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2015 ; 6
(12
): 10207-21
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Pre-clinical evaluation of the MDM2-p53 antagonist RG7388 alone and in
combination with chemotherapy in neuroblastoma
#MMPMID25844600
Chen L
; Rousseau RF
; Middleton SA
; Nichols GL
; Newell DR
; Lunec J
; Tweddle DA
Oncotarget
2015[Apr]; 6
(12
): 10207-21
PMID25844600
show ga
Neuroblastoma is a predominantly p53 wild-type (wt) tumour and MDM2-p53
antagonists offer a novel therapeutic strategy for neuroblastoma patients. RG7388
(Roche) is currently undergoing early phase clinical evaluation in adults. This
study assessed the efficacy of RG7388 as a single-agent and in combination with
chemotherapies currently used to treat neuroblastoma in a panel of neuroblastoma
cell lines. RG7388 GI50 concentrations were determined in 21 p53-wt and mutant
neuroblastoma cell lines of varying MYCN, MDM2 and p14(ARF) status, together with
MYCN-regulatable Tet21N cells. The primary determinant of response was the
presence of wt p53, and overall there was a >200-fold difference in RG7388 GI50
concentrations for p53-wt versus mutant cell lines. Tet21N MYCN+ cells were
significantly more sensitive to RG7388 compared with MYCN- cells. Using
median-effect analysis in 5 p53-wt neuroblastoma cell lines, selected
combinations of RG7388 with cisplatin, doxorubicin, topotecan, temozolomide and
busulfan were synergistic. Furthermore, combination treatments led to increased
apoptosis, as evident by higher caspase-3/7 activity compared to either agent
alone. These data show that RG7388 is highly potent against p53-wt neuroblastoma
cells, and strongly supports its further evaluation as a novel therapy for
patients with high-risk neuroblastoma and wt p53 to potentially improve survival
and/or reduce toxicity.