Abstract

Background: The treatment of patients with metastatic synovial sarcoma is still challenging, and the development of new molecular therapeutics is desirable. Dysregulation of Wnt signaling has been implicated in synovial sarcoma. Traf2-and-Nck-interacting kinase (TNIK) is an essential transcriptional co-regulator of Wnt target genes. We examined the efficacy of a small interfering RNA (siRNA) to TNIK and a small-molecule TNIK inhibitor, NCB-0846, for synovial sarcoma. Methods: The expression of TNIK was determined in 20 clinical samples of synovial sarcoma. The efficacy of NCB-0846 was evaluated in four synovial sarcoma cell lines and a mouse xenograft model. Results: We found that synovial sarcoma cell lines with Wnt activation were highly dependent upon the expression of TNIK for proliferation and survival. NCB-0846 induced apoptotic cell death in synovial sarcoma cells through blocking of Wnt target genes including MYC, and oral administration of NCB-846 induced regression of xenografts established by inoculation of synovial sarcoma cells. Discussion: It has become evident that activation of Wnt signaling is causatively involved in the pathogenesis of synovial sarcoma, but no molecular therapeutics targeting the pathway have been approved. This study revealed for the first time the therapeutic potential of TNIK inhibition in synovial sarcoma.

Highlights

  • Synovial sarcoma is a rare aggressive neoplasm that accounts for 10–20% of soft tissue sarcomas.It affects mainly adolescents and young adults [1,2], and 40–50% of patients are under the age of 30 at diagnosis [3]

  • We found that Traf2-and-Nck-interacting kinase (TNIK) was essential for transactivation of Wnt target genes and that colorectal cancer cells were highly sensitive to TNIK inhibition [19,20]

  • The four synovial sarcoma cell lines were transfected with small interfering RNA (siRNA) to TNIK or control siRNA, and their viability was assessed 72 h later

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Summary

Discussion

It has become evident that activation of Wnt signaling is causatively involved in the pathogenesis of synovial sarcoma, but no molecular therapeutics targeting the pathway have been approved. This study revealed for the first time the therapeutic potential of TNIK inhibition in synovial sarcoma

Introduction
Activation of Wnt Signaling and TNIK in Synovial Sarcoma
Growth Suppression of Synovial Sarcoma Cells Through Silencing of TNIK
Sensitivity of Synovial Sarcoma to NCB-0846
Gene Expression Profiling
Apoptosis
NCB-0846 Suppresses MYC Gene Expression
Dependency of Synovial Sarcoma Cells on MYC
Ethical Issues
Cell Lines
Luciferase Reporter Assay
Immunoblot Analysis
Immunofluorescence Microscopy
Patients and Tumor Samples
Immunohistochemistry
Gene Silencing by RNA Interference
4.10. Real-Time RT-PCR
4.11. Digital PCR
4.13. Real-Time Monitoring of Transcriptional Activity
4.14. Drug Sensitivity
4.15. Xenografts
4.16. Real-Time Monitoring of Apoptosis Induction
4.17. Cell Cycle Analysis
4.18. RNA Sequencing
4.19. Statistical Analysis
Conclusions
Full Text
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