Division of Hematology/Oncology, Department of Medicine, Geffen School of Medicine at UCLA, Los Angeles, California.
Oncology Discovery Research, Lilly Research Laboratories, Indianapolis, Indiana.
Mol Cancer Ther. 2018 May;17(5):897-907. doi: 10.1158/1535-7163.MCT-17-0290. Epub 2018 Feb 26.
The cyclinD:CDK4/6:Rb axis is dysregulated in a variety of human cancers. Targeting this pathway has proven to be a successful therapeutic approach in ER breast cancer. In this study, and preclinical breast cancer models were used to investigate the expanded use of the CDK4/6 inhibitor, abemaciclib. Using a panel of 44 breast cancer cell lines, differential sensitivity to abemaciclib was observed and was seen predominately in the luminal ER/HER2 and ER/HER2 subtypes. However, a subset of triple-negative breast cancer (TNBC) cell lines with intact Rb signaling were also found to be responsive. Equivalent levels of tumor growth inhibition were observed in ER/HER2, ER/HER2 as well as biomarker selected TNBC xenografts in response to abemaciclib. In addition, abemaciclib combined with hormonal blockade and/or HER2-targeted therapy induced significantly improved antitumor activity. CDK4/6 inhibition with abemaciclib combined with antimitotic agents, both and , did not antagonize the effect of either agent. Finally, we identified a set of Rb/E2F-regulated genes that consistently track with growth inhibitory response and constitute potential pharmacodynamic biomarkers of response to abemaciclib. Taken together, these data represent a comprehensive analysis of the preclinical activity of abemaciclib, used alone or in combination, in human breast cancer models. The subtypes most likely to respond to abemaciclib-based therapies can be identified by measurement of a specific set of biomarkers associated with increased dependency on cyclinD:CDK4/6:Rb signaling. These data support the clinical development of abemaciclib as monotherapy or as a combination partner in selected ER/HER2, HER2/ER, and TNBCs. .
细胞周期蛋白 D:CDK4/6:Rb 轴在多种人类癌症中失调。靶向该途径已被证明是 ER 阳性乳腺癌治疗的成功方法。在这项研究中,使用了 和 临床前乳腺癌模型来研究 CDK4/6 抑制剂 abemaciclib 的扩展用途。使用一组 44 种乳腺癌细胞系,观察到对 abemaciclib 的敏感性差异,主要见于 luminal ER/HER2 和 ER/HER2 亚型。然而,也发现了一部分具有完整 Rb 信号的三阴性乳腺癌 (TNBC) 细胞系对其有反应。在 ER/HER2、ER/HER2 以及生物标志物选择的 TNBC 异种移植中,观察到 abemaciclib 同样程度的肿瘤生长抑制。此外,abemaciclib 联合激素阻断和/或 HER2 靶向治疗诱导显著改善的抗肿瘤活性。用 abemaciclib 抑制 CDK4/6 与抗有丝分裂药物联合使用, 和 ,并没有拮抗任何一种药物的效果。最后,我们确定了一组 Rb/E2F 调节基因,这些基因与生长抑制反应一致,并构成了对 abemaciclib 反应的潜在药效学生物标志物。总的来说,这些数据代表了 abemaciclib 在人类乳腺癌模型中单独使用或联合使用的临床前活性的综合分析。通过测量与对 cyclinD:CDK4/6:Rb 信号依赖性增加相关的特定生物标志物,可以确定最有可能对 abemaciclib 治疗有反应的亚型。这些数据支持 abemaciclib 作为单一疗法或在选定的 ER/HER2、HER2/ER 和 TNBC 中作为联合治疗伙伴的临床开发。
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