PRMT5 Inhibition Has a Potent Anti-Tumor Activity Against Adenoid Cystic Carcinoma of Salivary Glands

    Vasudha Mishra, Alka Singh, Michael Korzinkin, Xiangying Cheng, Claudia Wing, Viktoria Sarkisova, Ashwin Koppayi, Alexandra Pogorelskaya, Oksana E. Glushchenko, Manu Sundaresan, Venkat Thodima, Jack Carter, Koichi Ito, Peggy Scherle, Anna Trzcinska, Ivan V. Ozerov, Everett E. Vokes, Grayson Cole, Frank W. Pun, Le Shen, Yuxuan Miao, Alexander T. Pearson, Mark W. Lingen, Bruce Ruggeri, Ari J. Rosenberg, Alex Zhavoronkov, Nishant Agrawal, Evgeny Izumchenko
    TLDR PRMT5 inhibitors effectively fight adenoid cystic carcinoma in salivary glands.
    The study investigates the potential of PRMT5 inhibitors as a targeted therapy for adenoid cystic carcinoma (ACC) of the salivary glands, a rare and challenging-to-treat cancer. Using an AI-driven platform, PRMT5 was identified as a promising therapeutic target. The study involved 87 primary ACC samples and demonstrated that PRMT5 inhibitors (PRT543 and PRT811) showed significant anti-tumor activity in ACC cell lines, organoids, and patient-derived xenograft models. The inhibitors downregulated genes associated with ACC progression, such as MYB and MYC. Additionally, combining PRMT5 inhibitors with lenvatinib, a drug that targets upregulated genes in ACC, enhanced the anti-tumor effects. These findings support the development of PRMT5 inhibitors as a monotherapy or in combination with lenvatinib for ACC treatment, tailored to patients' molecular profiles.
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