The limitations of targeting MEK signalling in Glioblastoma therapy.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
04 05 2020
Historique:
received: 08 08 2019
accepted: 15 04 2020
entrez: 6 5 2020
pubmed: 6 5 2020
medline: 7 1 2021
Statut: epublish

Résumé

Glioblastoma (GB) is a highly aggressive, difficult to treat brain tumour. Successful treatment, consisting of maximal safe tumour de-bulking, followed by radiotherapy and treatment with the alkylating agent Temozolomide (TMZ), can extend patient survival to approximately 15 months. Combination treatments based on the inhibition of the PI3K pathway, which is the most frequently activated signalling cascade in GB, have so far only shown limited therapeutic success. Here, we use the clinically approved MEK inhibitor Trametinib to investigate its potential use in managing GB. Trametinib has a strong anti-proliferative effect on established GB cell lines, stem cell-like cells and their differentiated progeny and while it does not enhance anti-proliferative and cell death-inducing properties of the standard treatment, i.e. exposure to radiation or TMZ, neither does MEK inhibition block their effectiveness. However, upon MEK inhibition some cell populations appear to favour cell-substrate interactions in a sprouting assay and become more invasive in the Chorioallantoic Membrane assay, which assesses cell penetration into an organic membrane. While this increased invasion can be modulated by additional inhibition of the PI3K signalling cascade, there is no apparent benefit of blocking MEK compared to targeting PI3K.

Identifiants

pubmed: 32366879
doi: 10.1038/s41598-020-64289-6
pii: 10.1038/s41598-020-64289-6
pmc: PMC7198577
doi:

Substances chimiques

Pyridones 0
Pyrimidinones 0
trametinib 33E86K87QN
MAP Kinase Kinase 1 EC 2.7.12.2
Temozolomide YF1K15M17Y

