The MYC and NMYC transcription factors (TFs) play a key role in
cell proliferation and are overexpressed in most
cancer cells. However, in normal cells their overexpression triggers safeguard mechanisms promoting
cell death and
cellular senescence, which are bypassed in
cancer cells. Here, the inventors reveal that in normal cells MYC binds to the
Inositol 1,4,5-Trisphosphate
Receptor type 1 (ITPR1)
gene and upregulates its expression, triggering an ER-mitochondria
calcium (Ca2+) transfer, which is involved in MYC-induced
cell death and
senescence. Supporting a tumor suppressive role of MYC / ITPR1 axis, ITPR1 expression is generally decreased in
cancer and reactivation of this pathway induces
cancer cell death. Nevertheless, some cancer cells, generally expressing high levels of MYCN and / or MYC, also express high level of ITPR1, which correlates with high expression of BCL2, encoding an inhibitor of ITPR1. Strikingly, in high-risk MYCN-amplified
neuroblastoma, ITPR1 expression is controlled by NMYC and its level correlates with worse
patient survival. In these cells, blocking the interaction between BCL2 and ITPR1, via an BCL2-BH4 domain inhibitor induces mitochondrial Ca2+ accumulation and cell death, and decreases
tumor size. Thus, the present invention relates to a method for treating MYChigh cancer, and in particular NMYC--amplified
neuroblastoma in a subject by administering an BCL2-BH4 domain inhibitor.