Abstract

<div>Abstract<p><b>Purpose:</b> Glioma stem cells (GSC) are a critical therapeutic target of glioblastoma multiforme (GBM).</p><p><b>Experimental Design:</b> The effects of a G-quadruplex ligand, telomestatin, were evaluated using patient-derived GSCs, non-stem tumor cells (non-GSC), and normal fetal neural precursors <i>in vitro</i> and <i>in vivo</i>. The molecular targets of telomestatin were determined by immunofluorescence <i>in situ</i> hybridization (iFISH) and cDNA microarray. The data were then validated by <i>in vitro</i> and <i>in vivo</i> functional assays, as well as by immunohistochemistry against 90 clinical samples.</p><p><b>Results:</b> Telomestatin impaired the maintenance of GSC stem cell state by inducing apoptosis <i>in vitro</i> and <i>in vivo</i>. The migration potential of GSCs was also impaired by telomestatin treatment. In contrast, both normal neural precursors and non-GSCs were relatively resistant to telomestatin. Treatment of GSC-derived mouse intracranial tumors reduced tumor sizes <i>in vivo</i> without a noticeable cell death in normal brains. iFISH revealed both telomeric and non-telomeric DNA damage by telomestatin in GSCs but not in non-GSCs. cDNA microarray identified a proto-oncogene, <i>c-Myb</i>, as a novel molecular target of telomestatin in GSCs, and pharmacodynamic analysis in telomestatin-treated tumor-bearing mouse brains showed a reduction of <i>c-Myb</i> in tumors <i>in vivo</i>. Knockdown of <i>c-Myb</i> phenocopied telomestatin-treated GSCs both <i>in vitro</i> and <i>in vivo</i>, and restoring <i>c-Myb</i> by overexpression partially rescued the phenotype. Finally, <i>c-Myb</i> expression was markedly elevated in surgical specimens of GBMs compared with normal tissues.</p><p><b>Conclusions:</b> These data indicate that telomestatin potently eradicates GSCs through telomere disruption and <i>c-Myb</i> inhibition, and this study suggests a novel GSC-directed therapeutic strategy for GBMs. <i>Clin Cancer Res; 18(5); 1268–80. ©2012 AACR</i>.</p></div>

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