Pan-CDK inhibition augments cisplatin lethality in nasopharyngeal carcinoma cell lines and xenograft models
Signal transduction and targeted therapy, 2018•nature.com
In addition to their canonical roles in regulating cell cycle transition and transcription, cyclin-
dependent kinases (CDKs) have been shown to coordinate DNA damage response
pathways, suggesting a rational pairing of CDK inhibitors with genotoxic chemotherapeutic
agents in the treatment of human malignancies. Here, we report that roniciclib
(BAY1000394), a potent pan-CDK inhibitor, displays promising anti-neoplastic activity as a
single agent and potentiates cisplatin lethality in preclinical nasopharyngeal carcinoma …
dependent kinases (CDKs) have been shown to coordinate DNA damage response
pathways, suggesting a rational pairing of CDK inhibitors with genotoxic chemotherapeutic
agents in the treatment of human malignancies. Here, we report that roniciclib
(BAY1000394), a potent pan-CDK inhibitor, displays promising anti-neoplastic activity as a
single agent and potentiates cisplatin lethality in preclinical nasopharyngeal carcinoma …
Abstract
In addition to their canonical roles in regulating cell cycle transition and transcription, cyclin-dependent kinases (CDKs) have been shown to coordinate DNA damage response pathways, suggesting a rational pairing of CDK inhibitors with genotoxic chemotherapeutic agents in the treatment of human malignancies. Here, we report that roniciclib (BAY1000394), a potent pan-CDK inhibitor, displays promising anti-neoplastic activity as a single agent and potentiates cisplatin lethality in preclinical nasopharyngeal carcinoma (NPC) models. Proliferation of the NPC cell lines HONE-1, CNE-2, C666-1, and HK-1 was effectively curbed by roniciclib treatment, with IC50 values between 11 and 38 nmol/L. These anticancer effects were mediated by pleiotropic mechanisms consistent with successful blockade of cell cycle CDKs 1, 2, 3, and 4 and transcriptional CDKs 7 and 9, ultimately resulting in arrest at G1/S and G2/M, downregulation of the transcriptional apparatus, and repression of anti-apoptotic proteins. Considerably enhanced tumor cell apoptosis was achieved following combined treatment with 10 nmol/L roniciclib and 2.0 μmol/L cisplatin; this combination therapy achieved a response over 250% greater than either drug alone. Although roniciclib chemosensitized NPC cells to cisplatin, it did not sensitize untransformed (NP69) cells. The administration of 0.5 mg/kg roniciclib to BALB/c xenograft mice was well tolerated and effectively restrained tumor growth comparable to treatment with 6 mg/kg cisplatin, whereas combining these two agents produced far greater tumor suppression than either of the monotherapies. In summary, these data demonstrate that roniciclib has strong anti-NPC activity and synergizes with cisplatin chemotherapy at clinically relevant doses, thus justifying further evaluation of this combinatorial approach in clinical settings.
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