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10.18632/oncotarget.3504

http://scihub22266oqcxt.onion/10.18632/oncotarget.3504
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C4496350!4496350 !25844600
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suck abstract from ncbi


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pmid25844600
      Oncotarget 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.
  • |Antineoplastic Combined Chemotherapy Protocols/*pharmacology [MESH]
  • |Brain Neoplasms/*drug therapy/metabolism [MESH]
  • |Cell Line, Tumor [MESH]
  • |Drug Screening Assays, Antitumor [MESH]
  • |Humans [MESH]
  • |Neuroblastoma/*drug therapy/metabolism [MESH]
  • |Proto-Oncogene Proteins c-mdm2/*antagonists & inhibitors/metabolism [MESH]
  • |Pyrrolidines/administration & dosage/*pharmacology [MESH]
  • |Tumor Suppressor Protein p53/*antagonists & inhibitors/metabolism [MESH]


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