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

7401

Références

Huse, J. T. & Holland, E. C. Targeting brain cancer: advances in the molecular pathology of malignant glioma and medulloblastoma. Nat Rev Cancer 10, 319–331 (2010).
doi: 10.1038/nrc2818
Stupp, R. et al. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med 352, 987–996 (2005).
doi: 10.1056/NEJMoa043330
Wen, P. Y. & Kesari, S. Malignant gliomas in adults. N Engl J Med 359, 492–507, https://doi.org/10.1056/NEJMra0708126 (2008).
doi: 10.1056/NEJMra0708126 pubmed: 18669428
Giese, A., Bjerkvig, R., Berens, M. E. & Westphal, M. Cost of migration: invasion of malignant gliomas and implications for treatment. J Clin Oncol 21, 1624–1636, https://doi.org/10.1200/JCO.2003.05.063JCO.2003.05.063 (2003).
doi: 10.1200/JCO.2003.05.063JCO.2003.05.063 pubmed: 12697889
Grobner, S. N. et al. The landscape of genomic alterations across childhood cancers. Nature 555, 321–327, https://doi.org/10.1038/nature25480 (2018).
doi: 10.1038/nature25480 pubmed: 29489754
Cancer-Genome-Atlas-Research-Network. Comprehensive genomic characterization defines human glioblastoma genes and core pathways. Nature 455, 1061–1068, https://doi.org/10.1038/nature07385 (2008).
doi: 10.1038/nature07385
Fan, Q. W. & Weiss, W. A. Targeting the RTK-PI3K-mTOR axis in malignant glioma: overcoming resistance. Curr Top Microbiol Immunol 347, 279–296, https://doi.org/10.1007/82_2010_67 (2010).
doi: 10.1007/82_2010_67 pubmed: 20535652 pmcid: 3012004
Wen, P. Y., Lee, E. Q., Reardon, D. A., Ligon, K. L. & Alfred Yung, W. K. Current clinical development of PI3K pathway inhibitors in glioblastoma. Neuro Oncol 14, 819–829, https://doi.org/10.1093/neuonc/nos117 (2012).
doi: 10.1093/neuonc/nos117 pubmed: 22619466 pmcid: 3379803
Westhoff, M. A. et al. A critical evaluation of PI3K inhibition in Glioblastoma and Neuroblastoma therapy. Molecular and Cellular Therapies 2, 32 (2014).
doi: 10.1186/2052-8426-2-32
Westhoff, M. A., Bruhl, O., Nonnenmacher, L., Karpel-Massler, G. & Debatin, K. M. Killing me softly-future challenges in apoptosis research. Int J Mol Sci 15, 3746–3767, https://doi.org/10.3390/ijms15033746 (2014).
doi: 10.3390/ijms15033746 pubmed: 24595238 pmcid: 3975365
Langhans, J. et al. The effects of PI3K-mediated signalling on glioblastoma cell behaviour. Oncogenesis 6, 398, https://doi.org/10.1038/s41389-017-0004-8 (2017).
doi: 10.1038/s41389-017-0004-8 pubmed: 29184057 pmcid: 5868055
Hasslacher, S. et al. Inhibition of PI3K signalling increases the efficiency of radiotherapy in glioblastoma cells. Int J Oncol 53, 1881–1896, https://doi.org/10.3892/ijo.2018.4528 (2018).
doi: 10.3892/ijo.2018.4528 pubmed: 30132519 pmcid: 6192725
Ströbele, S. et al. A Potential Role for the Inhibition of PI3K Signaling in Glioblastoma Therapy. PLoS One 10, e0131670 (2015).
doi: 10.1371/journal.pone.0131670
Engelman, J. A. et al. Effective use of PI3K and MEK inhibitors to treat mutant Kras G12D and PIK3CA H1047R murine lung cancers. Nature Medicine 14, 1351 (2008).
doi: 10.1038/nm.1890
Sweetlove, M. et al. Inhibitors of pan-PI3K Signaling Synergize with BRAF or MEK Inhibitors to Prevent BRAF-Mutant Melanoma Cell Growth. Frontiers in Oncology 5, https://doi.org/10.3389/fonc.2015.00135 (2015).
Haagensen, E. J., Kyle, S., Beale, G. S., Maxwell, R. J. & Newell, D. R. The synergistic interaction of MEK and PI3K inhibitors is modulated by mTOR inhibition. British Journal Of Cancer 106, 1386 (2012).
