PMID- 35814226 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 13 DP - 2022 TI - Gilteritinib Enhances Anti-Tumor Efficacy of CDK4/6 Inhibitor, Abemaciclib in Lung Cancer Cells. PG - 829759 LID - 10.3389/fphar.2022.829759 [doi] LID - 829759 AB - Abemaciclib is a cyclin-dependent kinases 4/6 (CDK4/6) inhibitor approved for the treatment of metastatic breast cancer. Preclinical studies suggest that abemaciclib has the potential for lung cancer treatment. However, several clinical trials demonstrate that monotherapy with abemaciclib has no obvious superiority than erlotinib to treat lung cancer patients, limiting its therapeutic options for lung cancer treatment. Here, we show that the US Food and Drug Administration (FDA)-approved drug, gilteritinib, enhances the cytotoxicity of abemaciclib through inducing apoptosis and senescence in lung cancer cells. Interestingly, abemaciclib in combination with gilteritinib leads to excessive accumulation of vacuoles in lung cancer cells. Mechanistically, combined abemaciclib and gilteritinib induces complete inactivation of AKT and retinoblastoma (Rb) pathways in lung cancer cells. In addition, RNA-sequencing data demonstrate that combination of abemaciclib and gilteritinib treatment induces G2 phase cell-cycle arrest, inhibits DNA replication, and leads to reduction in homologous recombination associated gene expressions. Of note, abemaciclib-resistant lung cancer cells are more sensitive to gilteritinib treatment. In a mouse xenograft model, combined abemaciclib and gilteritinib is more effective than either drug alone in suppressing tumor growth and appears to be well tolerated. Together, our findings support the combination of abemaciclib with gilteritinib as an effective strategy for the treatment of lung cancer, suggesting further evaluation of their efficacy is needed in a clinical trial. CI - Copyright (c) 2022 Sun, Talukder, Cao and Chen. FAU - Sun, Chao-Yue AU - Sun CY AD - College of Biological and Pharmaceutical Engineering, West Anhui University, Lu'an, China. FAU - Talukder, Milton AU - Talukder M AD - Department of Physiology and Pharmacology, Faculty of Animal Science and Veterinary Medicine, Patuakhali Science and Technology University, Barishal, Bangladesh. FAU - Cao, Di AU - Cao D AD - State Key Laboratory of Oncology in South China, Department of Radiology, Sun Yat-Sen University Cancer Center, Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangzhou, China. FAU - Chen, Cun-Wu AU - Chen CW AD - College of Biological and Pharmaceutical Engineering, West Anhui University, Lu'an, China. LA - eng PT - Journal Article DEP - 20220623 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC9262324 OTO - NOTNLM OT - Akt OT - CDK4/6 OT - RB OT - abemaciclib OT - gilteritinib OT - lung cancer COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer DR declared a shared parent affiliation with the author DC to the handling editor at the time of review EDAT- 2022/07/12 06:00 MHDA- 2022/07/12 06:01 PMCR- 2022/06/23 CRDT- 2022/07/11 04:13 PHST- 2021/12/06 00:00 [received] PHST- 2022/06/08 00:00 [accepted] PHST- 2022/07/11 04:13 [entrez] PHST- 2022/07/12 06:00 [pubmed] PHST- 2022/07/12 06:01 [medline] PHST- 2022/06/23 00:00 [pmc-release] AID - 829759 [pii] AID - 10.3389/fphar.2022.829759 [doi] PST - epublish SO - Front Pharmacol. 2022 Jun 23;13:829759. doi: 10.3389/fphar.2022.829759. eCollection 2022.