author_facet Berberich, Anne
Kessler, Tobias
Thomé, Carina M.
Pusch, Stefan
Hielscher, Thomas
Sahm, Felix
Oezen, Iris
Schmitt, Lara-Marie
Ciprut, Sara
Hucke, Nanina
Ruebmann, Petra
Fischer, Manuel
Lemke, Dieter
Breckwoldt, Michael O.
von Deimling, Andreas
Bendszus, Martin
Platten, Michael
Wick, Wolfgang
Berberich, Anne
Kessler, Tobias
Thomé, Carina M.
Pusch, Stefan
Hielscher, Thomas
Sahm, Felix
Oezen, Iris
Schmitt, Lara-Marie
Ciprut, Sara
Hucke, Nanina
Ruebmann, Petra
Fischer, Manuel
Lemke, Dieter
Breckwoldt, Michael O.
von Deimling, Andreas
Bendszus, Martin
Platten, Michael
Wick, Wolfgang
author Berberich, Anne
Kessler, Tobias
Thomé, Carina M.
Pusch, Stefan
Hielscher, Thomas
Sahm, Felix
Oezen, Iris
Schmitt, Lara-Marie
Ciprut, Sara
Hucke, Nanina
Ruebmann, Petra
Fischer, Manuel
Lemke, Dieter
Breckwoldt, Michael O.
von Deimling, Andreas
Bendszus, Martin
Platten, Michael
Wick, Wolfgang
spellingShingle Berberich, Anne
Kessler, Tobias
Thomé, Carina M.
Pusch, Stefan
Hielscher, Thomas
Sahm, Felix
Oezen, Iris
Schmitt, Lara-Marie
Ciprut, Sara
Hucke, Nanina
Ruebmann, Petra
Fischer, Manuel
Lemke, Dieter
Breckwoldt, Michael O.
von Deimling, Andreas
Bendszus, Martin
Platten, Michael
Wick, Wolfgang
Clinical Cancer Research
Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
Cancer Research
Oncology
author_sort berberich, anne
spelling Berberich, Anne Kessler, Tobias Thomé, Carina M. Pusch, Stefan Hielscher, Thomas Sahm, Felix Oezen, Iris Schmitt, Lara-Marie Ciprut, Sara Hucke, Nanina Ruebmann, Petra Fischer, Manuel Lemke, Dieter Breckwoldt, Michael O. von Deimling, Andreas Bendszus, Martin Platten, Michael Wick, Wolfgang 1078-0432 1557-3265 American Association for Cancer Research (AACR) Cancer Research Oncology http://dx.doi.org/10.1158/1078-0432.ccr-18-1580 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Resistance is an obstacle of glioma therapy. Despite targeted interventions, tumors harbor primary resistance or become resistant over short course of treatment. This study examined the mouse double minute 2 (MDM2) inhibitor RG7388 together with radiotherapy and analyzed strategies to overcome acquired MDM2 inhibitor resistance in glioblastoma.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Effects of RG7388 and radiotherapy were analyzed in p53 wild-type glioblastoma cell lines and glioma-initiating cells. RG7388 resistant cells were generated by increasing RG7388 doses over 3 months. Regulated pathways were investigated by microarray, qRT-PCR, and immunoblot analysis and specifically inhibited to evaluate rational salvage therapies at RG7388 resistance. Effects of RG7388 and trametinib treatment were challenged in an orthotopical mouse model with RG7388 resistant U87MG glioblastoma cells.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>MDM2 inhibition required functional p53 and showed synergistic activity with radiotherapy in first-line treatment. Long-term exposure to RG7388 induced resistance by activation of the extracellular signal-regulated kinases 1/2 (ERK1/2)–insulin growth factor binding protein 1 (IGFBP1) signaling cascade, which was specifically overcome by ERK1/2 pathway inhibition with trametinib and knockdown of IGFBP1. Combining trametinib with continued RG7388 treatment enhanced antitumor effects at RG7388 resistance in vitro and in vivo.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>These data provide a rationale for combining RG7388 and radiotherapy as first-line therapy with a specific relevance for tumors insensitive to alkylating standard chemotherapy and for the addition of trametinib to continued RG7388 treatment as salvage therapy after acquired resistance against RG7388 for clinical practice.</jats:p> </jats:sec> Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib Clinical Cancer Research
doi_str_mv 10.1158/1078-0432.ccr-18-1580
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recordtype ai
record_format ai
series Clinical Cancer Research
source_id 49
title Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_unstemmed Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_full Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_fullStr Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_full_unstemmed Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_short Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_sort targeting resistance against the mdm2 inhibitor rg7388 in glioblastoma cells by the mek inhibitor trametinib
topic Cancer Research
Oncology
