Assessment of chk1 phosphorylation as a pharmacodynamic biomarker of chk1 inhibition

Leslie A Parsels1, Yushen Qian, Daria M Tanska

  • 1Departments of Radiation Oncology, Pharmacology, and Surgery, University of Michigan Medical School, Ann Arbor, MI 48109-5637, USA.

Abstract

Insights

Combining gemcitabine with AZD7762 chemotherapy sensitizes pancreatic cancer cells and tumors. The optimal schedule involves administering gemcitabine before or concurrently with AZD7762, with pS345 Chk1 as a biomarker.

Area of Science:

  • Oncology
  • Pharmacology
  • Cancer Biology

Background:

  • Checkpoint kinase 1 (Chk1) inhibitors like AZD7762 are being developed for solid tumors, including pancreatic cancer.
  • Optimizing drug scheduling and identifying pharmacodynamic biomarkers are crucial for the clinical success of Chk1 inhibitors in combination therapy.

Purpose of the Study:

  • To optimize the administration schedule of gemcitabine and AZD7762 for pancreatic cancer treatment.
  • To identify and validate pharmacodynamic biomarkers for predicting response to gemcitabine and AZD7762 combination therapy.

Main Methods:

  • Evaluated various gemcitabine and AZD7762 administration schedules in pancreatic cancer cells in vitro.
  • Assessed potential pharmacodynamic biomarkers (pChk1, pChk2, pHistone H3, caspase-3) in vitro and in vivo.
  • Investigated the roles of PP2A and DNA damage in the induction of the pS345 Chk1 biomarker.

Main Results:

  • Maximum chemosensitization was achieved when AZD7762 was administered during and after, or after gemcitabine.
  • In vivo, AZD7762 significantly inhibited pancreatic tumor xenograft growth when combined with gemcitabine.
  • Phosphorylated S345 Chk1 (pS345 Chk1) was the most consistent biomarker, increasing in tumors and normal tissues (hair follicles) in response to the combination therapy, suggesting DNA damage as an underlying mechanism.

Conclusions:

  • AZD7762 enhances the sensitivity of pancreatic cancer cells and tumors to gemcitabine, indicated by the induction of pS345 Chk1.
  • Clinical investigation of AZD7762 with gemcitabine in pancreatic cancer is supported, using a schedule where gemcitabine precedes or is concurrent with AZD7762.
  • Skin biopsies to measure pS345 Chk1 induction can serve as a pharmacodynamic biomarker in clinical trials.