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30th International Conference on Psychiatry and Mental Health

Tokyo, Japan

Atique Ahmed

Atique Ahmed

Fienberg School of Medicine- Northwestern University, USA

Title: The role of therapeutic stress induced cellular plasticity in promoting therapeutic resistance in glioblastoma


Biography: Atique Ahmed


Glioblastoma (GBM) is the most common and one of the most lethal brain tumors in adults. Previously, we have shown that anti-glioma chemotherapy Temozolomide (TMZ) initiatesplasticity in glioma cells by promoting the conversion of differentiated glioma cells to
therapy resistant Glioma Stem-Like Cells (GS-lCs). Our initial investigation indicated that the Polycomb Repressor Complex 2 (PRC2) group protein EZH2 is critical for this therapy- induced cellular plasticity. Genome-wide Chromatin Immunoprecipitation (ChIP) in parallel with DNA sequencing analyses (ChIP-seq) revealed 1449 distinct regions enriched for EZH2 binding, specifically at the promoter regions of several genes including PTPRT, CDK5R2, and SIGLEC6, which work together to activate STAT3, a master transcription factor that is key in promoting the GS-IC niche. Recent reports have also demonstrated that the oncogenic activity of EZH2 is independent of PRC2. Consequently, we investigated if the non-canonical function of EZH2 is involved in chemo resistance in GBM by performing RNA seq analysis in GBM cells treated with TMZ (+/-EZH2) inhibitor. ARL13B, a member of the ADP- ribosylation factor-like protein family responsible for cilia maintenance, was the only gene whose expression was significantly down regulated in the presence of EZH2 inhibitors (6- fold, p<0.05, FDR=0.05). In the GBM patient database, ARL13B expression negatively correlates with time to recurrence. The shRNA-mediated knockdown of ARL13B in the Patient-derived Xenograft (PDX) model of GBM significantly impaired the ability of cells to form an orthotropic tumor in three different GBM subtypes. Most importantly, knocking down ARL13B significantly sensitized PDXs to TMZ therapy. These results suggest that a novel EZH2-ARL13B axis contributes to chemo resistance in GBM by promoting cellular plasticity regulated therapeutic adaptation.