Antisense inhibition of survivin expression as a cancer therapeutic

Rosa A Carrasco1, Nancy B Stamm, Eric Marcusson

  • 1Division of Cancer Research, Lilly Research Laboratory, Indianapolis, Indiana 46285-0424, USA.

Insights

A novel survivin antisense oligonucleotide (ASO), LY2181308, effectively reduces survivin expression in diverse human cancers. This inhibition triggers cancer cell death and enhances chemotherapy effectiveness, showing promise for cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Development

Background:

  • Survivin is a key protein in cell division and apoptosis inhibition, overexpressed in most human cancers but not normal tissues.
  • High survivin expression correlates with poor prognosis, making it a significant therapeutic target.
  • Targeting survivin offers a potential strategy for novel cancer therapeutics.

Purpose of the Study:

  • To evaluate the efficacy of a survivin antisense oligonucleotide (ASO), LY2181308, in downregulating survivin expression.
  • To assess the impact of LY2181308 on cancer cell apoptosis, cell cycle, and chemosensitivity.
  • To investigate the in vivo antitumor activity of LY2181308 in a xenograft model and its combination effects with chemotherapy.

Main Methods:

  • Quantitative RT-PCR and immunoblotting were used to measure survivin downregulation in various human cancer cell lines.
  • Cancer cell lines were treated with LY2181308 to assess apoptosis, cell cycle arrest (G2-M phase), and multinucleation.
  • In vivo studies utilized human xenograft tumor models treated with LY2181308, alone and in combination with chemotherapeutics (gemcitabine, paclitaxel, docetaxel).

Main Results:

  • LY2181308 potently inhibited survivin expression across lung, colon, pancreatic, liver, breast, prostate, ovarian, cervical, skin, and brain cancer cell lines.
  • Survivin inhibition by LY2181308 induced caspase-3-dependent apoptosis, G2-M cell cycle arrest, and multinucleated cells.
  • LY2181308 demonstrated significant antitumor activity in vivo and sensitized tumors to chemotherapy, with activity linked to survivin inhibition.

Conclusions:

  • The survivin ASO LY2181308 effectively targets survivin in multiple cancer types, inducing cell death and enhancing chemotherapy efficacy.
  • LY2181308 exhibits promising antitumor activity in preclinical models, warranting clinical investigation.
  • LY2181308 is currently under Phase II clinical evaluation for prostate cancer treatment in combination with docetaxel.

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