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Published on: July 25, 2020
Concomitant BET and MAPK blockade for effective treatment of ovarian cancer
Ying Jing1, Zhenfeng Zhang1,2, Pengfei Ma1
1State Key Laboratory of Oncogenes and Related Genes, Renji-Med X Clinical Stem Cell Research Center, RenJi Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Abstract:
Ovarian cancer is the most lethal gynecologic malignancy, and it is imperative to develop new treatments to ameliorate patient survival. Using an anti-cancer drug library containing 180 small molecule inhibitors, we performed a high-content image-based screen and found that BET and MEK inhibitors are among the candidates which were able to effectively inhibit ovarian cancer cell growth. However, BET inhibition alone was largely cytostatic, possibly due to feedback activation of the MAPK pathway. Consequently, the combination of MEK and BET inhibitors suppressed both cell proliferation and survival, and was more efficacious than single agent. Mechanistically, BET and MEK inhibitors exerted synergistic effects on apoptosis regulators including BIM and BAD. Our findings support concomitant BET and MAPK blockade as an effective therapeutic strategy in ovarian cancer.
Insights
Combining MEK and BET inhibitors effectively suppresses ovarian cancer cell growth and survival. This dual blockade targets apoptosis regulators, offering a promising therapeutic strategy for this lethal gynecologic malignancy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Ovarian cancer is a highly lethal gynecologic malignancy with limited treatment options.
- Developing novel therapeutic strategies is crucial to improve patient survival rates.
Purpose of the Study:
- To identify novel therapeutic targets for ovarian cancer.
- To evaluate the efficacy of combining BET and MEK inhibitors in ovarian cancer treatment.
Main Methods:
- A high-content image-based screen of 180 small molecule inhibitors was conducted.
- Ovarian cancer cell lines were treated with BET inhibitors, MEK inhibitors, or a combination thereof.
- Synergistic effects on apoptosis regulators were analyzed.
Main Results:
- BET and MEK inhibitors demonstrated significant inhibition of ovarian cancer cell growth.
- Combined MEK and BET inhibition was more effective than single-agent therapy, suppressing proliferation and survival.
- Synergistic effects were observed on apoptosis regulators, including BIM and BAD.
Conclusions:
- Concomitant blockade of BET and MAPK pathways represents a potent therapeutic strategy for ovarian cancer.
- The combination therapy enhances apoptosis, leading to improved efficacy.
- This approach holds promise for ameliorating patient outcomes in ovarian cancer.
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