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Published on: September 18, 2013
Combination therapy targeting the Chk1 and Wee1 kinases shows therapeutic efficacy in neuroblastoma
Mike R Russell1, Kirill Levin, JulieAnn Rader
1Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA.
Abstract:
Neuroblastoma is uniquely sensitive to single-agent inhibition of the DNA damage checkpoint kinase Chk1, leading us to examine downstream effectors of this pathway and identify mitotic regulator Wee1 as an additional therapeutic target in this disease. Wee1 was overexpressed in both neuroblastoma cell lines and high-risk patient tumors. Genetic or pharmacologic abrogation of Wee1 signaling results in marked cytotoxicity in 10 of 11 neuroblastoma cell lines with a median IC(50) of 300 nmol/L for the Wee1-selective small-molecule inhibitor MK-1775. Murine tumor lines derived from mice that were either heterozygous or homozygous for MycN were particularly sensitive to single-agent inhibition of Wee1 (IC(50)s of 160 and 62 nmol/L, respectively). Simultaneous pharmacologic inhibition of Chk1 and Wee1 acted in a synergistic fashion to further impede neuroblastoma cell growth in vitro, in a manner greater than the individual inhibitors either alone or combined with chemotherapy. Combination Chk1 and Wee1 inhibition also revealed in vivo efficacy in neuroblastoma xenografts. Taken together, our results show that neuroblastoma cells depend on Wee1 activity for growth and that inhibition of this kinase may serve as a therapeutic for patients with neuroblastoma.
Insights
Neuroblastoma cancer cells show sensitivity to targeting the mitotic regulator Wee1. Inhibiting Wee1, alone or with Chk1 inhibitors, effectively reduces neuroblastoma tumor growth.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Neuroblastoma exhibits unique sensitivity to Chk1 inhibition.
- This sensitivity suggests downstream effectors of the DNA damage checkpoint pathway are viable therapeutic targets.
Purpose of the Study:
- To investigate Wee1 as a therapeutic target in neuroblastoma.
- To evaluate the efficacy of Wee1 inhibition, alone and in combination with Chk1 inhibition.
Main Methods:
- Assessed Wee1 expression in neuroblastoma cell lines and patient tumors.
- Utilized genetic and pharmacologic methods to inhibit Wee1 signaling.
- Tested the synergistic effects of combined Chk1 and Wee1 inhibition in vitro and in vivo.
Main Results:
- Wee1 was overexpressed in neuroblastoma.
- Wee1 inhibition demonstrated significant cytotoxicity in most neuroblastoma cell lines (median IC50 300 nmol/L).
- Combined Chk1 and Wee1 inhibition showed synergistic effects, surpassing individual treatments.
Conclusions:
- Neuroblastoma cells rely on Wee1 activity for proliferation.
- Wee1 inhibition represents a promising therapeutic strategy for neuroblastoma patients.
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