Researchers have developed a dual inhibition strategy targeting PRMT5 and MAT2A enzymes in MTAP homozygous-deficient gliomas, offering a promising therapeutic approach for aggressive brain tumors resistant to standard treatments.
MTAP deletion in gliomas leads to metabolic adaptations, making cells susceptible to alterations in methionine metabolism and methylation dynamics through PRMT5 and MAT2A inhibition.
Synthetic lethality achieved by targeting both enzymes simultaneously results in significant glioma cell viability impairment, affecting RNA splicing fidelity, epigenetic reprogramming, and the global methylome.
Dual enzymatic targeting induces metabolic and epigenetic catastrophes in MTAP-null cells, leading to apoptosis and halting tumor progression more effectively than single-agent interventions.
The study underscores PRMT5 and MAT2A as actionable drug targets, offering a beacon of hope for MTAP-deficient glioma patients with limited therapeutic options and unfavorable prognoses.
Experimental validations in glioma models demonstrate tumor growth retardation, reduced proliferation, and increased apoptosis following combined PRMT5 and MAT2A inhibition.
The research extends beyond gliomas, suggesting applicability of synthetic lethality in other MTAP-deficient cancers like pancreatic and lung malignancies with similar genomic deletions.
In-depth mechanistic insights reveal how combined inhibition disrupts critical cellular pathways, inducing RNA splicing defects, epigenetic alterations, and shifts in gene regulation towards apoptosis.
The potential to bypass the blood-brain barrier challenge in glioma therapeutics is highlighted, with promising brain penetration profiles of PRMT5 and MAT2A inhibitors enhancing clinical feasibility.
Precision targeting of MTAP-deleted gliomas minimizes collateral toxicity on normal tissues, reducing adverse effects and enabling combinatorial regimens with standard therapies like temozolomide or radiotherapy.