PMID- 30607633 OWN - NLM STAT- MEDLINE DCOM- 20190716 LR - 20220727 IS - 1573-7217 (Electronic) IS - 0167-6806 (Print) IS - 0167-6806 (Linking) VI - 174 IP - 3 DP - 2019 Apr TI - Synergistic anti-cancer activity of CDK4/6 inhibitor palbociclib and dual mTOR kinase inhibitor MLN0128 in pRb-expressing ER-negative breast cancer. PG - 615-625 LID - 10.1007/s10549-018-05104-9 [doi] AB - PURPOSE: Palbociclib is an approved cyclin-dependent kinase (CDK) 4/6 inhibitor for treatment of patients with ER-positive and HER2-negative breast cancers. While Retinoblastoma protein (pRb), a major substrate of CDK4/6, is a potential target in triple negative breast cancer (TNBC), the usefulness of CDK4/6 inhibitors in this cancer has not been established. This preclinical study investigated the combination effects of palbociclib and the dual mammalian target of rapamycin (mTOR) kinase inhibitor MLN0128 in estrogen receptor (ER)-negative breast cancer in vitro and in vivo. METHODS: The combined effects of two drugs on three TNBC cell lines (MB231, MB468, and CAL148) and an ER-negative and HER2-positive cell line (MB453) were investigated by MTT assay and colony formation analysis. Cell cycle measurements were examined as well as changes in expression of molecules related to G1/S transition and the mTOR pathway. Importantly, a pRb-expressing TNBC patient-derived xenograft (PDX) model was used to assess the effects of the combination in vivo. RESULTS: A combination of palbociclib and MLN0128 synergistically inhibited the proliferation of pRb-expressing cell lines and induced G1 cell cycle arrest. Western blot analysis revealed that CDK4/6-pRb and mTOR pathways were inhibited by these treatments. In pRb-expressing TNBC PDX, the combination treatment drastically suppressed tumor growth compared to either the control or single drug treatments. In addition, the combination treatment significantly reduced the number of Ki67-positive cells. CONCLUSIONS: We revealed that palbociclib and MLN0128 had synergistic anti-cancer activity in both pRb + ER-negative cell lines and a TNBC PDX model. Our results indicate that such combination therapy is worthy of further investigation in a clinical setting. FAU - Yamamoto, Takuro AU - Yamamoto T AD - Department of Cancer Biology, Beckman Research Institute of City of Hope, Duarte, CA, 91010, USA. FAU - Kanaya, Noriko AU - Kanaya N AD - Department of Cancer Biology, Beckman Research Institute of City of Hope, Duarte, CA, 91010, USA. FAU - Somlo, George AU - Somlo G AD - Department of Medical Oncology, City of Hope Medical Center, Duarte, CA, 91010, USA. FAU - Chen, Shiuan AU - Chen S AUID- ORCID: 0000-0002-4482-6926 AD - Department of Cancer Biology, Beckman Research Institute of City of Hope, Duarte, CA, 91010, USA. Schen@coh.org. LA - eng GR - P30 CA033572/CA/NCI NIH HHS/United States GR - P30CA033572/National Cancer Institute/ PT - Journal Article DEP - 20190103 PL - Netherlands TA - Breast Cancer Res Treat JT - Breast cancer research and treatment JID - 8111104 RN - 0 (Benzoxazoles) RN - 0 (Piperazines) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyridines) RN - 0 (Pyrimidines) RN - 0 (Receptors, Estrogen) RN - 0 (Retinoblastoma Protein) RN - G9ZF61LE7G (palbociclib) RN - JGH0DF1U03 (sapanisertib) SB - IM MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/*administration & dosage/pharmacology MH - Benzoxazoles/*administration & dosage/pharmacology MH - Breast Neoplasms/*drug therapy/genetics MH - Cell Cycle/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Drug Synergism MH - Female MH - Humans MH - Mice MH - Piperazines/*administration & dosage/pharmacology MH - Protein Kinase Inhibitors/*administration & dosage/pharmacology MH - Pyridines/*administration & dosage/pharmacology MH - Pyrimidines/*administration & dosage/pharmacology MH - Receptors, Estrogen/metabolism MH - Retinoblastoma Protein/genetics MH - Xenograft Model Antitumor Assays PMC - PMC6452902 MID - NIHMS1524922 OTO - NOTNLM OT - CDK 4/6 inhibitor OT - MLN0128 OT - Palbociclib OT - Retinoblastoma protein (pRb) OT - Triple negative breast cancer (TNBC) OT - mTOR inhibitor COIS- Conflict of interest The authors declare that they have no competing interests. EDAT- 2019/01/05 06:00 MHDA- 2019/07/17 06:00 PMCR- 2020/04/01 CRDT- 2019/01/05 06:00 PHST- 2018/08/13 00:00 [received] PHST- 2018/12/14 00:00 [accepted] PHST- 2019/01/05 06:00 [pubmed] PHST- 2019/07/17 06:00 [medline] PHST- 2019/01/05 06:00 [entrez] PHST- 2020/04/01 00:00 [pmc-release] AID - 10.1007/s10549-018-05104-9 [pii] AID - 10.1007/s10549-018-05104-9 [doi] PST - ppublish SO - Breast Cancer Res Treat. 2019 Apr;174(3):615-625. doi: 10.1007/s10549-018-05104-9. Epub 2019 Jan 3.