Glioblastoma (GBM) is an aggressive
primary brain tumor. The rapid growth and the privileged provenance of the
tumor within the brain contribute to its aggressivity and poor therapeutic targeting. A poor prognostic factor in
glioblastoma is the deletion or mutation of the Nf1 gene. This gene codes for the
protein neurofibromin, a tumor suppressor gene that is known to interact with the
collapsin response mediator
protein 2 (CRMP2). CRMP2 expression and elevated expression of nuclear phosphorylated CRMP2 have recently been implicated in
cancer progression. The CRMP2-neurofibromin interaction protects CRMP2 from its phosphorylation by
cyclin-dependent kinase 5 (Cdk5), an event linked to
cancer progression. In three human
glioblastoma cell lines (GL15, A172, and U87), we observed an inverse correlation between
neurofibromin expression and CRMP2 phosphorylation levels.
Glioblastoma cell proliferation was dependent on CRMP2 expression and phosphorylation by Cdk5 and
glycogen synthase kinase 3 beta (GSK3β). The CRMP2 phosphorylation inhibitor (S)-
lacosamide reduces, in a concentration-dependent manner,
glioblastoma cell proliferation and induced apoptosis in all three GBM cell lines tested. Since (S)-
lacosamide is bioavailable in the brain, we tested its utility in an in vivo orthotopic model of GBM using GL261-LucNeo
glioma cells. (S)-
lacosamide decreased
tumor size, as measured via in vivo bioluminescence imaging, by ~54% compared to vehicle control. Our results introduce CRMP2 expression and phosphorylation as a novel player in GBM proliferation and survival, which is enhanced by loss of Nf1.