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阿贝西利单药或联合抗有丝分裂和靶向治疗在乳腺癌中的临床前活性。

Preclinical Activity of Abemaciclib Alone or in Combination with Antimitotic and Targeted Therapies in Breast Cancer.

机构信息

Division of Hematology/Oncology, Department of Medicine, Geffen School of Medicine at UCLA, Los Angeles, California.

Oncology Discovery Research, Lilly Research Laboratories, Indianapolis, Indiana.

出版信息

Mol Cancer Ther. 2018 May;17(5):897-907. doi: 10.1158/1535-7163.MCT-17-0290. Epub 2018 Feb 26.


DOI:10.1158/1535-7163.MCT-17-0290
PMID:29483214
Abstract

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. .

摘要

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。

相似文献

[1]
Preclinical Activity of Abemaciclib Alone or in Combination with Antimitotic and Targeted Therapies in Breast Cancer.

Mol Cancer Ther. 2018-2-26

[2]
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[3]
Resistance to cyclin-dependent kinase (CDK) 4/6 inhibitors confers cross-resistance to other CDK inhibitors but not to chemotherapeutic agents in breast cancer cells.

Breast Cancer. 2021-1

[4]
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Cancer Chemother Pharmacol. 2022-1

[5]
Elacestrant (RAD1901) exhibits anti-tumor activity in multiple ER+ breast cancer models resistant to CDK4/6 inhibitors.

Breast Cancer Res. 2019-12-18

[6]
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Int J Mol Sci. 2024-7-5

[7]
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Drug Metab Dispos. 2015-9

[8]
[Pharmacological Effects of CDK4 & 6 Selective Inhibitor Abemaciclib in Hormone Receptor-Positive Breast Cancer].

Gan To Kagaku Ryoho. 2019-9

[9]
Defining the transcriptional and biological response to CDK4/6 inhibition in relation to ER+/HER2- breast cancer.

Oncotarget. 2016-10-25

[10]
RAF inhibitor LY3009120 sensitizes RAS or BRAF mutant cancer to CDK4/6 inhibition by abemaciclib via superior inhibition of phospho-RB and suppression of cyclin D1.

Oncogene. 2017-10-23

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[2]
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[3]
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Int J Mol Sci. 2025-5-7

[4]
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Nat Commun. 2025-5-8

[5]
Effect of palliative radiotherapy and cyclin-dependent kinase 4/6 inhibitor on breast cancer cell lines.

Naunyn Schmiedebergs Arch Pharmacol. 2025-3-4

[6]
Pharmacological CDK4/6 inhibition promotes vulnerability to lysosomotropic agents in breast cancer.

EMBO J. 2025-4

[7]
Abemaciclib plus non-steroidal aromatase inhibitor or fulvestrant in women with HR+/HER2- advanced breast cancer: Final results of the randomized phase III MONARCH plus trial.

Chin Med J (Engl). 2024-10-10

[8]
Oral Estrogen Receptor PROTAC Vepdegestrant (ARV-471) Is Highly Efficacious as Monotherapy and in Combination with CDK4/6 or PI3K/mTOR Pathway Inhibitors in Preclinical ER+ Breast Cancer Models.

Clin Cancer Res. 2024-8-15

[9]
Oral SERDs alone or in combination with CDK 4/6 inhibitors in breast cancer: Current perspectives and clinical trials.

Breast. 2024-6

[10]
Modulation of autophagy and apoptosis can contribute to the anticancer effect of Abemaciclib/Celecoxib combination in colon cancer cells.

Med Oncol. 2024-1-3

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