Retinal Organoid Screening Reveals ABT-737 and Luminespib as Selective Agents Against Tumorigenic Cone Precursors in Retinoblastoma
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ABSTRACT: Retinoblastoma (Rb) is primarily driven by proliferating cone precursors, particularly those in the G2/M phase, as revealed by recent single-cell transcriptomic studies. In this study, we utilized patient RB1⁻/⁻ retinal organoids to evaluate the cytotoxic efficacy and selectivity of candidate therapeutics targeting these tumor-initiating cells. A primary screen of 37 compounds identified 11 with significant cytotoxicity, which was subsequently refined to six candidates exhibiting selective activity against proliferating cone precursors. Among these, ABT-737 and Luminespib emerged as lead compounds, demonstrating dose-dependent depletion of Ki-67⁺/RXRγ⁺ cone cells and strong apoptotic induction—evidenced by Caspase-3 activation and Annexin V/7-AAD flow cytometry—without inducing necrosis. Single-cell RNA sequencing confirmed that both agents selectively ablated the Rb-like proliferating cone precursors. Ocular pharmacokinetic modeling using pluripotent stem cell-derived RPE monolayers revealed limited permeability across the outer blood-retinal barrier for both drugs; however, Luminespib showed moderate translocation, likely due to its lower molecular weight. Together, these findings highlight ABT-737 and Luminespib as promising, selective therapeutic candidates for Rb and demonstrate the utility of integrated retinal organoid and RPE models for preclinical drug screening and pharmacokinetic evaluation.
ORGANISM(S): Homo sapiens
PROVIDER: GSE305503 | GEO | 2026/03/18
REPOSITORIES: GEO
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