Targeting BCL-2 with the BH3 Mimetic ABT-199 in Estrogen Receptor-Positive Breast Cancer

被引:238
作者
Vaillant, Francois [1 ,6 ]
Merino, Delphine [1 ,6 ]
Lee, Lily [1 ,6 ]
Breslin, Kelsey [1 ]
Pal, Bhupinder [1 ,6 ]
Ritchie, Matthew E. [2 ,7 ]
Smyth, Gordon K. [3 ,7 ]
Christie, Michael [4 ,6 ,10 ]
Phillipson, Louisa J. [5 ,6 ]
Burns, Christopher J. [5 ,6 ]
Mann, G. Bruce [8 ]
Visvader, Jane E. [1 ,6 ]
Lindeman, Geoffrey J. [1 ,9 ,11 ,12 ,13 ]
机构
[1] Walter & Eliza Hall Inst Med Res, ACRF Stem Cells & Canc Div, Parkville, Vic 3052, Australia
[2] Walter & Eliza Hall Inst Med Res, Mol Med Div, Parkville, Vic 3052, Australia
[3] Walter & Eliza Hall Inst Med Res, Bioinformat Div, Parkville, Vic 3052, Australia
[4] Walter & Eliza Hall Inst Med Res, Syst Biol & Personalised Med Div, Parkville, Vic 3052, Australia
[5] Walter & Eliza Hall Inst Med Res, Chem Biol Div, Parkville, Vic 3052, Australia
[6] Univ Melbourne, Dept Med Biol, Parkville, Vic 3010, Australia
[7] Univ Melbourne, Dept Math & Stat, Parkville, Vic 3010, Australia
[8] Univ Melbourne, Dept Surg, Parkville, Vic 3010, Australia
[9] Univ Melbourne, Dept Med, Parkville, Vic 3010, Australia
[10] Royal Melbourne Hosp, Dept Anat Pathol, Parkville, Vic 3050, Australia
[11] Royal Melbourne Hosp, Dept Med Oncol, Parkville, Vic 3050, Australia
[12] Royal Melbourne Hosp, Breast Serv, Parkville, Vic 3050, Australia
[13] Royal Womens Hosp, Parkville, Vic 3050, Australia
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;
关键词
CHRONIC LYMPHOCYTIC-LEUKEMIA; SURVIVAL SIGNALS; CELL-DEATH; THERAPY; FAMILY; INHIBITOR; TUMORS; NAVITOCLAX; ABT-737; ACTIVATION;
D O I
10.1016/j.ccr.2013.06.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The prosurvival protein BCL-2 is frequently overexpressed in estrogen receptor (ER)-positive breast cancer. We have generated ER-positive primary breast tumor xenografts that recapitulate the primary tumors and demonstrate that the BH3 mimetic ABT-737 markedly improves tumor response to the antiestrogen tamoxifen. Despite abundant BCL-XL expression, similar efficacy was observed with the BCL-2 selective inhibitor ABT-199, revealing that BCL-2 is a crucial target. Unexpectedly, BH3 mimetics were found to counteract the side effect of tamoxifen-induced endometrial hyperplasia. Moreover, BH3 mimetics synergized with phosphatidylinositol 3-kinase (PI3K)/mammalian target of rapamycin (mTOR) inhibitors in eliciting apoptosis. Importantly, these two classes of inhibitor further enhanced tumor response in combination therapy with tamoxifen. Collectively, our findings provide a rationale for the clinical evaluation of BH3 mimetics in therapy for breast cancer.
引用
收藏
页码:120 / 129
页数:10
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