Protein expression was assessed by immunohistochemistry. <i>MYCN</i> expression was reduced in representative cell lines by RNA interference and an antigene peptide nucleic acid (PNA) oligonucleotide conjugated to a nuclear localization signal peptide. Associated gene expression changes, cell viability, and apoptosis were analyzed <i>in vitro</i>. As a paradigm for antigene therapy, the effects of systemic treatment of mice with rhabdomyosarcoma cell line xenografts were determined.</p><p><b>Results:</b> High N-Myc levels were significantly associated with genomic amplification, presence of the <i>PAX3/7-FOXO1</i> fusion genes, and proliferative capacity. Sustained reduction of N-Myc levels in all rhabdomyosarcoma cell lines that express the protein decreased cell proliferation and increased apoptosis. Positive feedback was shown to regulate PAX3-FOXO1 and N-Myc levels in the alveolar subtype that critically decrease PAX3-FOXO1 levels on reducing N-Myc. Pharmacologic systemic administration of the antigene PNA can eliminate alveolar rhabdomyosarcoma xenografts in mice, without relapse or toxicity.</p><p><b>Conclusion:</b> N-Myc, with its restricted expression in non-fetal tissues, is a therapeutic target to treat rhabdomyosarcomas, and blocking gene transcription using antigene oligonucleotide strategies has therapeutic potential in the treatment of cancer and other diseases that has not been previously realized <i>in vivo</i>. <i>Clin Cancer Res; 18(3); 796–807. ©2011 AACR</i>.</p></div>
Published Version
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