doi: 10.1038/bjc.2012.70
Turke, A. B. et al. MEK Inhibition Leads to PI3K/AKT Activation by Relieving a Negative Feedback on ERBB Receptors. Cancer Research 72, 3228–3237, https://doi.org/10.1158/0008-5472.can-11-3747 (2012).
doi: 10.1158/0008-5472.can-11-3747 pubmed: 22552284 pmcid: 3515079
Ebi, H. et al. PI3K regulates MEK/ERK signaling in breast cancer via the Rac-GEF, P-Rex1. Proceedings of the National Academy of Sciences 110, 21124–21129, https://doi.org/10.1073/pnas.1314124110 (2013).
doi: 10.1073/pnas.1314124110
Golding, S. E. et al. Pro-survival AKT and ERK signaling from EGFR and mutant EGFRvIII enhances DNA double-strand break repair in human glioma cells. Cancer Biol Ther 8, 730–738, 7927 (2009).
Han, S., Li, Z., Master, L. M., Master, Z. W. & Wu, A. Exogenous IGFBP-2 promotes proliferation, invasion, and chemoresistance to temozolomide in glioma cells via the integrin beta1-ERK pathway. Br J Cancer 111, 1400–1409, https://doi.org/10.1038/bjc.2014.435 (2014).
doi: 10.1038/bjc.2014.435 pubmed: 25093489 pmcid: 4183856
Liu, J., Mao, W., Ding, B. & Liang, C. S. ERKs/p53 signal transduction pathway is involved in doxorubicin-induced apoptosis in H9c2 cells and cardiomyocytes. Am J Physiol Heart Circ Physiol 295, H1956–1965, https://doi.org/10.1152/ajpheart.00407.2008 (2008).
doi: 10.1152/ajpheart.00407.2008 pubmed: 18775851 pmcid: 2614569
Sato, A. et al. MEK-ERK signaling dictates DNA-repair gene MGMT expression and temozolomide resistance of stem-like glioblastoma cells via the MDM2-p53 axis. Stem Cells 29, 1942–1951, https://doi.org/10.1002/stem.753 (2011).
doi: 10.1002/stem.753 pubmed: 21957016
Besson, A., Davy, A., Robbins, S. M. & Yong, V. W. Differential activation of ERKs to focal adhesions by PKC ε is required for PMA-induced adhesion and migration of human glioma cells. Oncogene 20, 7398–7407, https://doi.org/10.1038/sj.onc.1204899 (2001).
doi: 10.1038/sj.onc.1204899 pubmed: 11704869
Annovazzi, L., Mellai, M. & Schiffer, D. Chemotherapeutic Drugs: DNA Damage and Repair in Glioblastoma. Cancers 9, 57, https://doi.org/10.3390/cancers9060057 (2017).
doi: 10.3390/cancers9060057 pmcid: 5483876
Ajenjo, N. et al. Myeloid Leukemia Cell Growth and Differentiation Are Independent of Mitogen-activated Protein Kinase ERK1/2 Activation. Journal of Biological Chemistry 275, 7189–7197, https://doi.org/10.1074/jbc.275.10.7189 (2000).
doi: 10.1074/jbc.275.10.7189 pubmed: 10702288
Racke, F. K., Lewandowska, K., Goueli, S. & Goldfarb, A. N. Sustained Activation of the Extracellular Signal-regulated Kinase/Mitogen-activated Protein Kinase Pathway Is Required for Megakaryocytic Differentiation of K562 Cells. Journal of Biological Chemistry 272, 23366–23370, https://doi.org/10.1074/jbc.272.37.23366 (1997).
doi: 10.1074/jbc.272.37.23366 pubmed: 9287350
Ciccarelli, C. et al. Key role of MEK/ERK pathway in sustaining tumorigenicity and in vitro radioresistance of embryonal rhabdomyosarcoma stem-like cell population. Molecular Cancer 15, 16, https://doi.org/10.1186/s12943-016-0501-y (2016).
doi: 10.1186/s12943-016-0501-y pubmed: 26897742 pmcid: 4761200
Riddick, G. et al. A Core Regulatory Circuit in Glioblastoma Stem Cells Links MAPK Activation to a Transcriptional Program of Neural Stem Cell Identity. Scientific Reports 7, 43605 (2017).
doi: 10.1038/srep43605
Menzies, A. M. et al. Clinical activity of the MEK inhibitor trametinib in metastatic melanoma containing BRAF kinase fusion. Pigment Cell Melanoma Res 28, 607–610, https://doi.org/10.1111/pcmr.12388 (2015).
