Volasertib preclinical activity in high-risk hepatoblastoma
Dina Kats1, Cora A Ricker1, Noah E Berlow1
1Children's Cancer Therapy Development Institute, Beaverton, OR, USA.
Abstract:
Relapsed and metastatic hepatoblastoma represents an unmet clinical need with limited chemotherapy treatment options. In a chemical screen, we identified volasertib as an agent with in vitro activity, inhibiting hepatoblastoma cell growth while sparing normal hepatocytes. Volasertib targets PLK1 and prevents the progression of mitosis, resulting in eventual cell death. PLK1 is overexpressed in hepatoblastoma biopsies relative to normal liver tissue. As a potential therapeutic strategy, we tested the combination of volasertib and the relapse-related hepatoblastoma chemotherapeutic irinotecan. We found both in vitro and in vivo efficacy of this combination, which may merit further preclinical investigation and exploration for a clinical trial concept.
Insights
Volasertib shows promise in treating relapsed hepatoblastoma by inhibiting cell growth. Combining volasertib with irinotecan demonstrates significant efficacy, warranting further clinical investigation for this rare cancer.
Area of Science:
- Oncology
- Pharmacology
Background:
- Relapsed and metastatic hepatoblastoma has limited treatment options.
- Polo-like kinase 1 (PLK1) is overexpressed in hepatoblastoma.
- Volasertib targets PLK1 and inhibits cancer cell proliferation.
Purpose of the Study:
- To evaluate volasertib's efficacy against hepatoblastoma.
- To investigate the combination therapy of volasertib and irinotecan for hepatoblastoma.
Main Methods:
- Chemical screening to identify novel agents.
- In vitro and in vivo studies to assess drug efficacy.
- Targeting PLK1 pathway for cancer treatment.
Main Results:
- Volasertib inhibited hepatoblastoma cell growth in vitro while sparing normal hepatocytes.
- The combination of volasertib and irinotecan showed significant in vitro and in vivo efficacy.
- PLK1 inhibition by volasertib prevents mitotic progression and induces cell death.
Conclusions:
- Volasertib is a potential therapeutic agent for hepatoblastoma.
- Combination therapy with volasertib and irinotecan shows promise for relapsed hepatoblastoma.
- Further preclinical and clinical studies are warranted for this combination therapy.
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