GDF-15 Neutralization Alleviates Platinum-Based Chemotherapy-Induced Emesis, Anorexia, and Weight Loss in Mice and Nonhuman Primates

被引:108
作者
Breen, Danna M. [1 ]
Kim, Hanna [1 ]
Bennett, Donald [2 ]
Calle, Roberto A. [1 ]
Collins, Susie [3 ]
Esquejo, Ryan M. [1 ]
He, Tao [4 ]
Joaquim, Stephanie [1 ]
Joyce, Alison [5 ]
Lambert, Matthew [4 ]
Lin, Laura [4 ]
Pettersen, Betty [6 ]
Qiao, Shuxi [1 ]
Rossulek, Michelle [1 ]
Weber, Gregory [4 ]
Wu, Zhidan [1 ]
Zhang, Bei B. [1 ]
Birnbaum, Morris J. [1 ]
机构
[1] Pfizer Inc, Internal Med Res Unit, 1 Portland St, Cambridge, MA USA
[2] Pfizer Inc, Early Clin Dev, Biostat, 1 Portland St, Cambridge, MA USA
[3] Pfizer R&D UK Ltd, Early Clin Dev, Biostat, Ramsgate Rd, Sandwich, Kent, England
[4] Pfizer Inc, Biomed Design, 1 Portland St, Cambridge, MA USA
[5] Pfizer Inc, Biomed Design, 1 Burtt Rd, Andover, MA USA
[6] Pfizer Inc, Drug Safety Res & Dev, 1 Portland St, Cambridge, MA USA
关键词
DIFFERENTIATION FACTOR 15; MACROPHAGE INHIBITORY CYTOKINE-1; CELL LUNG-CANCER; BREAST-CANCER; LIQUID-CHROMATOGRAPHY; MULTIPLE BIOMARKERS; INDUCED NAUSEA; CISPLATIN; DOXORUBICIN; TOXICITY;
D O I
10.1016/j.cmet.2020.10.023
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Platinum-based cancer therapy is restricted by dose-limiting side effects and is associated with elevation of growth differentiation factor 15 (GDF-15). But whether this elevation contributes to such side effects has been unclear. Here, we explored the effects of GDF-15 blockade on platinum-based chemotherapy-induced emesis, anorexia, and weight loss in mice and/or nonhuman primate models. We found that circulating GDF-15 is higher in subjects with cancer receiving platinum-based chemotherapy and is positively associated with weight loss in colorectal cancer (NCT00609622). Further, chemotherapy agents associated with high clinical emetic score induce circulating GDF-15 and weight loss in mice. Platinum-based treatment induced anorexia and weight loss are attenuated in GDF-15 knockout mice, while GDF-15 neutralization with the monoclonal antibody mAB1 improves survival. In nonhuman primates, mAB1 treatment attenuates anorexia and emesis. These results suggest that GDF-15 neutralization is a potential therapeutic approach to alleviate chemotherapy-induced side effects and improve the quality of life.
引用
收藏
页码:938 / 950.e6
页数:20
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