url http://dx.doi.org/10.1158/1078-0432.ccr-18-1580
publishDate 2019
physical 253-265
description <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Resistance is an obstacle of glioma therapy. Despite targeted interventions, tumors harbor primary resistance or become resistant over short course of treatment. This study examined the mouse double minute 2 (MDM2) inhibitor RG7388 together with radiotherapy and analyzed strategies to overcome acquired MDM2 inhibitor resistance in glioblastoma.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Effects of RG7388 and radiotherapy were analyzed in p53 wild-type glioblastoma cell lines and glioma-initiating cells. RG7388 resistant cells were generated by increasing RG7388 doses over 3 months. Regulated pathways were investigated by microarray, qRT-PCR, and immunoblot analysis and specifically inhibited to evaluate rational salvage therapies at RG7388 resistance. Effects of RG7388 and trametinib treatment were challenged in an orthotopical mouse model with RG7388 resistant U87MG glioblastoma cells.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>MDM2 inhibition required functional p53 and showed synergistic activity with radiotherapy in first-line treatment. Long-term exposure to RG7388 induced resistance by activation of the extracellular signal-regulated kinases 1/2 (ERK1/2)–insulin growth factor binding protein 1 (IGFBP1) signaling cascade, which was specifically overcome by ERK1/2 pathway inhibition with trametinib and knockdown of IGFBP1. Combining trametinib with continued RG7388 treatment enhanced antitumor effects at RG7388 resistance in vitro and in vivo.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>These data provide a rationale for combining RG7388 and radiotherapy as first-line therapy with a specific relevance for tumors insensitive to alkylating standard chemotherapy and for the addition of trametinib to continued RG7388 treatment as salvage therapy after acquired resistance against RG7388 for clinical practice.</jats:p> </jats:sec>
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author Berberich, Anne, Kessler, Tobias, Thomé, Carina M., Pusch, Stefan, Hielscher, Thomas, Sahm, Felix, Oezen, Iris, Schmitt, Lara-Marie, Ciprut, Sara, Hucke, Nanina, Ruebmann, Petra, Fischer, Manuel, Lemke, Dieter, Breckwoldt, Michael O., von Deimling, Andreas, Bendszus, Martin, Platten, Michael, Wick, Wolfgang
author_facet Berberich, Anne, Kessler, Tobias, Thomé, Carina M., Pusch, Stefan, Hielscher, Thomas, Sahm, Felix, Oezen, Iris, Schmitt, Lara-Marie, Ciprut, Sara, Hucke, Nanina, Ruebmann, Petra, Fischer, Manuel, Lemke, Dieter, Breckwoldt, Michael O., von Deimling, Andreas, Bendszus, Martin, Platten, Michael, Wick, Wolfgang, Berberich, Anne, Kessler, Tobias, Thomé, Carina M., Pusch, Stefan, Hielscher, Thomas, Sahm, Felix, Oezen, Iris, Schmitt, Lara-Marie, Ciprut, Sara, Hucke, Nanina, Ruebmann, Petra, Fischer, Manuel, Lemke, Dieter, Breckwoldt, Michael O., von Deimling, Andreas, Bendszus, Martin, Platten, Michael, Wick, Wolfgang
author_sort berberich, anne
container_issue 1
container_start_page 253
container_title Clinical Cancer Research
container_volume 25
description <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Resistance is an obstacle of glioma therapy. Despite targeted interventions, tumors harbor primary resistance or become resistant over short course of treatment. This study examined the mouse double minute 2 (MDM2) inhibitor RG7388 together with radiotherapy and analyzed strategies to overcome acquired MDM2 inhibitor resistance in glioblastoma.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Effects of RG7388 and radiotherapy were analyzed in p53 wild-type glioblastoma cell lines and glioma-initiating cells. RG7388 resistant cells were generated by increasing RG7388 doses over 3 months. Regulated pathways were investigated by microarray, qRT-PCR, and immunoblot analysis and specifically inhibited to evaluate rational salvage therapies at RG7388 resistance. Effects of RG7388 and trametinib treatment were challenged in an orthotopical mouse model with RG7388 resistant U87MG glioblastoma cells.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>MDM2 inhibition required functional p53 and showed synergistic activity with radiotherapy in first-line treatment. Long-term exposure to RG7388 induced resistance by activation of the extracellular signal-regulated kinases 1/2 (ERK1/2)–insulin growth factor binding protein 1 (IGFBP1) signaling cascade, which was specifically overcome by ERK1/2 pathway inhibition with trametinib and knockdown of IGFBP1. Combining trametinib with continued RG7388 treatment enhanced antitumor effects at RG7388 resistance in vitro and in vivo.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>These data provide a rationale for combining RG7388 and radiotherapy as first-line therapy with a specific relevance for tumors insensitive to alkylating standard chemotherapy and for the addition of trametinib to continued RG7388 treatment as salvage therapy after acquired resistance against RG7388 for clinical practice.</jats:p> </jats:sec>
