A clinically compatible drug-screening platform based on organotypic cultures identifies vulnerabilities to prevent

Lucía Zhu1, Diana Retana1, Pedro García-Gómez1

  • 1Brain Metastasis Group, CNIO, Madrid, Spain.

EMBO Molecular Medicine
|February 17, 2022
PubMed

Insights

We developed a drug-screening platform for organotypic cultures to test brain metastasis inhibitors. A heat shock protein 90 (HSP90) inhibitor showed high potency, revealing new therapeutic targets and resistance mechanisms.

Area of Science:

  • Oncology
  • Pharmacology
  • Biotechnology

Background:

  • Brain metastases represent a significant unmet clinical need with limited treatment options.
  • Developing effective therapies requires robust models to screen drug candidates and understand resistance mechanisms.

Purpose of the Study:

  • To establish and validate a medium-throughput drug-screening platform (METPlatform) using organotypic cultures for evaluating inhibitors against brain metastases in situ.
  • To identify novel therapeutic vulnerabilities and molecular programs in brain metastases.

Main Methods:

  • Development of METPlatform based on organotypic cultures for drug screening.
  • Application of METPlatform to screen for inhibitors of brain metastases, including a novel model of local relapse.
  • In situ proteomic analysis of treated metastases to uncover molecular programs.

Main Results:

  • Identification of a blood-brain barrier permeable heat shock protein 90 (HSP90) inhibitor with high potency against mouse and human brain metastases.
  • Discovery of a novel molecular program in brain metastases, including poor prognosis biomarkers and actionable resistance mechanisms.
  • Validation of METPlatform as a resource compatible with human samples for drug screening and omics analysis.

Conclusions:

  • METPlatform is a validated resource for metastasis research, integrating drug screening and omics approaches.
  • The identified HSP90 inhibitor and molecular program offer potential for personalized management of brain metastases.
  • This strategy aims to improve the clinical management of metastatic disease in the brain and other organs.

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