Wee-1激酶抑制通过有丝分裂停滞随后衰老克服了与头颈部癌中高危TP53突变相关的顺铂耐药性。

Wee-1 kinase inhibition overcomes cisplatin resistance associated with high-risk TP53 mutations in head and neck cancer through mitotic arrest followed by senescence.

作者信息

Osman Abdullah A, Monroe Marcus M, Ortega Alves Marcus V, Patel Ameeta A, Katsonis Panagiotis, Fitzgerald Alison L, Neskey David M, Frederick Mitchell J, Woo Sang Hyeok, Caulin Carlos, Hsu Teng-Kuei, McDonald Thomas O, Kimmel Marek, Meyn Raymond E, Lichtarge Olivier, Myers Jeffrey N

机构信息

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, Utah.

出版信息

Mol Cancer Ther. 2015 Feb;14(2):608-19. doi: 10.1158/1535-7163.MCT-14-0735-T. Epub 2014 Dec 10.

Abstract

Although cisplatin has played a role in "standard-of-care" multimodality therapy for patients with advanced squamous cell carcinoma of the head and neck (HNSCC), the rate of treatment failure remains particularly high for patients receiving cisplatin whose tumors have mutations in the TP53 gene. We found that cisplatin treatment of HNSCC cells with mutant TP53 leads to arrest of cells in the G2 phase of the cell cycle, leading us to hypothesize that the wee-1 kinase inhibitor MK-1775 would abrogate the cisplatin-induced G2 block and thereby sensitize isogenic HNSCC cells with mutant TP53 or lacking p53 expression to cisplatin. We tested this hypothesis using clonogenic survival assays, flow cytometry, and in vivo tumor growth delay experiments with an orthotopic nude mouse model of oral tongue cancer. We also used a novel TP53 mutation classification scheme to identify which TP53 mutations are associated with limited tumor responses to cisplatin treatment. Clonogenic survival analyses indicate that nanomolar concentration of MK-1775 sensitizes HNSCC cells with high-risk mutant p53 to cisplatin. Consistent with its ability to chemosensitize, MK-1775 abrogated the cisplatin-induced G2 block in p53-defective cells leading to mitotic arrest associated with a senescence-like phenotype. Furthermore, MK-1775 enhanced the efficacy of cisplatin in vivo in tumors harboring TP53 mutations. These results indicate that HNSCC cells expressing high-risk p53 mutations are significantly sensitized to cisplatin therapy by the selective wee-1 kinase inhibitor, supporting the clinical evaluation of MK-1775 in combination with cisplatin for the treatment of patients with TP53 mutant HNSCC.

摘要

尽管顺铂在晚期头颈部鳞状细胞癌(HNSCC)患者的“标准治疗”多模式治疗中发挥了作用,但对于肿瘤TP53基因发生突变且接受顺铂治疗的患者,治疗失败率仍然特别高。我们发现,用顺铂处理具有突变型TP53的HNSCC细胞会导致细胞停滞在细胞周期的G2期,这使我们推测wee-1激酶抑制剂MK-1775会消除顺铂诱导的G2期阻滞,从而使具有突变型TP53或缺乏p53表达的同基因HNSCC细胞对顺铂敏感。我们使用克隆形成存活试验、流式细胞术以及口腔舌癌原位裸鼠模型的体内肿瘤生长延迟实验来验证这一假设。我们还使用了一种新颖的TP53突变分类方案来确定哪些TP53突变与顺铂治疗的肿瘤反应有限相关。克隆形成存活分析表明,纳摩尔浓度的MK-1775使具有高危突变型p53的HNSCC细胞对顺铂敏感。与其化学增敏能力一致,MK-1775消除了顺铂诱导的p53缺陷细胞中的G2期阻滞,导致与衰老样表型相关的有丝分裂停滞。此外,MK-1775增强了顺铂在体内对携带TP53突变的肿瘤的疗效。这些结果表明,表达高危p53突变的HNSCC细胞通过选择性wee-1激酶抑制剂对顺铂治疗显著敏感,支持对MK-1775与顺铂联合治疗TP53突变型HNSCC患者进行临床评估。

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