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Assessing Cellular Target Engagement by SHP2 PTPN11 Phosphatase Inhibitors
Published on: July 17, 2020
CDK4/6 inhibition enhances SHP2 inhibitor efficacy and is dependent upon RB function in malignant peripheral nerve
Jiawan Wang1, Ana Calizo1, Lindy Zhang1
1Division of Pediatric Oncology, Sidney Kimmel Comprehensive Cancer Center (SKCCC) at Johns Hopkins, Department of Oncology and Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Abstract:
Malignant peripheral nerve sheath tumors (MPNSTs) are highly aggressive soft tissue sarcomas with limited treatment options, and new effective therapeutic strategies are desperately needed. We observe antiproliferative potency of genetic depletion of PTPN11 or pharmacological inhibition using the SHP2 inhibitor (SHP2i) TNO155. Our studies into the signaling response to SHP2i reveal that resistance to TNO155 is partially mediated by reduced RB function, and we therefore test the addition of a CDK4/6 inhibitor (CDK4/6i) to enhance RB activity and improve TNO155 efficacy. In combination, TNO155 attenuates the adaptive response to CDK4/6i, potentiates its antiproliferative effects, and converges on enhancement of RB activity, with greater suppression of cell cycle and inhibitor-of-apoptosis proteins, leading to deeper and more durable antitumor activity in in vitro and in vivo patient-derived models of MPNST, relative to either single agent. Overall, our study provides timely evidence to support the clinical advancement of this combination strategy in patients with MPNST and other tumors driven by loss of NF1.
Insights
Combining SHP2 inhibitors with CDK4/6 inhibitors shows promise for treating malignant peripheral nerve sheath tumors (MPNSTs). This dual-drug approach enhances anti-tumor activity and supports clinical advancement for MPNST and NF1-driven cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Malignant peripheral nerve sheath tumors (MPNSTs) are aggressive sarcomas with poor prognoses.
- Limited effective therapeutic options necessitate novel treatment strategies for MPNSTs.
Purpose of the Study:
- To investigate the antiproliferative effects of SHP2 inhibition in MPNSTs.
- To evaluate the efficacy of combining a SHP2 inhibitor (TNO155) with a CDK4/6 inhibitor (CDK4/6i) to overcome resistance and enhance anti-tumor activity.
Main Methods:
- Genetic depletion of PTPN11 and pharmacological inhibition using SHP2 inhibitor TNO155.
- Assessment of signaling pathways, including RB function, in response to SHP2 inhibition.
- Combination therapy studies with TNO155 and a CDK4/6 inhibitor in in vitro and in vivo MPNST models.
Main Results:
- SHP2 inhibition (TNO155) demonstrated antiproliferative effects in MPNST models.
- Resistance to TNO155 was partially mediated by reduced RB function.
- The combination of TNO155 and CDK4/6i synergistically enhanced anti-tumor activity, suppressed cell cycle progression, and reduced inhibitor-of-apoptosis proteins, leading to more durable responses.
Conclusions:
- The combination of SHP2 and CDK4/6 inhibitors offers a potent therapeutic strategy for MPNSTs.
- This combination strategy shows potential for clinical advancement in MPNST and other NF1-driven tumors.
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