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2015 ; 14
(2
): 608-19
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Wee-1 kinase inhibition overcomes cisplatin resistance associated with high-risk
TP53 mutations in head and neck cancer through mitotic arrest followed by
senescence
#MMPMID25504633
Osman AA
; Monroe MM
; Ortega Alves MV
; Patel AA
; Katsonis P
; Fitzgerald AL
; Neskey DM
; Frederick MJ
; Woo SH
; Caulin C
; Hsu TK
; McDonald TO
; Kimmel M
; Meyn RE
; Lichtarge O
; Myers JN
Mol Cancer Ther
2015[Feb]; 14
(2
): 608-19
PMID25504633
show ga
Although cisplatin has played a role in "standard-of-care" multimodality therapy
for patients with advanced squamous cell carcinoma of the head and neck (HNSCC),
the rate of treatment failure remains particularly high for patients receiving
cisplatin whose tumors have mutations in the TP53 gene. We found that cisplatin
treatment of HNSCC cells with mutant TP53 leads to arrest of cells in the G2
phase of the cell cycle, leading us to hypothesize that the wee-1 kinase
inhibitor MK-1775 would abrogate the cisplatin-induced G2 block and thereby
sensitize isogenic HNSCC cells with mutant TP53 or lacking p53 expression to
cisplatin. We tested this hypothesis using clonogenic survival assays, flow
cytometry, and in vivo tumor growth delay experiments with an orthotopic nude
mouse model of oral tongue cancer. We also used a novel TP53 mutation
classification scheme to identify which TP53 mutations are associated with
limited tumor responses to cisplatin treatment. Clonogenic survival analyses
indicate that nanomolar concentration of MK-1775 sensitizes HNSCC cells with
high-risk mutant p53 to cisplatin. Consistent with its ability to chemosensitize,
MK-1775 abrogated the cisplatin-induced G2 block in p53-defective cells leading
to mitotic arrest associated with a senescence-like phenotype. Furthermore,
MK-1775 enhanced the efficacy of cisplatin in vivo in tumors harboring TP53
mutations. These results indicate that HNSCC cells expressing high-risk p53
mutations are significantly sensitized to cisplatin therapy by the selective
wee-1 kinase inhibitor, supporting the clinical evaluation of MK-1775 in
combination with cisplatin for the treatment of patients with TP53 mutant HNSCC.