Work

Effective therapeutic targeting of CTNNB1 ‐mutant hepatoblastoma with WNTinib

Year: 2025
Type: article
Abstract: Hepatoblastoma (HB), the most frequent pediatric liver cancer (2.16 cases/million), has surgery and perioperative chemotherapy as primary treatment, with severe lifelong side effects. This study evaluates the efficacy of the Wnt/ CTNNB1 inhibitor WNTinib as a potential HB treatment, since CTNNB1 mutations occur in 70–90% of HBs. WNTinib's efficacy was assessed in three animal models ( n = 48): (a) patient‐derived xenograft (PDX) HB tumors ( n = 5 CTNNB1‐ mutant, n = 1 CTNNB1 wild‐type) implanted in NSG mice; (b) PDX‐derived TT001‐ and (c) HepG2‐HB cells subcutaneously implanted in Fox1 nu mice; and in two patient‐derived organoids from CTNNB1 ‐mutant HBs. WNTinib delayed tumor growth in n = 4/5 CTNNB1 ‐mutant PDX models and significantly improved survival versus controls ( P = 0.03), with no effect in the wild‐type model. Further, in the TT001 and HepG2 models, WNTinib reduced tumor growth ( P < 0.05 and P = 0.002) and extended survival ( P = 0.03 and P = 0.008), respectively. In HB organoids, WNTinib demonstrated greater efficacy than standard‐of‐care cisplatin ( P = 0.009, org‐1), and its antitumor effect was further enhanced when combined with chemotherapy ( P = 0.01, org‐1; P = 0.007, org‐22). WNTinib delays tumor progression and increases survival in CTNNB1 ‐mutated HB models, providing rationale to explore its use in human HB.
Language: English
Open Access status: gold
Estimated APC paid: $4,300
OpenAlex ID: W4417128154
FWCI: 0.505
Cites: 33
Cited by: 2
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