Synergistic Anti-Tumor Activity by Targeting Multiple Signaling Pathways in Ovarian Cancer

Wei Wen1,2, Ernest S Han1, Thanh H Dellinger1

  • 1Department of Surgery, City of Hope National Med Center, Duarte, CA 91010, USA.

Cancers
|September 15, 2020
PubMed

Insights

Combining targeted drugs like sunitinib, dasatinib, and everolimus shows promise for advanced ovarian cancer. This triple therapy effectively inhibits multiple cancer growth pathways, improving outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Advanced and recurrent ovarian cancer require more effective therapies.
  • Single targeted agents show limited success due to pathway compensation.
  • Combination therapy is a promising strategy to overcome drug resistance.

Purpose of the Study:

  • To investigate the efficacy of combining FDA-approved targeted drugs in human ovarian cancer.
  • To evaluate the synergistic anti-tumor activity of sunitinib, dasatinib, and everolimus.
  • To assess the impact of this combination on key signaling pathways and tumor growth.

Main Methods:

  • Utilized a combination of sunitinib (tyrosine kinase inhibitor), dasatinib (SRC inhibitor), and everolimus (mTOR inhibitor).
  • Assessed anti-tumor activity in human ovarian cancer cells and in mouse models.
  • Analyzed the effects on STAT3, SRC, MAPK, and AKT signaling pathways.
  • Evaluated the combination's synergy with paclitaxel.

Main Results:

  • Sunitinib and dasatinib demonstrated synergistic anti-tumor activity by inhibiting STAT3, SRC, and MAPK pathways.
  • Adding everolimus further enhanced anti-tumor activity and inhibited the PI3K/AKT/mTOR pathway.
  • The triple combination significantly inhibited ovarian tumor growth in mice.
  • Combined treatment synergistically increased the efficacy of paclitaxel both in vitro and in vivo.

Conclusions:

  • Simultaneous inhibition of multiple signaling pathways offers superior anti-tumor activity compared to single-pathway inhibition.
  • This multi-targeted drug combination represents a potential therapeutic strategy for ovarian cancer.
  • The triple combination therapy warrants further investigation for clinical application in ovarian cancer patients.

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