Abemaciclib Inhibits Retinoblastoma Tumor Growth by Targeting CDK1/2
Hongwei Yang1, Qing Xiao1, Yaoying Shen2
1Ophthalmic Center, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.
Purpose:
This study aimed to investigate the antitumor efficacy and molecular mechanisms of abemaciclib in retinoblastoma beyond its canonical role as a cyclin-dependent kinase (CDK) 4/6 inhibitor.
Methods:
Transcriptomic differences between retinoblastoma and healthy retinal tissues were analyzed using multiple Gene Expression Omnibus (GEO) datasets. Candidate gene was validated by immunohistochemistry in patient specimens and by Western blotting and quantitative real-time PCR in retinoblastoma cell lines. Cell viability and proliferation were evaluated by CCK-8, EdU incorporation, and soft agar colony formation assays. Flow cytometry was performed to analyze cell cycle distribution and apoptosis rates. RNA sequencing and Western blotting were performed to investigate the antitumor mechanisms of abemaciclib in retinoblastoma. DNA damage was specifically detected using γ-H2AX immunofluorescence staining. Additionally, subcutaneous patient-derived xenograft (PDX) and orthotopic cell line-derived xenograft (CDX) models of retinoblastoma were established in immunodeficient mice to evaluate the in vivo therapeutic efficacy.
Results:
Integrated analysis of five GEO datasets revealed that, among the CDK family members, only CDK1 and CDK2 were consistently overexpressed in retinoblastoma, a finding validated in clinical specimens and cell lines. Abemaciclib significantly inhibited retinoblastoma cell proliferation in vitro and effectively suppressed tumor growth in both PDX and orthotopic CDX models. Mechanistically, abemaciclib reduced phosphorylation of CDK1 and CDK2, resulting in G2/M cell-cycle arrest. It also increased reactive oxygen species (ROS) production, caused DNA damage, inhibited DNA damage repair, activated the p53/p21 pathway, and ultimately induced apoptosis.
Conclusions:
These findings provide preclinical evidence that establishes abemaciclib as a promising novel treatment strategy for retinoblastoma.
Insights
Abemaciclib shows promise in treating retinoblastoma by inhibiting CDK1 and CDK2, leading to cell cycle arrest and apoptosis. This study provides preclinical evidence for abemaciclib as a novel retinoblastoma therapeutic.
Area of Science:
- Oncology
- Molecular Biology
- Ophthalmology
Background:
- Retinoblastoma is a pediatric eye cancer with limited treatment options.
- Cyclin-dependent kinases (CDKs) play a role in cell proliferation.
- Abemaciclib is a known CDK4/6 inhibitor, but its efficacy in retinoblastoma requires further investigation.
Purpose of the Study:
- To investigate the antitumor efficacy of abemaciclib in retinoblastoma.
- To elucidate the molecular mechanisms of abemaciclib in retinoblastoma beyond its canonical CDK4/6 inhibition.
Main Methods:
- Transcriptomic analysis of retinoblastoma vs. healthy retinal tissues.
- In vitro validation using cell lines and in vivo studies using patient-derived xenograft (PDX) and cell line-derived xenograft (CDX) models.
- Assays for cell viability, proliferation, cell cycle, apoptosis, DNA damage, and Western blotting to assess molecular pathways.
Main Results:
- CDK1 and CDK2 were overexpressed in retinoblastoma tissues and cell lines.
- Abemaciclib inhibited retinoblastoma cell proliferation in vitro and suppressed tumor growth in vivo.
- Abemaciclib induced G2/M cell-cycle arrest, increased ROS, caused DNA damage, inhibited repair, activated the p53/p21 pathway, and induced apoptosis.
Conclusions:
- Abemaciclib demonstrates significant antitumor activity in retinoblastoma models.
- The drug's mechanism involves targeting CDK1/CDK2, inducing cell cycle arrest, DNA damage, and apoptosis.
- Abemaciclib represents a promising novel therapeutic strategy for retinoblastoma.
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