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imprint American Association for Cancer Research (AACR), 2019
imprint_str_mv American Association for Cancer Research (AACR), 2019
institution DE-Brt1, DE-Zwi2, DE-D161, DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229, DE-D275, DE-Bn3
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spelling Berberich, Anne Kessler, Tobias Thomé, Carina M. Pusch, Stefan Hielscher, Thomas Sahm, Felix Oezen, Iris Schmitt, Lara-Marie Ciprut, Sara Hucke, Nanina Ruebmann, Petra Fischer, Manuel Lemke, Dieter Breckwoldt, Michael O. von Deimling, Andreas Bendszus, Martin Platten, Michael Wick, Wolfgang 1078-0432 1557-3265 American Association for Cancer Research (AACR) Cancer Research Oncology http://dx.doi.org/10.1158/1078-0432.ccr-18-1580 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Resistance is an obstacle of glioma therapy. Despite targeted interventions, tumors harbor primary resistance or become resistant over short course of treatment. This study examined the mouse double minute 2 (MDM2) inhibitor RG7388 together with radiotherapy and analyzed strategies to overcome acquired MDM2 inhibitor resistance in glioblastoma.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Effects of RG7388 and radiotherapy were analyzed in p53 wild-type glioblastoma cell lines and glioma-initiating cells. RG7388 resistant cells were generated by increasing RG7388 doses over 3 months. Regulated pathways were investigated by microarray, qRT-PCR, and immunoblot analysis and specifically inhibited to evaluate rational salvage therapies at RG7388 resistance. Effects of RG7388 and trametinib treatment were challenged in an orthotopical mouse model with RG7388 resistant U87MG glioblastoma cells.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>MDM2 inhibition required functional p53 and showed synergistic activity with radiotherapy in first-line treatment. Long-term exposure to RG7388 induced resistance by activation of the extracellular signal-regulated kinases 1/2 (ERK1/2)–insulin growth factor binding protein 1 (IGFBP1) signaling cascade, which was specifically overcome by ERK1/2 pathway inhibition with trametinib and knockdown of IGFBP1. Combining trametinib with continued RG7388 treatment enhanced antitumor effects at RG7388 resistance in vitro and in vivo.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>These data provide a rationale for combining RG7388 and radiotherapy as first-line therapy with a specific relevance for tumors insensitive to alkylating standard chemotherapy and for the addition of trametinib to continued RG7388 treatment as salvage therapy after acquired resistance against RG7388 for clinical practice.</jats:p> </jats:sec> Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib Clinical Cancer Research
spellingShingle Berberich, Anne, Kessler, Tobias, Thomé, Carina M., Pusch, Stefan, Hielscher, Thomas, Sahm, Felix, Oezen, Iris, Schmitt, Lara-Marie, Ciprut, Sara, Hucke, Nanina, Ruebmann, Petra, Fischer, Manuel, Lemke, Dieter, Breckwoldt, Michael O., von Deimling, Andreas, Bendszus, Martin, Platten, Michael, Wick, Wolfgang, Clinical Cancer Research, Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib, Cancer Research, Oncology
title Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_full Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_fullStr Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_full_unstemmed Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_short Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
title_sort targeting resistance against the mdm2 inhibitor rg7388 in glioblastoma cells by the mek inhibitor trametinib
title_unstemmed Targeting Resistance against the MDM2 Inhibitor RG7388 in Glioblastoma Cells by the MEK Inhibitor Trametinib
topic Cancer Research, Oncology
url http://dx.doi.org/10.1158/1078-0432.ccr-18-1580