001     147736
005     20240229112656.0
024 7 _ |a 10.1093/noajnl/vdz027
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037 _ _ |a DKFZ-2019-02713
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Treisman, Daniel M
|b 0
245 _ _ |a Sox2+ cells in Sonic Hedgehog-subtype medulloblastoma resist p53-mediated cell-cycle arrest response and drive therapy-induced recurrence.
260 _ _ |a Oxford
|c 2019
|b Oxford University Press
264 _ 1 |3 online
|2 Crossref
|b Oxford University Press (OUP)
|c 2019-09-23
264 _ 1 |3 print
|2 Crossref
|b Oxford University Press (OUP)
|c 2019-05-01
264 _ 1 |3 print
|2 Crossref
|b Oxford University Press (OUP)
|c 2019-05-01
336 7 _ |a article
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
|0 0
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500 _ _ |a Neuro-Oncology Advances () = 2632-2498 (import from CrossRef, PubMed, )E-ISSN(s): 2632-2498
520 _ _ |a High-intensity therapy effectively treats most TP53 wild-type (TP53-WT) Sonic Hedgehog-subgroup medulloblastomas (SHH-MBs), but often cause long-term deleterious neurotoxicities in children. Recent clinical trials investigating reduction/de-escalation of therapy for TP53-WT SHH-MBs caused poor overall survival. Here, we investigated whether reduced levels of p53-pathway activation by low-intensity therapy potentially contribute to diminished therapeutic efficacy.Using mouse SHH-MB models with different p53 activities, we investigated therapeutic efficacy by activating p53-mediated cell-cycle arrest versus p53-mediated apoptosis on radiation-induced recurrence.Upon radiation treatment, p53WT-mediated apoptosis was sufficient to eliminate all SHH-MB cells, including Sox2+ cells. The same treatment eliminated most Sox2- bulk tumor cells in SHH-MBs harboring p53R172P, an apoptosis-defective allele with cell-cycle arrest activity, via inducing robust neuronal differentiation. Rare quiescent Sox2+ cells survived radiation-enhanced p53R172P activation and entered a proliferative state, regenerating tumors. Transcriptomes of Sox2+ cells resembled quiescent Nestin-expressing progenitors in the developing cerebellum, expressing Olig2 known to suppress p53 and p21 expression. Importantly, high SOX2 expression is associated with poor survival of all four SHH-MB subgroups, independent of TP53 mutational status.Quiescent Sox2+ cells are efficiently eliminated by p53-mediated apoptosis, but not cell-cycle arrest and differentiation. Their survival contributes to tumor recurrence due to insufficient p53-pathway activation.
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542 _ _ |i 2019-09-23
|2 Crossref
|u http://creativecommons.org/licenses/by/4.0/
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700 1 _ |a Li, Yinghua
|b 1
700 1 _ |a Pierce, Brianna R
|b 2
700 1 _ |a Li, Chaoyang
|b 3
700 1 _ |a Chervenak, Andrew P
|b 4
700 1 _ |a Tomasek, Gerald J
|b 5
700 1 _ |a Lozano, Guillermina
|b 6
700 1 _ |a Zheng, Xiaoyan
|b 7
700 1 _ |a Kool, Marcel
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773 1 8 |a 10.1093/noajnl/vdz027
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|t Neuro-Oncology Advances
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773 _ _ |a 10.1093/noajnl/vdz027
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