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  • 1
    In: Molecular Cancer Therapeutics, American Association for Cancer Research (AACR), Vol. 14, No. 12 ( 2015-12-01), p. 2850-2863
    Abstract: Triple-negative breast cancers (TNBC) are typically resistant to treatment, and strategies that build upon frontline therapy are needed. Targeting the murine double minute 2 (Mdm2) protein is an attractive approach, as Mdm2 levels are elevated in many therapy-refractive breast cancers. The Mdm2 protein–protein interaction inhibitor Nutlin-3a blocks the binding of Mdm2 to key signaling molecules such as p53 and p73α and can result in activation of cell death signaling pathways. In the present study, the therapeutic potential of carboplatin and Nutlin-3a to treat TNBC was investigated, as carboplatin is under evaluation in clinical trials for TNBC. In mutant p53 TMD231 TNBC cells, carboplatin and Nutlin-3a led to increased Mdm2 and was strongly synergistic in promoting cell death in vitro. Furthermore, sensitivity of TNBC cells to combination treatment was dependent on p73α. Following combination treatment, γH2AX increased and Mdm2 localized to a larger degree to chromatin compared with single-agent treatment, consistent with previous observations that Mdm2 binds to the Mre11/Rad50/Nbs1 complex associated with DNA and inhibits the DNA damage response. In vivo efficacy studies were conducted in the TMD231 orthotopic mammary fat pad model in NOD.Cg-PrkdcscidIl2rgtm1Wjl/SzJ (NSG) mice. Using an intermittent dosing schedule of combined carboplatin and Nutlin-3a, there was a significant reduction in primary tumor growth and lung metastases compared with vehicle and single-agent treatments. In addition, there was minimal toxicity to the bone marrow and normal tissues. These studies demonstrate that Mdm2 holds promise as a therapeutic target in combination with conventional therapy and may lead to new clinical therapies for TNBC. Mol Cancer Ther; 14(12); 2850–63. ©2015 AACR.
    Type of Medium: Online Resource
    ISSN: 1535-7163 , 1538-8514
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2015
    detail.hit.zdb_id: 2062135-8
    SSG: 12
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  • 2
    In: Molecular Cancer Research, American Association for Cancer Research (AACR), Vol. 14, No. 11_Supplement ( 2016-11-01), p. A12-A12
    Abstract: Abemaciclib (LY2835219) is an ATP-competitive inhibitor of cyclin dependent kinases 4 and 6 (CDK4/6), which is currently undergoing clinical evaluation as a single-agent treatment and in combination with the anti-hormonal therapy (SERD) fulvestrant in estrogen receptor positive (ER+) breast cancer (BrCa). Breast cancer cell line (15 lines) sensitivity to treatment with abemaciclib was assessed using multiple approaches including EdU incorporation, phosphorylation of retinoblastoma protein at serine 807/811 (pRb_s807/811) and RNA transcriptional profiling. We identified molecular features including ER-positivity (ER+), and luminal histology, as key to greater sensitivity while loss of Rb was associated with lower sensitivity. Changes in the Modaplex based RNA transcriptional array profiles of 29 cell cycle related target genes across a panel of 15 human breast cancer cell lines further characterized sensitivity to abemaciclib and highlighted potential targets of response. A sub-group of targets including MKi67, E2F1, MCM7, FOXM1, RRM2 and TOPIIα were significantly inhibited in highly sensitive cell lines previously characterized with EC50 & lt; 50nM (EdU, pRb_serine 807/811). Additionally, we looked at abemaciclib induced transcriptional changes in vivo treating nude mice bearing human, ER+ breast cancer (ER+/HER2-) tumor xenografts and found that the inhibition of expression of this same group of transcriptional targets plus CCNE1 and CDKN2C correlated with the concentration-dependent inhibition of CDK4/CDK6. Abemaciclib washout studies following longer-term exposure in T47-D (ER+/HER2-) demonstrated durable cell cycle inhibition resulting in significant inhibition of pRb_s807/811 even after the removal (washout) of abemaciclib while longer exposure also resulted in inhibition of estrogen receptor-α (ERα) expression in a panel of ER+ breast cancer cell lines that were evaluated over a 8 day time course. Using taqman low density RNA array (TLDA) cards designed with known ERα driven transcriptional targets, we investigated the impact of abemaciclib single agent and in combination with fulvestrant on changes in RNA expression in four day treated breast cancer cells (ER+/HER2-). Single agent abemaciclib appeared to inhibit a subset of ERα driven targets including TFF1, GREB1, ESR1, E2F1, CDC45, FOXM1 and IGFBP4 (inhibition & gt;%50). Interestingly, comparing single agent (% inhibition) abemaciclib to fulvestrant monotherapy in MCF-7 cells, we found that abemaciclib inhibited CDC45, E2F1, ESR1 and FOXM1 to a greater extent than that observed for these same targets following monotherapy with fulvestrant. Combining abemaciclib with fulvestrant identified an additional sub-group of ERα driven targets whereby the combination provided greater inhibition than that observed with any of the single agent treatments (IGFBP4, E2F1, FOXM1 and CDC45). Additionally, the combination treatment as compared to single-agent treatments also induced greater inhibition of various cell cycle regulatory genes including MCM7, CDKN2C, TOP2a, RRM2, and MKi67. Citation Format: Ann M. McNulty, Teresa Burke, Jack A. Dempsey, Christophe C. Marchal, Andrew E. Schade, Hadrian P. Szpurka, Michele S. Dowless, Jennifer Stephens, Jennifer Stephens, Denise Edmondson, Keith Stayrook, William C. Caldwell, Sean Buchanan, Farhana F. Merzoug, Richard P. Beckmann. The CDK4/CDK6 inhibitor abemaciclib inhibits transcriptional targets which facilitate growth in ER+ breast cancer cells. [abstract]. In: Proceedings of the AACR Precision Medicine Series: Cancer Cell Cycle - Tumor Progression and Therapeutic Response; Feb 28-Mar 2, 2016; Orlando, FL. Philadelphia (PA): AACR; Mol Cancer Res 2016;14(11_Suppl):Abstract nr A12.
    Type of Medium: Online Resource
    ISSN: 1541-7786 , 1557-3125
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2016
    detail.hit.zdb_id: 2097884-4
    SSG: 12
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  • 3
    In: Human Molecular Genetics, Oxford University Press (OUP), Vol. 24, No. 18 ( 2015-09-15), p. 5093-5108
    Type of Medium: Online Resource
    ISSN: 0964-6906 , 1460-2083
    RVK:
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2015
    detail.hit.zdb_id: 1474816-2
    SSG: 12
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