Effects of palbociclib in oral squamous cell carcinoma and the role of PIK3CA in conferring resistance

Objective: Lack of effective therapies remains a problem in the treatment of oral squamous cell carcinoma (OSCC), especially in patients with advanced tumors. OSCC development is driven by multiple aberrancies within the cell cycle pathway, including amplification of cyclin D1 and loss of p16. Hence...

Full description

Bibliographic Details
Main Authors: Zainal, Nur Syafinaz, Lee, Bernard Kok Bang, Wong, Zheng Wei, Chin, Iuan Sheau, Yee, Pei San, Gan, Chai Phei, Mun, Kein Seong, Rahman, Zainal Ariff Abdul, Gutkind, J. Silvio, Patel, Vyomesh, Cheong, Sok Ching
Format: Article
Language:English
Published: Chinese Anti-cancer Association 2019
Subjects:
Online Access:http://eprints.um.edu.my/23892/1/cbm-16-2-264.pdf
_version_ 1825722145217445888
author Zainal, Nur Syafinaz
Lee, Bernard Kok Bang
Wong, Zheng Wei
Chin, Iuan Sheau
Yee, Pei San
Gan, Chai Phei
Mun, Kein Seong
Rahman, Zainal Ariff Abdul
Gutkind, J. Silvio
Patel, Vyomesh
Cheong, Sok Ching
author_facet Zainal, Nur Syafinaz
Lee, Bernard Kok Bang
Wong, Zheng Wei
Chin, Iuan Sheau
Yee, Pei San
Gan, Chai Phei
Mun, Kein Seong
Rahman, Zainal Ariff Abdul
Gutkind, J. Silvio
Patel, Vyomesh
Cheong, Sok Ching
author_sort Zainal, Nur Syafinaz
collection UM
description Objective: Lack of effective therapies remains a problem in the treatment of oral squamous cell carcinoma (OSCC), especially in patients with advanced tumors. OSCC development is driven by multiple aberrancies within the cell cycle pathway, including amplification of cyclin D1 and loss of p16. Hence, cell cycle inhibitors of the CDK4/6-cyclin D axis are appealing targets for OSCC treatment. Here, we determined the potency of palbociclib and identified genetic features that are associated with the response of palbociclib in OSCC. Methods: The effect of palbociclib was evaluated in a panel of well-characterized OSCC cell lines by cell proliferation assays and further confirmed by in vivo evaluation in xenograft models. PIK3CA-mutant isogenic cell lines were used to investigate the effect of PIK3CA mutation towards palbociclib response. Results: We demonstrated that 80% of OSCC cell lines are sensitive to palbociclib at sub-micromolar concentrations. Consistently, palbociclib was effective in controlling tumor growth in mice. We identified that palbociclib-resistant cells harbored mutations in PIK3CA. Using isogenic cell lines, we showed that PIK3CA mutant cells are less responsive to palbociclib as compared to wild-type cells with concurrent upregulation of CDK2 and cyclin El protein levels. We further demonstrated that the combination of a PI3K/mTOR inhibitor (PF-04691502) and palbociclib completely controlled tumor growth in mice. Conclusions: This study demonstrated the potency of palbociclib in OSCC models and provides a rationale for the inclusion of PIK3CA testing in the clinical evaluation of CDK4/6 inhibitors and suggests combination approaches for further clinical studies.
first_indexed 2024-03-06T06:01:11Z
format Article
id um.eprints-23892
institution Universiti Malaya
language English
last_indexed 2024-03-06T06:01:11Z
publishDate 2019
publisher Chinese Anti-cancer Association
record_format dspace
spelling um.eprints-238922020-02-21T04:14:41Z http://eprints.um.edu.my/23892/ Effects of palbociclib in oral squamous cell carcinoma and the role of PIK3CA in conferring resistance Zainal, Nur Syafinaz Lee, Bernard Kok Bang Wong, Zheng Wei Chin, Iuan Sheau Yee, Pei San Gan, Chai Phei Mun, Kein Seong Rahman, Zainal Ariff Abdul Gutkind, J. Silvio Patel, Vyomesh Cheong, Sok Ching R Medicine RC Internal medicine RC0254 Neoplasms. Tumors. Oncology (including Cancer) Objective: Lack of effective therapies remains a problem in the treatment of oral squamous cell carcinoma (OSCC), especially in patients with advanced tumors. OSCC development is driven by multiple aberrancies within the cell cycle pathway, including amplification of cyclin D1 and loss of p16. Hence, cell cycle inhibitors of the CDK4/6-cyclin D axis are appealing targets for OSCC treatment. Here, we