PMID- 23234544 OWN - NLM STAT- MEDLINE DCOM- 20130411 LR - 20240210 IS - 1470-8728 (Electronic) IS - 0264-6021 (Linking) VI - 450 IP - 2 DP - 2013 Mar 1 TI - The BH3 mimetic ABT-263 synergizes with the MEK1/2 inhibitor selumetinib/AZD6244 to promote BIM-dependent tumour cell death and inhibit acquired resistance. PG - 285-94 LID - 10.1042/BJ20121212 [doi] AB - Tumour cells typically exhibit a G(1) cell cycle arrest in response to the MEK1/2 [mitogen-activated protein kinase/ERK (extracellular-signal-regulated kinase) kinase 1/2] inhibitor selumetinib, but do not die, and thus they acquire resistance. In the present study we examined the effect of combining selumetinib with the BH3 [BCL2 (B-cell lymphoma 2) homology domain 3]-mimetic BCL2 inhibitor ABT-263. Although either drug alone caused little tumour cell death, the two agents combined to cause substantial caspase-dependent cell death and inhibit long-term clonogenic survival of colorectal cancer and melanoma cell lines with BRAF(V600E) or RAS mutations. This cell death absolutely required BAX (BCL2-associated X protein) and was inhibited by RNAi (RNA interference)-mediated knockdown of BIM (BCL2-interacting mediator of cell death) in the BRAF(V600E)-positive COLO205 cell line. When colorectal cancer cell lines were treated with selumetinib plus ABT-263 we observed a striking reduction in the incidence of cells emerging with acquired resistance to selumetinib. Similar results were observed when we combined ABT-263 with the BRAF(V600E)-selective inhibitor PLX4720, but only in cells expressing BRAF(V600E). Finally, cancer cells in which acquired resistance to selumetinib arises through BRAF(V600E) amplification remained sensitive to ABT-263, whereas selumetinib-resistant HCT116 cells (KRAS(G13D) amplification) were cross-resistant to ABT-263. Thus the combination of a BCL2 inhibitor and an ERK1/2 pathway inhibitor is synthetic lethal in ERK1/2-addicted tumour cells, delays the onset of acquired resistance and in some cases overcomes acquired resistance to selumetinib. FAU - Sale, Matthew J AU - Sale MJ AD - Signalling Laboratory, The Babraham Institute, Babraham Research Campus, Cambridge CB22 3AT, UK. matthew.sale@babraham.ac.uk FAU - Cook, Simon J AU - Cook SJ LA - eng GR - C488/A14867/CRUK_/Cancer Research UK/United Kingdom GR - BBS/E/B/0000H151/BB_/Biotechnology and Biological Sciences Research Council/United Kingdom GR - BB/F0158521/1/BB_/Biotechnology and Biological Sciences Research Council/United Kingdom GR - BB/E02162X/1/BB_/Biotechnology and Biological Sciences Research Council/United Kingdom GR - 14867/CRUK_/Cancer Research UK/United Kingdom GR - BBS/E/B/000C0419/BB_/Biotechnology and Biological Sciences Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Biochem J JT - The Biochemical journal JID - 2984726R RN - 0 (AZD 6244) RN - 0 (Aniline Compounds) RN - 0 (Benzimidazoles) RN - 0 (Sulfonamides) RN - 0 (bcl-2-Associated X Protein) RN - EC 2.7.1.- (MAP2K2 protein, human) RN - EC 2.7.12.2 (MAP Kinase Kinase 1) RN - EC 2.7.12.2 (MAP Kinase Kinase 2) RN - EC 2.7.12.2 (MAP2K1 protein, human) RN - XKJ5VVK2WD (navitoclax) SB - IM MH - Aniline Compounds/*pharmacology MH - Apoptosis MH - Benzimidazoles/*pharmacology MH - *Cell Death MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm MH - HT29 Cells MH - Humans MH - MAP Kinase Kinase 1/*antagonists & inhibitors/metabolism MH - MAP Kinase Kinase 2/*antagonists & inhibitors/metabolism MH - MAP Kinase Signaling System MH - RNA Interference MH - Sulfonamides/*pharmacology MH - bcl-2-Associated X Protein/metabolism EDAT- 2012/12/14 06:00 MHDA- 2013/04/12 06:00 CRDT- 2012/12/14 06:00 PHST- 2012/12/14 06:00 [entrez] PHST- 2012/12/14 06:00 [pubmed] PHST- 2013/04/12 06:00 [medline] AID - BJ20121212 [pii] AID - 10.1042/BJ20121212 [doi] PST - ppublish SO - Biochem J. 2013 Mar 1;450(2):285-94. doi: 10.1042/BJ20121212.