Neurofibromatosis type 2 (NF2) is a genetic syndrome that predisposes individuals to multiple benign
tumors of the central and peripheral nervous systems, including
vestibular schwannomas. Currently, there are no FDA approved
drug therapies for NF2. Loss of function of
merlin encoded by the NF2 tumor suppressor gene leads to activation of multiple mitogenic signaling cascades, including
platelet-derived growth factor receptor (PDGFR) and SRC in Schwann cells. The goal of this study was to determine whether
ponatinib, an FDA-approved ABL/SRC inhibitor, reduced proliferation and/or survival of
merlin-deficient human Schwann cells (HSC).
Merlin-deficient HSC had higher levels of phosphorylated PDGFRα/β, and SRC than
merlin-expressing HSC. A similar phosphorylation pattern was observed in phospho-
protein arrays of human
vestibular schwannoma samples compared to normal HSC.
Ponatinib reduced
merlin-deficient HSC viability in a dose-dependent manner by decreasing phosphorylation of PDGFRα/β, AKT,
p70S6K, MEK1/2, ERK1/2 and STAT3. These changes were associated with decreased
cyclin D1 and increased p27Kip1levels, leading to a G1 cell-cycle arrest as assessed by Western blotting and flow cytometry.
Ponatinib did not modulate ABL, SRC,
focal adhesion kinase (FAK), or
paxillin phosphorylation levels. These results suggest that
ponatinib is a potential therapeutic agent for NF2-associated
schwannomas and warrants further in vivo investigation.