Perhexiline Demonstrates FYN-mediated Antitumor Activity in Glioblastoma.

Shiva Kant, Beaumont Health
Pravin Kesarwani, Beaumont Health
Anthony R Guastella, Beaumont Health
Praveen Kumar, Beaumont Health
Stewart F Graham
Katie L Buelow, Beaumont Health
Ichiro Nakano, Beaumont Health
Prakash Chinnaiyan, Beaumont Health

Abstract

Glioblastoma is the most common primary malignant brain tumor in adults. Despite aggressive treatment, outcomes remain poor with few long-term survivors. Therefore, considerable effort is being made to identify novel therapies for this malignancy. Targeting tumor metabolism represents a promising therapeutic strategy and activation of fatty acid oxidation (FAO) has been identified as a central metabolic node contributing toward gliomagenesis. Perhexiline is a compound with a long clinical track record in angina treatment and commonly described as an FAO inhibitor. We therefore sought to determine whether this compound might be repurposed to serve as a novel therapy in glioblastoma. Perhexiline demonstrated potent