doi: 10.1111/pcmr.12388 pubmed: 26072686 pmcid: 4539279
Hatzivassiliou, G. et al. Mechanism of MEK inhibition determines efficacy in mutant KRAS- versus BRAF-driven cancers. Nature 501, 232–236, https://doi.org/10.1038/nature12441 (2013).
doi: 10.1038/nature12441 pubmed: 23934108 pmcid: 23934108
Lito, P. et al. Disruption of CRAF-mediated MEK activation is required for effective MEK inhibition in KRAS mutant tumors. Cancer Cell 25, 697–710, https://doi.org/10.1016/j.ccr.2014.03.011 (2014).
doi: 10.1016/j.ccr.2014.03.011 pubmed: 24746704 pmcid: 4049532
Gilmartin, A. G. et al. GSK1120212 (JTP-74057) is an inhibitor of MEK activity and activation with favorable pharmacokinetic properties for sustained in vivo pathway inhibition. Clin Cancer Res 17, 989–1000, https://doi.org/10.1158/1078-0432.CCR-10-2200 (2011).
doi: 10.1158/1078-0432.CCR-10-2200 pubmed: 21245089
Caunt, C. J., Sale, M. J., Smith, P. D. & Cook, S. J. MEK1 and MEK2 inhibitors and cancer therapy: the long and winding road. Nature Reviews Cancer 15, 577 (2015).
doi: 10.1038/nrc4000
Sun, X. & Kaufman, P. D. Ki-67: more than a proliferation marker. Chromosoma 127, 175–186, https://doi.org/10.1007/s00412-018-0659-8 (2018).
doi: 10.1007/s00412-018-0659-8 pubmed: 29322240 pmcid: 5945335
Portnow, J. et al. The Neuropharmacokinetics of Temozolomide in Patients with Resectable Brain Tumors: Potential Implications for the Current Approach to Chemoradiation. Clinical Cancer Research 15, 7092–7098, https://doi.org/10.1158/1078-0432.ccr-09-1349 (2009).
doi: 10.1158/1078-0432.ccr-09-1349 pubmed: 19861433 pmcid: 2908372
Pawlik, T. M. & Keyomarsi, K. Role of cell cycle in mediating sensitivity to radiotherapy. International Journal of Radiation Oncology • Biology • Physics 59, 928–942, https://doi.org/10.1016/j.ijrobp.2004.03.005 (2004).
doi: 10.1016/j.ijrobp.2004.03.005
Westhoff, M. A., Zhou, S., Bachem, M. G., Debatin, K. M. & Fulda, S. Identification of a novel switch in the dominant forms of cell adhesion-mediated drug resistance in glioblastoma cells. Oncogene 27, 5169–5181, https://doi.org/10.1038/onc.2008.148 (2008).
doi: 10.1038/onc.2008.148 pubmed: 18469856
Hatzikirou, H., Basanta, D., Simon, M., Schaller, K. & Deutsch, A. ‘Go or grow’: the key to the emergence of invasion in tumour progression? Math Med Biol 29, 49–65, https://doi.org/10.1093/imammb/dqq011 (2012).
doi: 10.1093/imammb/dqq011 pubmed: 20610469
De Witt Hamer, P. C. et al. The genomic profile of human malignant glioma is altered early in primary cell culture and preserved in spheroids. Oncogene 27, 2091–2096, https://doi.org/10.1038/sj.onc.1210850 (2008).
doi: 10.1038/sj.onc.1210850 pubmed: 17934519
Li, A. et al. Genomic changes and gene expression profiles reveal that established glioma cell lines are poorly representative of primary human gliomas. Mol Cancer Res 6, 21–30, https://doi.org/10.1158/1541-7786.MCR-07-0280 (2008).
doi: 10.1158/1541-7786.MCR-07-0280 pubmed: 18184972
Schneider, M. et al. A paired comparison between glioblastoma “stem cells” and differentiated cells. Int J Cancer 138, 1709–1718, https://doi.org/10.1002/ijc.29908 (2016).
doi: 10.1002/ijc.29908 pubmed: 26519239
Lee, J. et al. Tumor stem cells derived from glioblastomas cultured in bFGF and EGF more closely mirror the phenotype and genotype of primary tumors than do serum-cultured cell lines. Cancer Cell 9, 391–403, https://doi.org/10.1016/j.ccr.2006.03.030 (2006).
