Combinatorial efficacy achieved through two-point blockade within a signaling pathway-a chemical genetic approach

Cancer Res. 2003 Dec 15;63(24):8930-8.

Abstract

Whether the apparent efficacy of a specific kinase inhibitor is attributable solely to inhibition of its primary target, or to combined inhibition of additional unidentified kinases, is a critical issue in cancer therapy. We used a chemical genetic approach to generate a selective inhibitor of v-erbB [a transforming allele of epidermal growth factor receptor (EGFR)] and interrogated inhibition in known downstream signaling pathways. On the basis of this analysis, we hypothesized that dual inhibition of v-erbB and phosphatidylinositol 3' (PI3) kinases could show improved potency. We, therefore, used two different cell lines to examine the effects of v-erbB or EGFR inhibitors, in combination with PI3 kinase inhibitors, in mouse models for EGFR-driven cancers. When treated with NaPP1, v-erbB-as1-transformed fibroblasts showed cell-cycle arrest and decreased activity of Akt kinase. Inhibitors of v-erbB-as1 and of PI3 kinase showed enhanced efficacy in treating established 3T3:v-erbB-as1 tumor allografts. We extended these results to the human glioma cell line U87:MG transduced with DeltaEGFR, a tumor-derived activated allele, treating tumor-bearing mice with vehicle, the EGFR inhibitor ZD1839, LY294002, or ZD1839 plus LY294002. In human glioma xenografts, inhibition of EGFR cooperated similarly with inhibition of PI3 kinase. Our experiments provide a preclinical mechanistic basis for combining biologically based therapies directed against two targets within a complex signaling cascade.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Apoptosis / physiology
  • Brain Neoplasms / drug therapy
  • Brain Neoplasms / enzymology
  • Brain Neoplasms / pathology
  • Cell Division / drug effects
  • Cell Division / physiology
  • Cell Line, Tumor
  • Drug Synergism
  • Enzyme Inhibitors / pharmacology*
  • ErbB Receptors / antagonists & inhibitors*
  • Female
  • Gefitinib
  • Glioma / drug therapy
  • Glioma / enzymology
  • Glioma / pathology
  • Humans
  • Mice
  • Mice, Inbred BALB C
  • NIH 3T3 Cells
  • Naphthalenes / pharmacology
  • Oncogene Proteins v-erbB / antagonists & inhibitors*
  • Oncogene Proteins v-erbB / genetics
  • Phosphoinositide-3 Kinase Inhibitors*
  • Pyrazoles / pharmacology
  • Pyrimidines / pharmacology
  • Quinazolines / pharmacology
  • Signal Transduction
  • Transduction, Genetic
  • Xenograft Model Antitumor Assays

Substances

  • 4-amino-5-(4-methylphenyl)-7-(tert-butyl)pyrazolo(3,4-d)pyrimidine
  • Enzyme Inhibitors
  • Naphthalenes
  • Oncogene Proteins v-erbB
  • Phosphoinositide-3 Kinase Inhibitors
  • Pyrazoles
  • Pyrimidines
  • Quinazolines
  • ErbB Receptors
  • Gefitinib