Neurofibromatosis Type 1 (NF1) Related Tumors (2nd Edition)

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Tumor Microenvironment".

Deadline for manuscript submissions: 30 June 2026 | Viewed by 323

Special Issue Editors


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Guest Editor
Department of Cell Biology, Neurobiology and Anatomy, The Medical College of Wisconsin, Milwaukee, WI 53226, USA
Interests: NF1-associated tumors; plexiform neurofibromas; glioblastoma multiforme
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Guest Editor
Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA
Interests: NF1 tumor; pediatric brain tumors; spinal cord tumors
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Special Issue Information

Dear Colleagues,

This Special Issue is a continuation of our previous Special Issue, “Neurofibromatosis Type 1 (NF1) Related Tumors” (https://www.mdpi.com/journal/cancers/special_issues/MKJGT4K1HG).

Neurofibromatosis Type 1 (NF1) is a cancer predisposition syndrome, with afflicted patients developing benign and/or malignant tumors at distinct developmental stages. The pathognomonic feature is the development of nerve sheath tumors, cutaneous neurofibromas, and plexiform neurofibromas, with the latter capable of transformation into malignant peripheral nerve sheath tumor (MPNST), an incurable sarcoma with metastatic potential. Central nervous system (CNS) tumors are also frequently encountered in children, including optic pathway gliomas (OPGs) and brainstem low-grade gliomas (LGGs), while an increased incidence of high-grade gliomas (HGGs) in adolescents and young adults compared to the general population has also been reported. With the identification of NF1 and co-operating driver alterations through collaborative multi-omics studies and the development of genetically engineered mouse models that accurately recapitulate these tumor phenotypes, therapies targeting the underlying molecular pathophysiology (i.e., RAS signaling and downstream effectors) for neurofibromatosis type 1 are becoming available and have demonstrated success in benign plexiform neurofibromas and optic pathway gliomas. In addition, patients with NF1 show increased risk for leukemia, sarcomas, breast cancer, pheochromocytoma and gastrointestinal stromal tumors, among others. NF1-associated tumors demonstrate significant tumor heterogeneity, an enriched tumor microenvironment, and versatile epigenetic regulations that create significant challenges in the development of new drugs and treatment strategies, often contributing to worse outcomes relative to sporadic NF1 wild-type tumors. Recent advances in the NF1 field demonstrate stem-like tumor populations driving heterogeneity, characterize the immune microenvironment and inflammatory signatures, and elucidate the crystal structure of neurofibromin. These new angles may further characterize NF1-associated tumors and inspire new treatment perspectives. Clinical trials evaluating targeted therapy (i.e., MEK inhibitors) versus standard approaches are ongoing and may potentially result in a paradigm shift in the treatment of benign NF1 tumors, while combinatorial approaches are likely to be required for the management of high-grade tumors.

In this Special Issue, we aim to summarize, explore, and characterize the features of NF1-related tumors, covering both basic and (pre)clinical aspects to advance our understanding of targeting these complex diseases.

We look forward to receiving your contributions.

Dr. Daochun Sun
Dr. Sameer Farouk Sait
Guest Editors

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Keywords

  • NF1
  • tumorigenesis
  • cancer stem cells
  • targeted therapy
  • tumor microenvironment
  • epigenetics
  • case report
  • metastasis
  • clinical trials

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Published Papers (1 paper)

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Research

11 pages, 1220 KiB  
Article
The Combination of HSP90 Inhibitors and Selumetinib Reinforces the Inhibitory Effects on Plexiform Neurofibromas
by Sajjad Khan, Oluwatosin Aina, Ximei Veneklasen, Hannah Edens, Donia Alson, Li Sun, Huda Zayed, Kimani Njoya and Daochun Sun
Cancers 2025, 17(14), 2359; https://doi.org/10.3390/cancers17142359 - 16 Jul 2025
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Abstract
Background/Objectives: Plexiform neurofibromas (pNFs) are one of the cardinal presentations of NF1 patients, often arising during early childhood. Since selumetinib was approved by the FDA in 2020, the long-term side effects and various responses of mitogen-activated protein kinase inhibitors (MEKi) in pediatric [...] Read more.
Background/Objectives: Plexiform neurofibromas (pNFs) are one of the cardinal presentations of NF1 patients, often arising during early childhood. Since selumetinib was approved by the FDA in 2020, the long-term side effects and various responses of mitogen-activated protein kinase inhibitors (MEKi) in pediatric patients necessitate a new strategy. We propose that combining selumetinib with heat shock protein 90 inhibitors (HSP90i) can enhance the inhibitory effects as well as reduce the dosage of selumetinib in combination. We validated the synergistic effects and the significantly improved treatment effects of the combination of selumetinib and HSP90i in pNFs. Methods: We used drug screen data mining to predict the combination of selumetinib and HSP90i. Using cell lines and in vivo mouse models for pNFs, we tested a series of combinations with different concentrations. We validated the in vivo inhibitory effects using the transplanted tumors from DhhCreNf1f/f mouse models. Results: We demonstrated that combining selumetinib and SNX-2112 or retaspimycin can achieve better tumor inhibition with synergistic effects. The combination significantly delays the progression of mouse pNFs. Conclusions: The combination of selumetinib and HSP90i has significant synergistic effects, provides therapeutic inhibitor effects, and reduces the selumetinib dosage in combination. Full article
(This article belongs to the Special Issue Neurofibromatosis Type 1 (NF1) Related Tumors (2nd Edition))
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