期刊
CELL DEATH & DISEASE
卷 12, 期 10, 页码 -出版社
SPRINGERNATURE
DOI: 10.1038/s41419-021-04241-2
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资金
- CRO Ricerca Corrente core grant (linea 1) from Ministero della Salute
- Fondazione AIRC per la Ricerca sul Cancro (AIRC) [16865, 20061]
- Regione Friuli Venezia Giulia (TNBCneo Grant)
- 5x1000 CRO Intramural
This study found that the expression of p27(kip1) is inversely correlated with the response to the CDK4/6 inhibitor Palbociclib in colorectal cancer patients, and investigated the mechanisms of resistance development and ways to overcome it.
In colorectal cancer, mutation of KRAS (RAS(MUT)) reduces therapeutic options, negatively affecting prognosis of the patients. In this setting, administration of CDK4/6-inhibitors, alone or in combination with other drugs, is being tested as promising therapeutic strategy. Identifying sensitive patients and overcoming intrinsic and acquired resistance to CDK4/6 inhibition represent still open challenges, to obtain better clinical responses. Here, we investigated the role of the CDK inhibitor p27(kip1) in the response to the selective CDK4/6-inhibitor Palbociclib, in colorectal cancer. Our results show that p27(kip1) expression inversely correlated with Palbociclib response, both in vitro and in vivo. Generating a model of Palbociclib-resistant RAS(MUT) colorectal cancer cells, we observed an increased expression of p27(kip1), cyclin D, CDK4 and CDK6, coupled with an increased association between p27(kip1) and CDK4. Furthermore, Palbociclib-resistant cells showed increased Src-mediated phosphorylation of p27(kip1) on tyrosine residues and low doses of Src inhibitors re-sensitized resistant cells to Palbociclib. Since p27(kip1) showed variable expression in RAS(MUT) colorectal cancer samples, our study supports the possibility that p27(kip1) could serve as biomarker to stratify patients who might benefit from CDK4/6 inhibition, alone or in combination with Src inhibitors.
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