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Advanced Neurology                                            TG100-115 suppresses glioblastoma cell functions



            1. Introduction                                    3 and Notch signaling, and is activated by prostaglandin
                                                               E2 via the prostaglandin E receptor 3/protein kinase A
            Glioblastomas (GBMs) are characterized by aggressive   pathway to promote GBM cell proliferation and motility.
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            growth and invasiveness, significantly affecting patient   These findings collectively underscore TRPM7 as a critical
            survival, neurological function, psychological well-being,   regulator of GBM malignancy and a potential therapeutic
            and overall quality of life.  Despite advancements in   target.  However,  the  relative  contribution  of  the  kinase
                                   1
            therapeutic strategies combining surgery, temozolomide   domain to GBM regulation, as compared to that of the ion
            chemotherapy, and radiotherapy, GBMs are associated   channel, remains insufficiently defined.
            with a poor prognosis, with a median survival of
            14.6  months after diagnosis.  The ongoing challenges   The kinase domain of TRPM7 retains functional
                                    2
            pertaining to drug resistance, the blood–brain barrier,   distinctiveness, with unique implications in human cancer
            and  tumor  heterogeneity  highlight  the  need  for  new   pathogenesis, and mediates tumorigenic processes through
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            therapeutic approaches. Genomic analyses of gliomas have   the phosphorylation of specific substrates.  In contrast to
            revealed a wide range of deregulated genes with somatic   the ion channel domain, which primarily mediates cell
            mutations, including TERT, TP53, IDH1, ATRX, and TTN,   proliferation, the kinase domain is specifically required for
            among others, providing important insights into glioma   cytoskeletal regulation and metastatic behavior. Notably,
            pathogenesis.  Building on these findings, recent studies   deletion or inactivation of this domain significantly
                       3-5
            have advanced the development of therapies targeting   reduces  migratory  and  invasive  capacities  without
            critical signaling pathways, including the epidermal growth   affecting proliferation. 20,21  Therefore, selectively inhibiting
            factor receptor, phosphoinositide 3-kinase (PI3K)/protein   the TRPM7 kinase domain may offer a therapeutic strategy
            kinase B (Akt)/mammalian target of rapamycin (mTOR)   to suppress cancer metastasis while minimizing effects on
            axis, and vascular endothelial growth factor, along with the   normal cell growth.
            exploration of immune checkpoint inhibitors.  However,   TG100-115, identified for its potent inhibition of
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            the lack of effective treatment options underscores the   TRPM7 kinase in 2017, demonstrates a potency surpassing
            urgent need for deeper exploration of the molecular   the previously known TRPM7 kinase inhibitor, rottlerin,
            mechanisms of GBM to discover novel therapeutic targets.  by over 70-fold.  In addition, TG100-115 significantly
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              Transient receptor potential melastatin 7 (TRPM7)   inhibits  the  migratory  and  invasive  abilities  of  breast
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            is  a  non-selective  divalent  cation  channel  that  facilitates   cancer cells.  TG100-115 was initially characterized as
            the influx of ions such as calcium, magnesium, and zinc.   a potent inhibitor of PI3K, exhibiting selective affinity
            TRPM7 contains an unusual α-kinase domain within its   for the PI3K-γ and PI3K-δ isoforms. In rigorous animal
            C-terminal region, enabling its dual function as both an   models of myocardial infarction, TG100-115 demonstrated
            ion channel and a kinase.  TRPM7 is widely expressed in   significant cardioprotective effects, reducing infarct size
                                7
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            various tissues and has been implicated in the progression   and preserving myocardial function.  At present, TG100-
            of multiple malignancies, including pancreatic,  breast,    115 is the only potent inhibitor known to selectively target
                                                          9
                                                   8
            gastric,  and nasopharyngeal cancers,  as well as GBM.    the TRPM7 kinase domain, offering valuable insights into
                  10
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            Accumulating evidence indicates that TRPM7 plays   the kinase-specific pathophysiological role of TRPM7 in
            a pivotal role in the progression of GBM. Inhibition   GBM. Such inhibitors serve as important pharmacological
            of  TRPM7  using  compounds,  such  as  carvacrol  and   tools for investigating the biological functions mediated by
            waixenicin A, has been shown to suppress GBM cell   TRPM7 kinase activity.
            proliferation, migration, and invasion both  in vitro   In this study, we investigated the impact of TG100-115
            and  in vivo while inducing apoptosis in GBM cells. 12,13    on the proliferation, migration, and invasion of the GBM
            Conversely, pharmacological activation of TRPM7 using   cell line U251. Furthermore, we explored its effects on
            naltriben enhances the migratory and invasive capabilities   apoptosis and potential molecular mechanisms, aiming to
            of GBM cells, highlighting its pro-tumorigenic function.    provide insights into novel therapeutic strategies for GBM
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            Mechanistically, TRPM7 regulates key oncogenic     treatment.
            pathways, including the PI3K/Akt and mitogen-activated
            protein kinase (MAPK) kinase (MEK)/extracellular signal-  2. Materials and methods
            regulated kinase (ERK) 12,13,15,16  pathways, and modulates
            the expression of matrix metalloproteinase 2, contributing   2.1. Cell culture
                               17
            to tumor cell invasion.  Furthermore, TRPM7 has been   Human  GBM  cell  line  U251  was  obtained  from  the
            implicated  in  the  maintenance  of  glioma  stem-like  cells   American Type  Culture Collection (United States of
            through signal transducer and activator of transcription   America [USA]). Cell culture procedures followed


            Volume 4 Issue 3 (2025)                         89                           doi: 10.36922/AN025110023
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