Targeting the Retinoblastoma/E2F repressive complex by CDK4/6 inhibitors amplifies oncolytic potency of an oncolytic
Jana Koch1,2, Sebastian J Schober3, Sruthi V Hindupur1
1Department of Urology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Abstract:
CDK4/6 inhibitors (CDK4/6i) and oncolytic viruses are promising therapeutic agents for the treatment of various cancers. As single agents, CDK4/6 inhibitors that are approved for the treatment of breast cancer in combination with endocrine therapy cause G1 cell cycle arrest, whereas adenoviruses induce progression into S-phase in infected cells as an integral part of the their life cycle. Both CDK4/6 inhibitors and adenovirus replication target the Retinoblastoma protein albeit for different purposes. Here we show that in combination CDK4/6 inhibitors potentiate the anti-tumor effect of the oncolytic adenovirus XVir-N-31 in bladder cancer and murine Ewing sarcoma xenograft models. This increase in oncolytic potency correlates with an increase in virus-producing cancer cells, enhanced viral genome replication, particle formation and consequently cancer cell killing. The molecular mechanism that regulates this response is fundamentally based on the reduction of Retinoblastoma protein expression levels by CDK4/6 inhibitors.
Insights
Combining CDK4/6 inhibitors with oncolytic adenovirus enhances anti-tumor effects in preclinical cancer models. This potentiation results from reduced Retinoblastoma protein levels, increasing viral replication and cancer cell death.
Area of Science:
- Oncology
- Virology
- Molecular Biology
Background:
- Cyclin-dependent kinase 4/6 inhibitors (CDK4/6i) are approved for breast cancer treatment, inducing G1 cell cycle arrest.
- Oncolytic viruses, such as adenoviruses, promote S-phase progression for replication and cancer cell lysis.
- Both therapeutic strategies target the Retinoblastoma protein (Rb) but through distinct mechanisms.
Purpose of the Study:
- To investigate the combined efficacy of CDK4/6 inhibitors and oncolytic adenovirus XVir-N-31.
- To elucidate the molecular mechanisms underlying the potentiation of anti-tumor effects.
Main Methods:
- Treatment of bladder cancer and murine Ewing sarcoma xenograft models with CDK4/6 inhibitors and XVir-N-31.
- Assessment of tumor growth, viral replication, and Retinoblastoma protein levels.
Main Results:
- CDK4/6 inhibitors significantly potentiated the anti-tumor effect of XVir-N-31 in both cancer models.
- Combination therapy increased virus-producing cancer cells, viral genome replication, and particle formation.
- A decrease in Retinoblastoma protein expression was observed in response to CDK4/6 inhibitors.
Conclusions:
- CDK4/6 inhibitors enhance the oncolytic potency of adenoviruses by reducing Retinoblastoma protein levels.
- This combination strategy represents a promising approach for cancer therapy, particularly in bladder cancer and Ewing sarcoma.
- The findings provide a molecular basis for the synergistic interaction between cell cycle inhibitors and oncolytic viruses.
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