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A Rapid Screening Workflow to Identify Potential Combination Therapy for GBM using Patient-Derived Glioma Stem Cells
Published on: March 28, 2021
Dasatinib-induced autophagy is enhanced in combination with temozolomide in glioma
Vanessa Milano1, Yuji Piao, Tiffany LaFortune
1Brain Tumor Center, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA.
Abstract:
Glioblastoma is defined by its aggressive invasion, microvascular proliferation, and central necrosis. BMS-354825 (dasatinib) is an ATP-competitive small-molecule inhibitor effective in treating drug-resistant tumors with mutant BCR-ABL, KIT, and epidermal growth factor receptor by blocking tyrosine phosphorylation sites that are critical in tumorigenesis. In studying the action of dasatinib in human glioblastoma, we found that levels of phospho-SRC, AKT, and ribosomal protein S6 were decreased in cell lines treated with low nanomolar concentrations of dasatinib at baseline and following stimulation with epidermal growth factor. Furthermore, an increased sensitivity to dasatinib was noted in glioma cells with functional PTEN. Reduction of invasive potential was observed in vitro at concentrations well below the IC(50) of dasatinib, which was corroborated by immunofluorescence staining showing disruption of paxillin localization to focal adhesions and decreases in focal adhesion kinase autophosphorylation. Cell cycle analysis revealed minimal G(1) arrest but a significant increase in autophagic cell death in glioma cells treated with dasatinib as assessed by acridine orange staining and a concomitant increase in light chain 3 expression and processing. Combination treatment of glioma cells with dasatinib and temozolomide resulted in a significant increase in cell cycle disruption and autophagic cell death. Dasatinib in combination with temozolomide more effectively increased the therapeutic efficacy of temozolomide than when dasatinib was combined with carboplatin or irinotecan. These results strongly support the clinical use of dasatinib in the treatment of glioblastoma and provide a rationale for combination therapy with dasatinib and temozolomide.
Insights
Dasatinib, a tyrosine kinase inhibitor, effectively reduces glioblastoma cell invasion and promotes autophagic cell death. Combination therapy with dasatinib and temozolomide shows enhanced efficacy for treating this aggressive brain tumor.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Glioblastoma is a highly invasive brain tumor characterized by rapid growth.
- Dasatinib (BMS-354825) is a small-molecule inhibitor targeting tyrosine kinases implicated in cancer.
- Understanding dasatinib's mechanism in glioblastoma could reveal new therapeutic strategies.
Purpose of the Study:
- To investigate the effects of dasatinib on human glioblastoma cells.
- To evaluate dasatinib's impact on glioblastoma cell invasion and death pathways.
- To assess the efficacy of combining dasatinib with standard chemotherapy agents.
Main Methods:
- Treatment of glioblastoma cell lines with dasatinib at low nanomolar concentrations.
- Analysis of signaling pathways including phospho-SRC, AKT, and ribosomal protein S6.
- Assessment of invasive potential, cell cycle, and cell death via acridine orange and Western blotting for light chain 3.
- Combination studies with dasatinib and temozolomide, carboplatin, or irinotecan.
Main Results:
- Dasatinib decreased key signaling proteins (phospho-SRC, AKT, S6) in glioblastoma cells.
- Glioma cells with functional PTEN showed increased sensitivity to dasatinib.
- In vitro invasion was reduced, with disrupted focal adhesions and decreased focal adhesion kinase activity.
- Dasatinib induced significant autophagic cell death, not G1 cell cycle arrest.
- Combination of dasatinib and temozolomide synergistically increased cell death and cell cycle disruption.
Conclusions:
- Dasatinib effectively inhibits glioblastoma cell signaling and invasion.
- Dasatinib induces autophagic cell death in glioblastoma cells.
- Combination therapy with dasatinib and temozolomide demonstrates significant therapeutic potential for glioblastoma treatment.
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