Telomerase inhibition improves tumor response to radiotherapy in a murine orthotopic model of human glioblastoma

• Published in: Molecular cancer 2015-07, Vol.14 (1), p.134-134, Article 134
• Main Authors: Ferrandon, Sylvain, Malleval, Céline, El Hamdani, Badia, Battiston-Montagne, Priscillia, Bolbos, Radu, Langlois, Jean-Baptiste, Manas, Patrick, Gryaznov, Sergei M, Alphonse, Gersende, Honnorat, Jérôme, Rodriguez-Lafrasse, Claire, Poncet, Delphine
• Format: Article
• Language: English
• Subjects: Analysis; Animals; Antineoplastic Agents - pharmacology; Brain Neoplasms - diagnosis; Brain Neoplasms - drug therapy; Brain Neoplasms - metabolism; Brain Neoplasms - radiotherapy; Brain tumors; Cancer; Care and treatment; Disease Models, Animal; Genetic aspects; Glioblastoma - diagnosis; Glioblastoma - drug therapy; Glioblastoma - metabolism; Glioblastoma - radiotherapy; Gliomas; Humans; Indoles - pharmacology; Life Sciences; Mice; Niacinamide - analogs & derivatives; Niacinamide - pharmacology; Radiation Tolerance - drug effects; Short Communication; Telomerase; Telomerase - antagonists & inhibitors; Telomerase - metabolism; Xenograft Model Antitumor Assays
• ISSN: 1476-4598; 1476-4598
• DOI: 10.1186/s12943-015-0376-3

Glioblastoma (GBM) is the most frequent and aggressive type of adult brain tumor. Most GBMs express telomerase; a high level of intra-tumoral telomerase activity (TA) is predictive of poor prognosis. Thus, telomerase inhibitors are promising options to treat GBM. These inhibitors increase the response to radiotherapy (RT), in vitro as well as in vivo. Since typical treatments for GBM include RT, our objective was to evaluate the efficiency of Imetelstat (TA inhibitor) combined with RT. We used a murine orthotopic model of human GBM (N = 8 to11 mice per group) and μMRI imaging to evaluate the efficacy of Imetelstat (delivered by intra-peritoneal injection) alone and combined with RT. Using a clinically established protocol, we demonstrated that Imetelstat significantly: (i) inhibited the TA in the very center of the tumor, (ii) reduced tumor volume as a proportion of TA inhibition, and (iii) increased the response to RT, in terms of tumor volume regression and survival increase. Imetelstat is currently evaluated in refractory brain tumors in young patients (without RT). Our results support its clinical evaluation combined with RT to treat GBM.