Treatment during a developmental window prevents NF1-associated optic pathway gliomas by targeting Erk-dependent migrating glial progenitors

Dev Cell. 2021 Oct 25;56(20):2871-2885.e6. doi: 10.1016/j.devcel.2021.08.004. Epub 2021 Aug 23.

Abstract

The mechanism of vulnerability to pediatric low-grade gliomas (pLGGs)-the most common brain tumor in children-during development remains largely unknown. Using mouse models of neurofibromatosis type 1 (NF1)-associated pLGGs in the optic pathway (NF1-OPG), we demonstrate that NF1-OPG arose from the vulnerability to the dependency of Mek-Erk/MAPK signaling during gliogenesis of one of the two developmentally transient precursor populations in the optic nerve, brain-derived migrating glial progenitors (GPs), but not local progenitors. Hyperactive Erk/MAPK signaling by Nf1 loss overproduced GPs by disrupting the balance between stem-cell maintenance and gliogenesis of hypothalamic ventricular zone radial glia (RG). Persistence of RG-like GPs initiated NF1-OPG, causing Bax-dependent apoptosis in retinal ganglion cells. Removal of three Mek1/Mek2 alleles or transient post-natal treatment with a low-dose MEK inhibitor normalized differentiation of Nf1-/- RG-like GPs, preventing NF1-OPG formation and neuronal degeneration. We provide the proof-of-concept evidence for preventing pLGGs before tumor-associated neurological damage enters an irreversible phase.

Keywords: NF1; Neurofibromatosis type 1; hMZ-RG; hVZ-RG; hypothalamic mantle zone radial glia; hypothalamic ventricular zone radial glia; neural stem cells; optic pathway glioma (OPG); pediatric low-grade glioma; pilocytic astrocytoma.

Publication types

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

MeSH terms

  • Animals
  • Brain Neoplasms / metabolism
  • Brain Neoplasms / therapy
  • Disease Models, Animal
  • Eye / metabolism
  • MAP Kinase Signaling System / physiology*
  • Mice
  • Neurofibromatosis 1 / metabolism
  • Neurofibromatosis 1 / pathology
  • Neurofibromatosis 1 / therapy*
  • Neuroglia / metabolism
  • Optic Nerve / pathology
  • Optic Nerve Glioma / metabolism
  • Optic Nerve Glioma / pathology
  • Optic Nerve Glioma / therapy*
  • Stem Cells / cytology*