determined the potency of palbociclib and identified genetic features that are associated with the response of palbociclib in OSCC. Methods: The effect of palbociclib was evaluated in a panel of well-characterized OSCC cell lines by cell proliferation assays and further confirmed by in vivo evaluation in xenograft models. PIK3CA-mutant isogenic cell lines were used to investigate the effect of PIK3CA mutation towards palbociclib response. Results: We demonstrated that 80% of OSCC cell lines are sensitive to palbociclib at sub-micromolar concentrations. Consistently, palbociclib was effective in controlling tumor growth in mice. We identified that palbociclib-resistant cells harbored mutations in PIK3CA. Using isogenic cell lines, we showed that PIK3CA mutant cells are less responsive to palbociclib as compared to wild-type cells with concurrent upregulation of CDK2 and cyclin El protein levels. We further demonstrated that the combination of a PI3K/mTOR inhibitor (PF-04691502) and palbociclib completely controlled tumor growth in mice. Conclusions: This study demonstrated the potency of palbociclib in OSCC models and provides a rationale for the inclusion of PIK3CA testing in the clinical evaluation of CDK4/6 inhibitors and suggests combination approaches for further clinical studies. Chinese Anti-cancer Association 2019 Article PeerReviewed text en http://eprints.um.edu.my/23892/1/cbm-16-2-264.pdf Zainal, Nur Syafinaz and Lee, Bernard Kok Bang and Wong, Zheng Wei and Chin, Iuan Sheau and Yee, Pei San and Gan, Chai Phei and Mun, Kein Seong and Rahman, Zainal Ariff Abdul and Gutkind, J. Silvio and Patel, Vyomesh and Cheong, Sok Ching (2019) Effects of palbociclib in oral squamous cell carcinoma and the role of PIK3CA in conferring resistance. Cancer Biology & Medicine, 16 (2). pp. 264-275. ISSN 2095-3941, DOI https://doi.org/10.20892/j.issn.2095-3941.2018.0257 <https://doi.org/10.20892/j.issn.2095-3941.2018.0257>. http://www.cancerbiomed.org/index.php/cocr/article/view/1421/1411 doi:10.20892/j.issn.2095-3941.2018.0257
spellingShingle R Medicine
RC Internal medicine
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Zainal, Nur Syafinaz
Lee, Bernard Kok Bang
Wong, Zheng Wei
Chin, Iuan Sheau
Yee, Pei San
Gan, Chai Phei
Mun, Kein Seong
Rahman, Zainal Ariff Abdul
Gutkind, J. Silvio
Patel, Vyomesh
Cheong, Sok Ching
Effects of palbociclib in oral squamous cell carcinoma and the role of PIK3CA in conferring resistance
title Effects of palbociclib in oral squamous cell carcinoma and the role of PIK3CA in conferring resistance
title_full Effects of palbociclib in oral squamous cell carcinoma and the role of PIK3CA in conferring resistance
title_fullStr Effects of palbociclib in oral squamous cell carcinoma and the role of PIK3CA in conferring resistance
title_full_unstemmed Effects of palbociclib in oral squamous cell carcinoma and the role of PIK3CA in conferring resistance
title_short Effects of palbociclib in oral squamous cell carcinoma and the role of PIK3CA in conferring resistance
title_sort effects of palbociclib in oral squamous cell carcinoma and the role of pik3ca in conferring resistance
topic R Medicine
RC Internal medicine
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
url http://eprints.um.edu.my/23892/1/cbm-16-2-264.pdf
work_keys_str_mv AT zainalnursyafinaz effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT leebernardkokbang effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT wongzhengwei effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT chiniuansheau effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT yeepeisan effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT ganchaiphei effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT munkeinseong effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT rahmanzainalariffabdul effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT gutkindjsilvio effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT patelvyomesh effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance
AT cheongsokching effectsofpalbociclibinoralsquamouscellcarcinomaandtheroleofpik3cainconferringresistance