RT Journal Article SR Electronic T1 Repurposing clemastine to target glioblastoma cell stemness JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.11.05.515291 DO 10.1101/2022.11.05.515291 A1 Michael A. Sun A1 Rui Yang A1 Heng Liu A1 Wenzhe Wang A1 Xiao Song A1 Bo Hu A1 Nathan Reynolds A1 Kristen Roso A1 Lee H. Chen A1 Paula K. Greer A1 Stephen T. Keir A1 Roger E. McLendon A1 Shi-Yuan Cheng A1 Darell D. Bigner A1 David M. Ashley A1 Christopher J. Pirozzi A1 Yiping He YR 2022 UL http://biorxiv.org/content/early/2022/11/05/2022.11.05.515291.abstract AB Brain tumor-initiating cells (BTICs) and tumor cell plasticity promote glioblastoma (GBM) progression. Here, we demonstrate that clemastine, an over-the-counter drug for treating hay fever and allergy symptoms, effectively attenuated the stemness and suppressed the propagation of primary BTIC cultures bearing PDGFRA amplification. These effects on BTICs were accompanied by altered gene expression profiling indicative of their more differentiated states, resonating with the activity of clemastine in promoting the differentiation of normal oligodendrocyte progenitor cells (OPCs) into mature oligodendrocytes. Functional assays for pharmacological targets of clemastine revealed that Emopamil binding protein (EBP), an enzyme in the cholesterol biosynthesis pathway, is essential for BTIC propagation and a target that mediates the suppressive effects of clemastine. Finally, we showed that a neural stem cell-derived mouse glioma model displaying predominantly proneural features was similarly susceptible to clemastine treatment. Collectively, these results identify pathways essential for maintaining the stemness and progenitor features of GBMs, uncover BTIC dependency on EBP, and suggest that non-oncology, low-toxicity drugs with OPC differentiation-promoting activity can be repurposed to target GBM stemness and aid in their treatment.Competing Interest StatementThe authors have declared no competing interest.