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.

Nature Communications
|August 10, 2022
PubMed

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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