Flavopiridol causes cell cycle inhibition and demonstrates anti-cancer activity in anaplastic thyroid cancer models

Nicole Pinto1,2, Stephenie D Prokopec3, Farhad Ghasemi1

  • 1Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario, Canada.

Plos One
|September 24, 2020
PubMed

Insights

Flavopiridol effectively targets anaplastic thyroid cancer (ATC) cells by inhibiting cell cycle proteins, leading to cell cycle arrest and reduced tumor growth. This CDK inhibitor shows promise for treating this aggressive cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Anaplastic thyroid cancer (ATC) is a rare and aggressive malignancy with poor patient outcomes.
  • Current treatments like chemotherapy and radiation are often ineffective against ATC.
  • Novel molecularly targeted therapies are urgently needed for ATC.

Purpose of the Study:

  • To investigate the efficacy of flavopiridol, a cyclin-dependent kinase (CDK) inhibitor, against anaplastic thyroid cancer.
  • To evaluate flavopiridol's effects on ATC cell proliferation, cell cycle progression, and migration.
  • To assess flavopiridol's anti-tumor activity in an in vivo model of ATC.

Main Methods:

  • Treatment of ATC cell lines (CAL62, KMH2, BHT-101) and a non-cancerous cell line (IMR-90) with flavopiridol across a concentration range.
  • Assessment of cell viability using half-maximal inhibitory concentration (IC50).
  • Analysis of cell cycle protein levels (CDK9, MCL1) and cell cycle arrest.
  • In vitro colony formation and transwell migration assays.
  • Evaluation of flavopiridol efficacy in a patient-derived ATC xenograft model.

Main Results:

  • Flavopiridol demonstrated potent anti-cancer activity with sub-micromolar IC50 values in ATC cell lines, but not in normal cells.
  • Treatment led to reduced levels of CDK9 and MCL1, and induced cell cycle arrest.
  • Flavopiridol inhibited colony formation and cell migration in vitro.
  • In vivo studies showed decreased tumor weight and volume in flavopiridol-treated xenografts.

Conclusions:

  • Flavopiridol exhibits significant anti-cancer effects against anaplastic thyroid cancer in both in vitro and in vivo models.
  • The drug effectively targets key cell cycle proteins and inhibits tumor growth.
  • Flavopiridol warrants further clinical investigation as a potential therapeutic agent for ATC.

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