Separable Cell Cycle Arrest and Immune Response Elicited through Pharmacological CDK4/6 and MEK Inhibition in RASmut

Jin Wu1, Jianxin Wang1, Thomas N O'Connor1

  • 1Department of Molecular and Cellular Biology, Roswell Park Comprehensive Cancer Center, Buffalo, New York.

PubMed

Insights

Combining CDK4/6 and MEK inhibitors, like palbociclib and trametinib, shows promise for soft tissue sarcomas by halting cell growth and activating immune pathways. This strategy offers new therapeutic avenues for RAS-mutant cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • CDK4/6 and MEK inhibitors are emerging cancer therapies, particularly effective in RAS-mutant cancers.
  • A high-throughput screen revealed synergistic effects between palbociclib (CDK4/6 inhibitor) and trametinib (MEK inhibitor) in soft tissue sarcomas.

Purpose of the Study:

  • To investigate the mechanistic basis for the synergistic efficacy of combined CDK4/6 and MEK inhibition in soft tissue sarcomas.
  • To explore the impact of RB1 status on treatment response and identify associated molecular pathways.

Main Methods:

  • Utilized drug screening, cell culture, CRISPR-mediated gene depletion (RB1), and xenograft models.
  • Performed cell cycle analysis, proliferation assays, and pathway enrichment analysis.
  • Investigated the role of TANK-binding kinase 1 (TBK1) using the inhibitor GSK8612.

Main Results:

  • Combination therapy induced significant G1 cell cycle arrest and reduced proliferation in RAS-mutant soft tissue sarcoma models.
  • RB1 depletion diminished the response to combined CDK4/6 and MEK inhibition, confirmed in vitro and in vivo.
  • Treatment activated interferon pathways and upregulated retroviral elements, with TBK1 inhibition selectively blocking these interferon-related gene expressions.

Conclusions:

  • Combined CDK4/6 and MEK inhibition is a promising therapeutic strategy for soft tissue sarcomas, particularly those with RAS mutations.
  • RB1 status is a critical determinant of response to this combination therapy.
  • The combination elicits separable cell cycle and epigenetic responses, including interferon pathway activation, offering insights into novel therapeutic combinations.

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