doi: 10.1016/j.ccr.2006.03.030 pubmed: 16697959
Cloughesy, T. F., Cavenee, W. K. & Mischel, P. S. Glioblastoma: from molecular pathology to targeted treatment. Annu Rev Pathol 9, 1–25, https://doi.org/10.1146/annurev-pathol-011110-130324 (2013).
doi: 10.1146/annurev-pathol-011110-130324 pubmed: 23937436
Caruso, R., Pesce, A. & Wierzbicki, V. A very rare case report of long-term survival: A patient operated on in 1994 of glioblastoma multiforme and currently in perfect health. International Journal of Surgery Case Reports 33, 41–43, https://doi.org/10.1016/j.ijscr.2017.02.025 (2017).
doi: 10.1016/j.ijscr.2017.02.025 pubmed: 28273605 pmcid: 5338899
Lee, M. J. et al. Sequential application of anticancer drugs enhances cell death by rewiring apoptotic signaling networks. Cell 149, 780–794, https://doi.org/10.1016/j.cell.2012.03.031 (2012).
doi: 10.1016/j.cell.2012.03.031 pubmed: 22579283 pmcid: 3501264
Kast, R. E., Karpel-Massler, G. & Halatsch, M. E. CUSP9* treatment protocol for recurrent glioblastoma: aprepitant, artesunate, auranofin, captopril, celecoxib, disulfiram, itraconazole, ritonavir, sertraline augmenting continuous low dose temozolomide. Oncotarget 5, 8052-8082, 2408 (2014).
Behling, F. & Schittenhelm, J. Oncogenic BRAF Alterations and Their Role in Brain Tumors. Cancers 11, 794 (2019).
doi: 10.3390/cancers11060794
Wee, P. & Wang, Z. Epidermal Growth Factor Receptor Cell Proliferation Signaling Pathways. Cancers 9, 52 (2017).
doi: 10.3390/cancers9050052
Xu, H. et al. Epidermal growth factor receptor in glioblastoma. Oncology letters 14, 512–516 (2017).
doi: 10.3892/ol.2017.6221
Haas, B. et al. Inhibition of the PI3K but not the MEK/ERK pathway sensitizes human glioma cells to alkylating drugs. Cancer cell international 18, 69–69, https://doi.org/10.1186/s12935-018-0565-4 (2018).
doi: 10.1186/s12935-018-0565-4 pubmed: 29755294 pmcid: 5935937
Hotokezaka, H. et al. U0126 and PD98059, Specific Inhibitors of MEK, Accelerate Differentiation of RAW264.7 Cells into Osteoclast-like Cells. Journal of Biological Chemistry 277, 47366–47372, https://doi.org/10.1074/jbc.M208284200 (2002).
doi: 10.1074/jbc.M208284200 pubmed: 12237315
Zarkoob, H., Taube, J. H., Singh, S. K., Mani, S. A. & Kohandel, M. Investigating the Link between Molecular Subtypes of Glioblastoma, Epithelial-Mesenchymal Transition, and CD133 Cell Surface Protein. PLOS ONE 8, e64169 (2013).
doi: 10.1371/journal.pone.0064169
Iwadate, Y. Epithelial-mesenchymal transition in glioblastoma progression. Oncology Letters 11, 1615–1620, https://doi.org/10.3892/ol.2016.4113 (2016).
doi: 10.3892/ol.2016.4113 pubmed: 26998052 pmcid: 4774466
Li, Y., Ali, S., Clarke, J. & Cha, S. Bevacizumab in Recurrent Glioma: Patterns of Treatment Failure and Implications. Brain tumor research and treatment 5, 1–9, https://doi.org/10.14791/btrt.2017.5.1.1 (2017).
doi: 10.14791/btrt.2017.5.1.1 pubmed: 28516072 pmcid: 5433944
Narasimhan, P., Liu, J., Song Yun, S., Massengale Justin, L. & Chan Pak, H. VEGF Stimulates the ERK 1/2 Signaling Pathway and Apoptosis in Cerebral Endothelial Cells After Ischemic Conditions. Stroke 40, 1467–1473 (2009).
doi: 10.1161/STROKEAHA.108.534644
Saryeddine, L., Zibara, K., Kassem, N., Badran, B. & El-Zein, N. EGF-Induced VEGF Exerts a PI3K-Dependent Positive Feedback on ERK and AKT through VEGFR2 in Hematological In Vitro Models. PLOS ONE 11, e0165876 (2016).
doi: 10.1371/journal.pone.0165876
