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PI3K 阻断与 PLK1 抑制协同作用,防止间变性甲状腺癌的内复制,并增强细胞凋亡。

PI3K blockage synergizes with PLK1 inhibition preventing endoreduplication and enhancing apoptosis in anaplastic thyroid cancer.

机构信息

Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.

Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.

出版信息

Cancer Lett. 2018 Dec 28;439:56-65. doi: 10.1016/j.canlet.2018.09.024. Epub 2018 Sep 19.

Abstract

Anaplastic thyroid cancer (ATC) is among the most lethal malignancies. The mitotic kinase PLK1 is overexpressed in the majority of ATCs and PLK1 inhibitors have shown preclinical efficacy. However, they also cause mitotic slippage and endoreduplication, leading to the generation of tetraploid, genetically unstable cell populations. We hypothesized that PI3K activity may facilitate mitotic slippage upon PLK1 inhibition, and thus tested the effect of combining PLK1 and PI3K inhibitors in ATC models, in vitro and in vivo. Treatment with BI6727 and BKM120 resulted in a significant synergistic effect in ATC cells, independent of the levels of AKT activity. Combination of the two drugs enhanced growth suppression at doses for which the single drugs showed no effect, and led to a massive reduction of the tetraploid cells population. Furthermore, combined treatment in PI3K cell lines showed a significant induction of apoptosis. Finally, combined inhibition of PI3K and PLK1 was extremely effective in vivo, in an immunocompetent allograft model of ATC. Our results demonstrate a clear therapeutic potential of combining PLK1 and PI3K inhibitors in anaplastic thyroid tumors.

摘要

间变性甲状腺癌(ATC)是最致命的恶性肿瘤之一。大多数 ATC 中都过度表达有丝分裂激酶 PLK1,PLK1 抑制剂已显示出临床前疗效。然而,它们也会导致有丝分裂滑步和内复制,从而产生四倍体、遗传不稳定的细胞群体。我们假设 PI3K 活性可能会促进 PLK1 抑制后的有丝分裂滑步,因此在 ATC 模型中,在体外和体内测试了联合使用 PLK1 和 PI3K 抑制剂的效果。用 BI6727 和 BKM120 治疗会导致 ATC 细胞产生显著的协同作用,而与 AKT 活性水平无关。两种药物联合使用可增强在单药无作用剂量下的生长抑制作用,并导致四倍体细胞群大量减少。此外,联合治疗在 PI3K 细胞系中可显著诱导细胞凋亡。最后,在 ATC 的免疫活性同种异体移植模型中,联合抑制 PI3K 和 PLK1 具有非常显著的疗效。我们的结果表明,联合使用 PLK1 和 PI3K 抑制剂在间变性甲状腺肿瘤中有明确的治疗潜力。

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