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A Bifunctional MAPK/PI3K Antagonist for Inhibition of Tumor Growth and Metastasis
Stefanie Galbán1,2, April A Apfelbaum1,2, Carlos Espinoza1,2
1Center for Molecular Imaging, The University of Michigan Medical School, Ann Arbor, Michigan.
Abstract:
Responses to targeted therapies frequently are brief, with patients relapsing with drug-resistant tumors. For oncogenic MEK and BRAF inhibition, drug resistance commonly occurs through activation of PI3K/AKT/mTOR signaling and immune checkpoint modulation, providing a robust molecular target for concomitant therapy. Here, we evaluated the efficacy of a bifunctional kinase inhibitor (ST-162) that concurrently targets MAPK and PI3K signaling pathways. Treatment with ST-162 produced regression of mutant KRAS- or BRAF-addicted xenograft models of colorectal cancer and melanoma and stasis of BRAF/PTEN-mutant melanomas. Combining ST-162 with immune checkpoint blockers further increased efficacy in a syngeneic KRAS-mutant colorectal cancer model. Nascent transcriptome analysis revealed a unique gene set regulated by ST-162 related to melanoma metastasis. Subsequent mouse studies revealed ST-162 was a potent inhibitor of melanoma metastasis to the liver. These findings highlight the significant potential of a single molecule with multikinase activity to achieve tumor control, overcome resistance, and prevent metastases through modulation of interconnected cell signaling pathways. Mol Cancer Ther; 16(11); 2340-50. ©2017 AACR.
Insights
A new bifunctional kinase inhibitor, ST-162, effectively treats colorectal cancer and melanoma by targeting MAPK and PI3K pathways. It also inhibits metastasis and enhances immune checkpoint blocker efficacy, offering a novel therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Targeted therapies for cancer often lead to brief responses and drug resistance.
- Drug resistance in MEK and BRAF inhibition involves PI3K/AKT/mTOR signaling and immune checkpoints.
Purpose of the Study:
- To evaluate the efficacy of a bifunctional kinase inhibitor, ST-162, targeting both MAPK and PI3K signaling pathways.
- To assess ST-162's potential in overcoming drug resistance and preventing cancer metastasis.
Main Methods:
- Treatment of xenograft models (colorectal cancer, melanoma) with ST-162.
- Combination therapy of ST-162 with immune checkpoint blockers in a syngeneic model.
- Nascent transcriptome analysis to identify ST-162 regulated genes.
- Evaluation of ST-162's effect on melanoma metastasis in mouse models.
Main Results:
- ST-162 induced regression of KRAS/BRAF-mutant colorectal cancer and melanoma xenografts.
- ST-162 achieved stasis in BRAF/PTEN-mutant melanomas.
- Combination therapy with immune checkpoint blockers enhanced efficacy in KRAS-mutant colorectal cancer.
- ST-162 demonstrated potent inhibition of melanoma liver metastasis.
Conclusions:
- ST-162 shows significant potential as a single molecule with multikinase activity for tumor control.
- ST-162 can overcome drug resistance by modulating interconnected cell signaling pathways.
- ST-162 effectively prevents metastases, particularly melanoma metastasis to the liver.
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