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Computational Drug Repositioning Identifies Potentially Active Therapies for Chordoma

Title: Computational Drug Repositioning Identifies Potentially Active Therapies for Chordoma
Authors: Traylor, Jeffrey I; Sheppard, Hadley E; Ravikumar, Visweswaran; Breshears, Jonathan; Raza, Shaan M; Lin, Charles Y; Patel, Shreyaskumar R; DeMonte, Franco
Source: Neurosurgery ; volume 88, issue 2, page 428-436 ; ISSN 0148-396X 1524-4040
Publisher Information: Ovid Technologies (Wolters Kluwer Health)
Publication Year: 2020
Description: BACKGROUND Chordomas are aggressive bone tumors that often recur despite maximal resection and adjuvant radiation. To date there are no Food and Drug Administration (FDA)-approved chemotherapies. Computational drug repositioning is an expanding approach to identify pharmacotherapies for clinical trials. OBJECTIVE To identify FDA-approved compounds for repurposing in chordoma. METHODS Previously identified highly differentially expressed genes from chordoma tissue samples at our institution were compared with pharmacogenomic interactions in the Comparative Toxicogenomics Database (CTD) using ksRepo, a drug-repositioning platform. Compounds selected by ksRepo were then validated in CH22 and UM-Chor1 human chordoma cells in Vitro. RESULTS A total of 13 chemical compounds were identified in silico from the CTD, and 6 were selected for preclinical validation in human chordoma cell lines based on their clinical relevance. Of these, 3 identified drugs are FDA-approved chemotherapies for other malignancies (cisplatin, cytarabine, and lucanthone). Cytarabine, a deoxyribonucleic acid polymerase inhibitor approved for the treatment of various leukemias, exhibited a significant concentration-dependent effect against CH22 and UM-Chor1 cells when compared to positive (THZ1) and negative (venetoclax) controls. Tretinoin exhibited a significant concentration-dependent cytotoxic effect in CH22, sacral chordoma-derived cell lines but to a much lesser extent in UM-Chor1, a cell line derived from skull base chordoma. CONCLUSION Cytarabine administration reduces the viability of human chordoma cells. The equally effective reduction in viability seen with tretinoin seems to be cell line dependent. Based on our findings, we recommend the evaluation of cytarabine and tretinoin in an expanded set of human chordoma cell lines and animal models.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/neuros/nyaa398
DOI: 10.1093/neuros/nyaa398/33836249/nyaa398.pdf
Availability: https://doi.org/10.1093/neuros/nyaa398; http://academic.oup.com/neurosurgery/advance-article-pdf/doi/10.1093/neuros/nyaa398/33836249/nyaa398.pdf; https://journals.lww.com/10.1093/neuros/nyaa398
Rights: https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model
Accession Number: edsbas.348480B4
Database: BASE