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TP53 突变型尤文肉瘤的非化疗辅助药物。

Non-chemotherapy adjuvant agents in TP53 mutant Ewing sarcoma.

机构信息

Children's Cancer Therapy Development Institute, 9025 NE Von Neumann Drive Ste 110, Hillsboro, OR, 97006, USA.

Department of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, 55905, USA.

出版信息

Sci Rep. 2023 Sep 1;13(1):14360. doi: 10.1038/s41598-023-40751-z.


DOI:10.1038/s41598-023-40751-z
PMID:37658148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10474113/
Abstract

Ewing sarcoma (EWS) is a malignant tumor arising in bone or soft tissue that occurs in adolescent and young adult patients as well as adults later in life. Although non-metastatic EWS is typically responsive to treatment when newly diagnosed, relapsed cases have an unmet need for which no standard treatment approach exists. Recent phase III clinical trials for EWS comparing 7 vs 5 chemotherapy drugs have failed to improve survival. To extend the durability of remission for EWS, we investigated 3 non-chemotherapy adjuvant therapy drug candidates to be combined with chemotherapy. The efficacy of these adjuvant drugs was investigated via anchorage-dependent growth assays, anchorage-independent soft-agar colony formation assays and EWS xenograft mouse models. Enoxacin and entinostat were the most effective adjuvant drug in both long-term in vitro and in vivo adjuvant studies. In the context that enoxacin is an FDA-approved antibiotic, and that entinostat is an investigational agent not yet FDA-approved, we propose enoxacin as an adjuvant drug for further preclinical and clinical investigation in EWS patients.

摘要

尤因肉瘤(EWS)是一种起源于骨骼或软组织的恶性肿瘤,发生于青少年和年轻成年患者以及生命后期的成年人。虽然新诊断的非转移性 EWS 通常对治疗有反应,但复发病例的需求尚未得到满足,目前尚无标准的治疗方法。最近针对 EWS 的 III 期临床试验比较了 7 种与 5 种化疗药物,未能提高生存率。为了延长 EWS 缓解的持久性,我们研究了 3 种非化疗辅助治疗药物候选物,以与化疗联合使用。通过锚定依赖性生长测定、锚定非依赖性软琼脂集落形成测定和 EWS 异种移植小鼠模型研究了这些辅助药物的疗效。依诺沙星和恩替诺特在长期的体外和体内辅助研究中是最有效的辅助药物。鉴于依诺沙星是一种获得 FDA 批准的抗生素,而恩替诺特是一种尚未获得 FDA 批准的研究性药物,我们建议依诺沙星作为 EWS 患者进一步的临床前和临床研究的辅助药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/ed2366196c69/41598_2023_40751_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/f666dd743d78/41598_2023_40751_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/f15e6b40a885/41598_2023_40751_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/97f7cfebd59d/41598_2023_40751_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/bb4850b7392e/41598_2023_40751_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/ed2366196c69/41598_2023_40751_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/f666dd743d78/41598_2023_40751_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/f15e6b40a885/41598_2023_40751_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/97f7cfebd59d/41598_2023_40751_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/bb4850b7392e/41598_2023_40751_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc45/10474113/ed2366196c69/41598_2023_40751_Fig5_HTML.jpg

相似文献

[1]
Non-chemotherapy adjuvant agents in TP53 mutant Ewing sarcoma.

Sci Rep. 2023-9-1

[2]
Targeted inhibition of histone deacetylase leads to suppression of Ewing sarcoma tumor growth through an unappreciated EWS-FLI1/HDAC3/HSP90 signaling axis.

J Mol Med (Berl). 2019-4-25

[3]
Signature-based small molecule screening identifies cytosine arabinoside as an EWS/FLI modulator in Ewing sarcoma.

PLoS Med. 2007-4

[4]
GD2-directed CAR-T cells in combination with HGF-targeted neutralizing antibody (AMG102) prevent primary tumor growth and metastasis in Ewing sarcoma.

Int J Cancer. 2020-6-1

[5]
Pharmaceutical Interference of the EWS-FLI1-driven Transcriptome By Cotargeting H3K27ac and RNA Polymerase Activity in Ewing Sarcoma.

Mol Cancer Ther. 2021-10

[6]
Ewing's sarcoma: standard and experimental treatment options.

Curr Treat Options Oncol. 2009-4

[7]
Quality of life and Q-TWiST were not adversely affected in Ewing sarcoma patients treated with combined anlotinib, irinotecan, and vincristine: (Peking University People's Hospital Ewing sarcoma trial-02, PKUPH-EWS-02).

Medicine (Baltimore). 2021-12-23

[8]
Targeting the epigenetic readers in Ewing sarcoma inhibits the oncogenic transcription factor EWS/Fli1.

Oncotarget. 2016-4-26

[9]
TAE226, a dual inhibitor of focal adhesion kinase and insulin-like growth factor-I receptor, is effective for Ewing sarcoma.

Cancer Med. 2019-11-6

[10]
Ewing Sarcoma

2025-1

引用本文的文献

[1]
Canonical microRNA loss drives tumor development implicating therapeutic efficacy of enoxacin in angiosarcoma.

bioRxiv. 2025-7-17

[2]
Genomic landscape and preclinical models of angiosarcoma.

Mol Oncol. 2025-4

本文引用的文献

[1]
TK216 targets microtubules in Ewing sarcoma cells.

Cell Chem Biol. 2022-8-18

[2]
Phase III Trial Adding Vincristine-Topotecan-Cyclophosphamide to the Initial Treatment of Patients With Nonmetastatic Ewing Sarcoma: A Children's Oncology Group Report.

J Clin Oncol. 2021-12-20

[3]
TP53 mutations increase radioresistance in rhabdomyosarcoma and Ewing sarcoma.

Br J Cancer. 2021-8

[4]
A phase 1 study of entinostat in children and adolescents with recurrent or refractory solid tumors, including CNS tumors: Trial ADVL1513, Pediatric Early Phase-Clinical Trial Network (PEP-CTN).

Pediatr Blood Cancer. 2021-4

[5]
Modulating microRNA Processing: Enoxacin, the Progenitor of a New Class of Drugs.

J Med Chem. 2020-7-30

[6]
The ETS Inhibitors YK-4-279 and TK-216 Are Novel Antilymphoma Agents.

Clin Cancer Res. 2019-6-10

[7]
Emerging novel agents for patients with advanced Ewing sarcoma: a report from the Children's Oncology Group (COG) New Agents for Ewing Sarcoma Task Force.

F1000Res. 2019-4-15

[8]
Management of recurrent Ewing sarcoma: challenges and approaches.

Onco Targets Ther. 2019-3-27

[9]
The HDAC3-SMARCA4-miR-27a axis promotes expression of the fusion oncogene in rhabdomyosarcoma.

Sci Signal. 2018-11-20

[10]
Development of Secondary Acute Myeloid Leukemia in a Pediatric Patient Concurrently Receiving Primary Therapy for Ewing Sarcoma.

J Pediatr Hematol Oncol. 2017-10

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