Journal
GUT
Volume 66, Issue 7, Pages 1286-1296Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/gutjnl-2016-312268
Keywords
-
Categories
Funding
- American Association for the Study of Liver Diseases (AASLD) Pinnacle Research Award
- Icahn School of Medicine at Mount Sinai
- Asociacion Espanola Contral el Cancer (AECC)
- European Commission Framework Programme 7 (HEP-CAR grant) [667273-2]
- European Commission Framework Programme 7 (HEPTROMIC) [259744]
- Samuel Waxman Cancer Research Foundation
- Spanish National Health Institute [SAF-2013-41027]
- AECC
Ask authors/readers for more resources
Objective Advanced hepatocellular carcinoma (HCC) is a lethal malignancy with limited treatment options. Palbociclib, a well-tolerated and selective CDK4/6 inhibitor, has shown promising results in the treatment of retinoblastoma (RB1)-positive breast cancer. RB1 is rarely mutated in HCC, suggesting that palbociclib could potentially be used for HCC therapy. Here, we provide a comprehensive characterisation of the efficacy of palbociclib in multiple preclinical models of HCC. Design The effects of palbociclib on cell proliferation, cellular senescence and cell death were investigated in a panel of human liver cancer cell lines, in ex vivo human HCC samples, in a genetically engineered mouse model of liver cancer, and in human HCC xenografts in vivo. The mechanisms of intrinsic and acquired resistance to palbociclib were assessed in human liver cancer cell lines and human HCC samples by protein and gene expression analyses. Results Palbociclib suppressed cell proliferation in human liver cancer cell lines by promoting a reversible cell cycle arrest. Intrinsic and acquired resistance to palbociclib was determined by loss of RB1. A signature of 'RB1 loss of function' was found in <30% of HCC samples. Palbociclib, alone or combined with sorafenib, the standard of care for HCC, impaired tumour growth in vivo and significantly increased survival. Conclusions Palbociclib shows encouraging results in preclinical models of HCC and represents a novel therapeutic strategy for HCC treatment, alone or particularly in combination with sorafenib. Palbociclib could potentially benefit patients with RB1-proficient tumours, which account for 70% of all patients with HCC.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available