Huveldt, D. et al. Targeting Src Family Kinases Inhibits Bevacizumab-Induced Glioma Cell Invasion. PLOS ONE 8, e56505 (2013).
doi: 10.1371/journal.pone.0056505
Ishida, J. et al. Integrin inhibitor suppresses bevacizumab-induced glioma invasion. Translational oncology 7, 292–302.e291 (2014).
doi: 10.1016/j.tranon.2014.02.016
Ameratunga, M., McArthur, G., Gan, H. & Cher, L. Prolonged disease control with MEK inhibitor in neurofibromatosis type I-associated glioblastoma. J Clin Pharm Ther 41, 357–359, https://doi.org/10.1111/jcpt.12378 (2016).
doi: 10.1111/jcpt.12378 pubmed: 26936308
Salaroglio, I.C., Mungo, E., Gazzano, E., Kopecka, J. & Riganti, C. ERK is a Pivotal Player of Chemo-Immune-Resistance in Cancer. Int J Mol Sci, 20 (2019).
Ishida, C. T. et al. BH3-mimetics and BET-inhibitors elicit enhanced lethality in malignant glioma. Oncotarget 8, 29558–29573 (2017).
pubmed: 28418907 pmcid: 5444687
Shang, E. et al. Dual Inhibition of Bcl-2/Bcl-xL and XPO1 is synthetically lethal in glioblastoma model systems. Scientific Reports 8, 15383 (2018).
doi: 10.1038/s41598-018-33784-2
Zhang, Y. et al. Inhibition of Bcl-2/Bcl-xL and c-MET causes synthetic lethality in model systems of glioblastoma. Scientific Reports 8, 7373 (2018).
doi: 10.1038/s41598-018-25802-0
Halatsch, M. E. et al. Bcl-2/Bcl-xL inhibition predominantly synergistically enhances the anti-neoplastic activity of a low-dose CUSP9 repurposed drug regime against glioblastoma. Br J Pharmacol 176, 3681–3694 (2019).
doi: 10.1111/bph.14773
Seyfried, F. et al. Prediction of venetoclax activity in precursor B-ALL by functional assessment of apoptosis signaling. Cell Death Dis 10, 571 (2019).
doi: 10.1038/s41419-019-1801-0
Nonnenmacher, L. et al. Cell Death Induction in Cancer Therapy − Past, Present, and Future. Crit Rev Oncog 21, 253–267, https://doi.org/10.1615/CritRevOncog.2016016987 (2016).
doi: 10.1615/CritRevOncog.2016016987 pubmed: 27915975
Karpel-Massler, G. et al. Combined Inhibition of HER1/EGFR and RAC1 Results in a Synergistic Antiproliferative Effect on Established and Primary Cultured Human Glioblastoma Cells. Mol Cancer Ther 12, 1783–1795, https://doi.org/10.1158/1535-7163.MCT-13-0052 (2013).
doi: 10.1158/1535-7163.MCT-13-0052 pubmed: 23832120

Auteurs

Karthika D Selvasaravanan (KD)

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.
Interfaculty Institute of Biochemistry, University of Tübingen, Tübingen, Germany.

Nicole Wiederspohn (N)

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.
Institute for Applied Physiology, University of Ulm, Ulm, Germany.

Amina Hadzalic (A)

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Hannah Strobel (H)

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Christel Payer (C)

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Andrea Schuster (A)

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Georg Karpel-Massler (G)

Department of Neurosurgery, University Medical Center Ulm, Ulm, Germany.

Markus D Siegelin (MD)

Department of Pathology and Cell Biology, Columbia University Medical Center, New York, NY, USA.

Marc-Eric Halatsch (ME)

Department of Neurosurgery, University Medical Center Ulm, Ulm, Germany.

Klaus-Michael Debatin (KM)

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Mike-Andrew Westhoff (MA)

Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany. andrew.westhoff@uniklinik-ulm.de.

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