Related Experiment Video
Updated: Jan 9, 2026

Through the Looking Glass: Time-lapse Microscopy and Longitudinal Tracking of Single Cells to Study Anti-cancer Therapeutics
Published on: May 14, 2016
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.
Abstract:
In chordoma, epidermal growth factor receptor (EGFR) blockade shows significant but incomplete antitumor activity, suggesting that inhibition of other tumor growth-promoting pathways is required for enhanced efficacy. In this study, we detected high expression of cyclin-dependent kinases (CDKs), specifically CDK7 and CDK9, in both sacral and clival chordomas and subsequently explored the efficacy of the CDK inhibitors THZ1 and TG02, both as single agents and in combination with the EGFR inhibitor afatinib in preclinical chordoma models. Monotherapy with THZ1, TG02, and afatinib led to decreased cell viability, proliferative capacity, colony formation, and induced apoptosis across multiple chordoma cell lines, and enhanced activity was observed with THZ1/afatinib and TG02/afatinib cotreatments. Mechanistically, THZ1 and TG02 each attenuated phosphorylation of RNA polymerase II, leading to transcriptional inhibition of the chordoma driver gene brachyury, which was enhanced when combined with afatinib. Both CDK inhibitors also reduced expression of MCL1, which was further suppressed with combination therapy. Importantly, cotreatments exhibited greater inhibition of tumor growth than single treatments in cell line- and patient-derived xenograft models. Taken together, our data revealed that THZ1 or TG02 enhanced the in vitro and in vivo efficacy of afatinib, suggesting a potential novel combination therapeutic strategy for patients with chordoma.
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.
More Related Videos
10:33Development of Inhibitors of Protein-protein Interactions through REPLACE: Application to the Design and Development Non-ATP Competitive CDK Inhibitors
Published on: October 26, 2015
08:54An Immunofluorescent Method for Characterization of Barrett’s Esophagus Cells
Published on: July 20, 2014
Related Concept Videos
Inhibition of Cdk Activity
Mitogens and the Cell Cycle
M-Cdk Drives Transition Into Mitosis
Cyclin-dependent kinases, or Cdks, work in concert with cyclins to control cell cycle transitions. M-Cdk, a complex of Cdk1 bound to M cyclin, is a well-known example of this coordinated control that drives the transition from the G2 to the M phase.
M cyclin...
Targeted Cancer Therapies
There are several types of targeted therapies against...
Anaphase Promoting Complex