Translational Oncology Division, Oncohealth Institute, IIS - Fundación Jiménez Díaz University Hospital (IIS-FJD, UAM), Madrid, Spain.
Translational Oncology Division, Oncohealth Institute, IIS - Fundación Jiménez Díaz University Hospital (IIS-FJD, UAM), Madrid, Spain.
Biomed Pharmacother. 2021 Dec;144:112347. doi: 10.1016/j.biopha.2021.112347. Epub 2021 Oct 23.
New therapeutic targets are revolutionizing colorectal cancer clinical management, opening new horizons in metastatic patients' outcome. Polo Like Kinase1 (PLK1) inhibitors have high potential as antitumoral agents, however, the emergence of drug resistance is a major challenge for their use in clinical practice. Overcoming this challenge represents a hot topic in current drug discovery research. BI2536-resistant colorectal cancer cell lines HT29, RKO, SW837 and HCT116, were generated in vitro and validated by IG assays and xenografts models by the T/C ratio. Exons 1 and 2 of PLK1 gene were sequenced by Sanger method. AXL pathway, Epithelial-to-Mesenchymal transition (EMT) and Multidrug Resistance (MDR1) were studied by qPCR and western blot in resistant cells. Simvastatin as a re-sensitizer drug was tested in vitro and the drug combination strategies were validated in vitro and in vivo. PLK1 gene mutation R136G was found for RKO. AXL pathway trough TWIST1 transcription factor was identified as one of the mechanisms involved in HT29, SW837 and HCT116 lines, inducing EMT and upregulation of MDR1. Simvastatin was able to impair the mechanisms activated by adaptive resistance and its combination with BI2536 re-sensitized resistant cells in vitro and in vivo. Targeting the mevalonate pathway contributes to re-sensitizing BI2536-resistant cells in vitro and in vivo, raising as a new strategy for the clinical management of PLK1 inhibitors.
新的治疗靶点正在彻底改变结直肠癌的临床管理,为转移性患者的预后开辟新的前景。Polo 样激酶 1(PLK1)抑制剂作为抗肿瘤药物具有很大的潜力,然而,耐药性的出现是其在临床实践中应用的主要挑战。克服这一挑战是当前药物发现研究的热门话题。在体外生成 BI2536 耐药的结直肠癌细胞系 HT29、RKO、SW837 和 HCT116,并通过 IG 测定和异种移植模型的 T/C 比值进行验证。通过 Sanger 法对 PLK1 基因的外显子 1 和 2 进行测序。通过 qPCR 和 Western blot 在耐药细胞中研究 AXL 通路、上皮间质转化(EMT)和多药耐药(MDR1)。作为再敏化药物的辛伐他汀在体外进行测试,并在体外和体内验证药物联合策略。在 RKO 中发现 PLK1 基因的 R136G 突变。通过 TWIST1 转录因子发现 AXL 通路是 HT29、SW837 和 HCT116 系中涉及的机制之一,诱导 EMT 和 MDR1 的上调。辛伐他汀能够损害适应性耐药激活的机制,并且其与 BI2536 的联合在体外和体内重新敏化耐药细胞。靶向甲羟戊酸途径有助于在体外和体内重新敏化 BI2536 耐药细胞,为 PLK1 抑制剂的临床管理提供了新策略。