A platelet biomarker for assessing phosphoinositide 3-kinase inhibition during cancer chemotherapy

Rita K Bowers1, Philip Marder, Lisa J Green

  • 1Lilly Research Laboratories, Indianapolis, Indiana, USA . bowers_rita_k@lilly.com

Insights

Platelet activation, triggered by proteinase-activated receptors (PAR), can indicate phosphoinositide 3-kinase (PI3K) activity. Measuring this platelet response offers a novel biomarker for evaluating PI3K inhibitors in cancer drug development.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Hematology

Background:

  • Proteinase-activated receptors (PARs) initiate signaling cascades in platelets, including phosphoinositide 3-kinase (PI3K) activation.
  • PAR activation leads to conformational changes in platelet fibrinogen receptors, enhancing fibrinogen binding.

Purpose of the Study:

  • To establish a surrogate biomarker assay for assessing PI3K activity in platelets.
  • To evaluate the efficacy of PI3K inhibitors using this novel platelet activation assay.

Main Methods:

  • Flow cytometry was utilized to measure fluorescent ligand and antibody binding, quantifying PAR-induced platelet activation.
  • The assay measured changes in fibrinogen receptor conformation as a readout for PI3K signaling.
  • In vitro and in vivo experiments were conducted using PI3K inhibitors (wortmannin, LY294002) and platelet activation assays.

Main Results:

  • A significant signal window (16- to 45-fold) was observed for PAR-induced platelet activation.
  • PI3K inhibitors wortmannin and LY294002 demonstrated concentration-dependent inhibition of platelet activation.
  • Platelets from wortmannin-treated mice showed inhibited ex vivo activation, correlating with decreased AKT phosphorylation in tumor xenografts.
  • The assay successfully detected PI3K inhibitor effects in blood samples from cancer patients.

Conclusions:

  • Platelet activation measurement serves as a sensitive surrogate biomarker for PI3K activity.
  • This assay can be effectively used in the clinical evaluation of PI3K inhibitors.
  • The findings support the development of novel cancer therapeutics targeting the PI3K pathway.