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Published on: December 1, 2016
Telomerase-Mediated Strategy for Overcoming Non-Small Cell Lung Cancer Targeted Therapy and Chemotherapy Resistance
Ilgen Mender1, Ryan LaRanger1, Krishna Luitel1
1Department of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Abstract:
Standard and targeted cancer therapies for late-stage cancer patients almost universally fail due to tumor heterogeneity/plasticity and intrinsic or acquired drug resistance. We used the telomerase substrate nucleoside precursor, 6-thio-2'-deoxyguanosine (6-thio-dG), to target telomerase-expressing non-small cell lung cancer cells resistant to EGFR-inhibitors and commonly used chemotherapy combinations. Colony formation assays, human xenografts as well as syngeneic and genetically engineered immune competent mouse models of lung cancer were used to test the effect of 6-thio-dG on targeted therapy- and chemotherapy-resistant lung cancer human cells and mouse models. We observed that erlotinib-, paclitaxel/carboplatin-, and gemcitabine/cisplatin-resistant cells were highly sensitive to 6-thio-dG in cell culture and in mouse models. 6-thio-dG, with a known mechanism of action, is a potential novel therapeutic approach to prolong disease control of therapy-resistant lung cancer patients with minimal toxicities.
Insights
A novel cancer drug, 6-thio-2'-deoxyguanosine (6-thio-dG), effectively targets drug-resistant non-small cell lung cancer. This telomerase substrate shows promise in prolonging disease control with minimal toxicity in preclinical models.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Standard and targeted cancer therapies often fail in late-stage cancer due to tumor heterogeneity and drug resistance.
- Non-small cell lung cancer (NSCLC) frequently develops resistance to EGFR-inhibitors and conventional chemotherapy.
Purpose of the Study:
- To evaluate the efficacy of 6-thio-2 -deoxyguanosine (6-thio-dG) as a therapeutic agent against EGFR-inhibitor and chemotherapy-resistant NSCLC.
- To investigate the potential of 6-thio-dG to overcome drug resistance in lung cancer models.
Main Methods:
- Utilized colony formation assays to assess cell survival and proliferation.
- Employed human xenograft models to evaluate 6-thio-dG efficacy in vivo.
- Tested 6-thio-dG in syngeneic and genetically engineered immune-competent mouse models of lung cancer.
Main Results:
- 6-thio-dG demonstrated significant sensitivity in erlotinib-, paclitaxel/carboplatin-, and gemcitabine/cisplatin-resistant NSCLC cells in vitro.
- Preclinical mouse models confirmed the efficacy of 6-thio-dG against resistant lung cancer cells.
- Observed minimal toxicities associated with 6-thio-dG treatment.
Conclusions:
- 6-thio-dG is a potent therapeutic candidate for overcoming drug resistance in NSCLC.
- This telomerase substrate offers a potential strategy to extend disease control in therapy-resistant lung cancer patients.
- 6-thio-dG represents a promising novel approach with a known mechanism and favorable toxicity profile.
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