Inhibition of CDKs Enhances the Efficacy of Anti-EGFR Therapy in Chordoma

Tianna Zhao1, Riccardo Serra1, Michelle Guo1

  • 1Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

PubMed

Insights

Combining cyclin-dependent kinase (CDK) inhibitors THZ1 or TG02 with afatinib significantly enhances anti-tumor activity in chordoma models. This novel combination therapy targets key growth pathways, offering a promising strategy for chordoma treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Chordoma exhibits incomplete response to epidermal growth factor receptor (EGFR) blockade.
  • High expression of cyclin-dependent kinases (CDK) 7 and 9 is observed in chordoma.
  • Novel therapeutic strategies are needed to overcome resistance to current treatments.

Purpose of the Study:

  • To investigate the efficacy of CDK inhibitors THZ1 and TG02, alone and in combination with EGFR inhibitor afatinib, in preclinical chordoma models.
  • To elucidate the molecular mechanisms underlying the combination therapy's anti-tumor effects.
  • To evaluate the therapeutic potential of this combination strategy for chordoma patients.

Main Methods:

  • Chordoma cell lines and patient-derived xenografts were treated with THZ1, TG02, and afatinib as single agents or in combination.
  • Cell viability, proliferation, colony formation, and apoptosis were assessed.
  • Western blotting was used to analyze protein expression and phosphorylation, including RNA polymerase II (POL II) and MCL1.
  • Tumor growth inhibition was evaluated in vivo.

Main Results:

  • Monotherapy with THZ1, TG02, or afatinib reduced chordoma cell viability and induced apoptosis.
  • Combination therapy with THZ1/afatinib and TG02/afatinib demonstrated enhanced anti-tumor activity compared to single agents.
  • CDK inhibitors inhibited POL II phosphorylation, leading to decreased brachyury transcription, an effect amplified by afatinib.
  • Combination treatment further reduced MCL1 expression.
  • Co-treatments showed superior tumor growth inhibition in both cell line- and patient-derived xenograft models.

Conclusions:

  • THZ1 and TG02 significantly enhance the efficacy of afatinib in preclinical chordoma models.
  • The combination therapy targets key oncogenic pathways, including brachyury transcription and MCL1 expression.
  • This CDK inhibitor and EGFR inhibitor combination represents a promising novel therapeutic strategy for chordoma.

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