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CDK4/6 抑制与抑制肺癌细胞系中的 P21 激活激酶 (PAKs) 协同作用。

CDK4/6 inhibition synergizes with inhibition of P21-Activated Kinases (PAKs) in lung cancer cell lines.

机构信息

Department of Molecular Oncology, Moffitt Cancer Center and Research Institute, Tampa, Florida, United States of America.

Department of Thoracic Oncology, Moffitt Cancer Center and Research Institute, Tampa, Florida, United States of America.

出版信息

PLoS One. 2021 Jun 17;16(6):e0252927. doi: 10.1371/journal.pone.0252927. eCollection 2021.

Abstract

Theoretically, small molecule CDK4/6 inhibitors (CDK4/6is) represent a logical therapeutic option in non-small cell lung cancers since most of these malignancies have wildtype RB, the key target of CDKs and master regulator of the cell cycle. Unfortunately, CDK4/6is are found to have limited clinical activity as single agents in non-small cell lung cancer. To address this problem and to identify effective CDK4/6i combinations, we screened a library of targeted agents for efficacy in four non-small cell lung cancer lines treated with CDK4/6 inhibitors Palbociclib or Abemaciclib. The pan-PAK (p21-activated kinase) inhibitor PF03758309 emerged as a promising candidate with viability ratios indicating synergy in all 4 cell lines and for both CDK4/6is. It is noteworthy that the PAKs are downstream effectors of small GTPases Rac1 and Cdc42 and are overexpressed in a wide variety of cancers. Individually the compounds primarily induced cell cycle arrest; however, the synergistic combination induced apoptosis, accounting for the synergy. Surprisingly, while the pan-PAK inhibitor PF03758309 synergizes with CDK4/6is, no synergy occurs with group I PAK inhibitors FRAX486 or FRAX597. Cell lines treated only with Ribociclib, FRAX486 or FRAX597 underwent G1/G0 arrest, whereas combination treatment with these compounds predominantly resulted in autophagy. Combining high concentrations of FRAX486, which weakly inhibits PAK4, and Ribociclib, mimics the autophagy and apoptotic effect of PF03758309 combined with Ribociclib. FRAX597, a PAKi that does not inhibit PAK4 did not reduce autophagy in combination with Ribociclib. Our results suggest that a unique combination of PAKs plays a crucial role in the synergy of PAK inhibitors with CDK4/6i. Targeting this unique PAK combination, could greatly improve the efficacy of CDK4/6i and broaden the spectrum of cancer treatment.

摘要

从理论上讲,小分子 CDK4/6 抑制剂(CDK4/6i)在非小细胞肺癌中代表了一种合理的治疗选择,因为大多数此类恶性肿瘤具有野生型 RB,这是 CDK 的关键靶标和细胞周期的主调节剂。不幸的是,CDK4/6i 作为单一药物在非小细胞肺癌中的临床活性有限。为了解决这个问题并确定有效的 CDK4/6i 联合用药,我们筛选了靶向药物文库,以确定 CDK4/6 抑制剂 Palbociclib 或 Abemaciclib 治疗的四种非小细胞肺癌系中的疗效。泛 PAK(p21 激活激酶)抑制剂 PF03758309 脱颖而出,成为一种有前途的候选药物,其活力比表明在所有 4 种细胞系中均具有协同作用,并且对两种 CDK4/6i 均具有协同作用。值得注意的是,PAKs 是小 GTP 酶 Rac1 和 Cdc42 的下游效应物,在各种癌症中过度表达。单独使用这些化合物主要诱导细胞周期停滞;然而,协同组合诱导细胞凋亡,这就是协同作用的原因。令人惊讶的是,虽然泛 PAK 抑制剂 PF03758309 与 CDK4/6i 协同作用,但与 I 组 PAK 抑制剂 FRAX486 或 FRAX597 没有协同作用。仅用 Ribociclib、FRAX486 或 FRAX597 处理的细胞系经历 G1/G0 期阻滞,而这些化合物的联合治疗主要导致自噬。高浓度的 FRAX486(弱抑制 PAK4)与 Ribociclib 联合使用,模拟了 PF03758309 与 Ribociclib 联合使用的自噬和凋亡作用。与 Ribociclib 联合使用时,不抑制 PAK4 的 PAKi FRAX597 不会减少自噬。我们的结果表明,PAKs 的独特组合在 PAK 抑制剂与 CDK4/6i 协同作用中起着至关重要的作用。针对这种独特的 PAK 组合,可以大大提高 CDK4/6i 的疗效,并拓宽癌症治疗的范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3926/8211232/92cf99d66cf9/pone.0252927.g001.jpg

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