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CDK4/6 inhibition is more active against the glioblastoma proneural subtype.
Li, Ming; Xiao, Aizhen; Floyd, Desiree; Olmez, Inan; Lee, Jeongwu; Godlewski, Jakub; Bronisz, Agnieszka; Bhat, Krishna P L; Sulman, Erik P; Nakano, Ichiro; Purow, Benjamin.
Afiliación
  • Li M; Neuro-Oncology Division, Department of Neurology, University of Virginia, Charlottesville, VA, USA.
  • Xiao A; The Experiment Center, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
  • Floyd D; Neuro-Oncology Division, Department of Neurology, University of Virginia, Charlottesville, VA, USA.
  • Olmez I; Neuro-Oncology Division, Department of Neurology, University of Virginia, Charlottesville, VA, USA.
  • Lee J; Neuro-Oncology Division, Department of Neurology, University of Virginia, Charlottesville, VA, USA.
  • Godlewski J; Department of Stem Cell Biology and Regenerative Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.
  • Bronisz A; Department of Neurosurgery, Brigham and Women's Hospital, Boston, MA, USA.
  • Bhat KPL; Department of Neurosurgery, Brigham and Women's Hospital, Boston, MA, USA.
  • Sulman EP; Departments of Pathology, MD Anderson Cancer Center, Houston, TX, USA.
  • Nakano I; Radiation Oncology, MD Anderson Cancer Center, Houston, TX, USA.
  • Purow B; Department of Neurosurgery, University of Alabama, Birmingham, AL, USA.
Oncotarget ; 8(33): 55319-55331, 2017 Aug 15.
Article en En | MEDLINE | ID: mdl-28903422
Glioblastoma (GBM) is the most common and lethal brain tumor. Gene expression profiling has classified GBM into distinct subtypes, including proneural, mesenchymal, and classical, and identifying therapeutic vulnerabilities of these subtypes is an extremely high priority. We leveraged The Cancer Genome Atlas (TCGA) data, in particular for microRNA expression, to seek druggable core pathways in GBM. The E2F1-regulated miR-17˜92 cluster and its analogs are shown to be highly expressed in proneural GBM and in GSC lines, suggesting the E2F cell cycle pathway might be a key driver in proneural GBM. Consistently, CDK4/6 inhibition with palbociclib preferentially inhibited cell proliferation in vitro in a majority of proneural GSCs versus those of other subtypes. Palbociclib treatment significantly prolonged survival of mice with established intracranial xenografts of a proneural GSC line. We show that most of these sensitive PN GSCs expressed higher levels of CDK6 and had intact Rb1, while two GSC lines with CDK4 overexpression and null Rb1 were highly resistant to palbociclib. Importantly, palbociclib treatment of proneural GSCs upregulated mesenchymal-associated markers and downregulated proneural-associated markers, suggesting that CDK4/6 inhibition induced proneural-mesenchymal transition and underscoring the enhanced role of the E2F cell cycle pathway in the proneural subtype. Lastly, the combination of palbociclib and N,N-diethylaminobenzaldehyde, an inhibitor of the mesenchymal driver ALDH1A3, showed strong synergistic inhibitory effects against proneural GSC proliferation. Taken together, our results reveal that proneural GBM has increased vulnerability to CDK4/6 inhibition, and the proneural subtype undergoes dynamic reprogramming upon palbociclib treatment-suggesting the need for a combination therapeutic strategy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Oncotarget Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Oncotarget Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos