Mouse tumor susceptibility genes identify drug combinations for multiple myeloma

Shuling Zhang1, Wendy DuBois1, Ke Zhang1

  • 1Laboratory of Cancer Biology and Genetics, CCR, NCI, NIH, Bethesda, MD 20892, USA.

Journal of Cancer Metastasis and Treatment
|September 14, 2020
PubMed

Insights

Researchers identified key genes in mouse plasmacytoma and found that combining an mTOR inhibitor with a histone deacetylase inhibitor synergistically suppressed tumor growth by targeting MYC. This highlights a strategy for developing new cancer therapies.

Area of Science:

  • Oncology
  • Genetics
  • Pharmacology

Background:

  • Genetic studies identified Cdkn2a, Mtor, and Mndal as critical genes influencing plasmacytoma development in mice.
  • Resistance alleles in Cdkn2a and Mtor suggested that targeting these pathways could inhibit tumor growth.

Purpose of the Study:

  • To evaluate the synergistic potential of combining an mTOR inhibitor (rapamycin/everolimus) with a histone deacetylase inhibitor (entinostat).
  • To assess the combination's activity, disease specificity, and clinical applicability in cancer therapy.

Main Methods:

  • Utilized backcross, congenic strain analyses, and positional cloning to identify susceptibility/resistance genes.
  • Employed systems-level genomic approaches to analyze drug combination effects.
  • Investigated the impact of the drug combination on oncogenic MYC and tumor suppressor Cdkn2a.

Main Results:

  • The combination of rapamycin/everolimus and entinostat demonstrated synergistic repression of oncogenic MYC.
  • The drug combination also activated the Cdkn2a tumor suppressor.
  • Identified MYC as a primary upstream regulator, leading to the discovery of small molecule binders for the MYC promoter G-quadruplex.

Conclusions:

  • Simultaneously upregulating tumor suppressors and downregulating oncogenes is a crucial strategy for effective cancer therapy.
  • Drug combinations targeting key genetic pathways offer promising therapeutic potential for inhibiting tumor cell growth.