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Published on: July 17, 2020
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
Abstract:
Thrombin cleavages of selective proteinase-activated receptors (PAR) as well as PAR-activating peptide ligands can initiate the phosphoinositide 3-kinase (PI3K) signaling cascade in platelets. Downstream to this event, fibrinogen receptors on platelets undergo conformational changes that enhance fibrinogen binding. In our study, we used this phenomenon as a surrogate biomarker for assessing effects on PI3K activity. Our method, using flow cytometric measurement of fluorescent ligand and antibody binding, uncovered a 16- to 45-fold signal window after PAR-induced platelet activation. Pretreatment (in vitro) with the PI3K inhibitors wortmannin and LY294002 resulted in concentration-dependent inhibition at predicted potencies. In addition, platelets taken from mice treated with wortmannin were blocked from PAR-induced ex vivo activation concomitantly with a decrease in phosphorylation of AKT from excised tumor xenografts. This surrogate biomarker assay was successfully tested (in vitro) on blood specimens received from volunteer cancer patients. Our results indicate that measurement of platelet activation could serve as an effective drug activity biomarker during clinical evaluation of putative PI3K inhibitors.
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.
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