ATRX loss in glioma results in dysregulation of cell-cycle phase transition and ATM inhibitor radio-sensitization

Cell Rep. 2022 Jan 11;38(2):110216. doi: 10.1016/j.celrep.2021.110216.

Abstract

ATRX, a chromatin remodeler protein, is recurrently mutated in H3F3A-mutant pediatric glioblastoma (GBM) and isocitrate dehydrogenase (IDH)-mutant grade 2/3 adult glioma. Previous work has shown that ATRX-deficient GBM cells show enhanced sensitivity to irradiation, but the etiology remains unclear. We find that ATRX binds the regulatory elements of cell-cycle phase transition genes in GBM cells, and there is a marked reduction in Checkpoint Kinase 1 (CHEK1) expression with ATRX loss, leading to the early release of G2/M entry after irradiation. ATRX-deficient cells exhibit enhanced activation of master cell-cycle regulator ATM with irradiation. Addition of the ATM inhibitor AZD0156 doubles median survival in mice intracranially implanted with ATRX-deficient GBM cells, which is not seen in ATRX-wild-type controls. This study demonstrates that ATRX-deficient high-grade gliomas (HGGs) display Chk1-mediated dysregulation of cell-cycle phase transitions, which opens a window for therapies targeting this phenotype.

Keywords: ATM inhibitor; ATRX; CHEK1; cell-cycle; epigenetics; glioma.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Brain Neoplasms / metabolism
  • Cell Cycle / genetics
  • Cell Cycle Checkpoints / genetics
  • Cell Line, Tumor
  • Checkpoint Kinase 1 / metabolism*
  • Checkpoint Kinase 1 / physiology
  • Female
  • Glioma / metabolism*
  • Histones / metabolism
  • Humans
  • Isocitrate Dehydrogenase / genetics
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mutation
  • Neoplasm Recurrence, Local / metabolism
  • Primary Cell Culture
  • X-linked Nuclear Protein / genetics
  • X-linked Nuclear Protein / metabolism*

Substances

  • Histones
  • Isocitrate Dehydrogenase
  • CHEK1 protein, human
  • Checkpoint Kinase 1
  • Chek1 protein, mouse
  • ATRX protein, human
  • Atrx protein, mouse
  • X-linked Nuclear Protein