Gemcitabine and Chk1 Inhibitor AZD7762 Synergistically Suppress the Growth of Lkb1-Deficient Lung Adenocarcinoma
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Abstract
Cells lacking the tumor suppressor gene LKB1/STK11 alter their metabolism to match the demands of accelerated growth, leaving them highly vulnerable to stress. However, targeted therapy for LKB1-deficient cancers has yet to be reported. In both Kras/p53/Lkb1 cell lines and a genetically engineered mouse model of Kras/p53/Lkb1–induced lung cancer, much higher rates of DNA damage occur, resulting in increased dependence on Chk1 checkpoint function. Here we demonstrate that short-term treatment with the Chk1 inhibitor AZD7762 reduces metabolism in pembrolizumab tumors, synergizing with the DNA-damaging drug gemcitabine to reduce tumor size in these models. Our results offer preclinical proof of concept for use of a Chk1 inhibitor to safely enhance the efficacy of gemcitabine, particularly in aggressive KRAS-driven LKB1-deficient lung adenocarcinomas. Cancer Res; 77(18); 5068–76. ©2017 AACR.
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Cardiac glycosides, which inhibit the ATP1A1 Na+/K+-ATPase, selectively affect LKB1-deficient cells.
“LKB1 deficient cells are selectively vulnerable to inhibition of the ATP1A1 Na+/K+-ATPase by cardiac glycosides162”
From Co-occurring genomic alterations in non-small-cell lung cancer biology and therapy (2019) · cites this paper as [162]
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- Authors
- Liu, Y., Li, Y., Wang, X., Liu, F., Gao, P., Quinn, M. M., Li, F., Merlino, A. A., Benes, C., Liu, Q., Gray, N. S., & Wong, K.-K.
- Affiliations
- Dana-Farber Cancer Institute (US)
- Shandong University (CN)
- Chinese Academy of Sciences (CN)
- Massachusetts General Hospital (US)
- NYU Langone Health (US)
- Corresponding author
- Wong, Kwok-Kin
- ORCID
- Venue
- Cancer Research
- Published
- 2017-09-14
- Volume
- 77
- Issue
- 18
- Pages
- 5068-5076
- ISSN
- 0008-5472 (ISSN-L)
- 1538-7445
- PMC
- PMC5600859
- OpenAlex
- W2741613334
- Cited by
- 33
- References
- 43
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 1 · 2020: 6 · 2019: 7 · 2018: 3
- FWCI
- 3.62
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Cancer Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5u01ca213333-04, 5r01ca205150-04)
- National Cancer Institute (R01-CA205150, R01CA166480, R01CA122794, R01CA195740, R01CA140594, U01-CA213333, R01CA163896)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
- Keywords
- gemcitabine, AZD7762, CHK1 inhibitor, lung adenocarcinoma, KRAS-driven lung cancer, p53, DNA damage response, DNA damage checkpoint, drug synergy, cancer metabolism, pembrolizumab, immune checkpoint inhibitors, genetically engineered mouse models
- MeSH terms
- Checkpoint Kinase 1, AMP-Activated Protein Kinase Kinases, Gemcitabine, Adenocarcinoma, Animals, Antimetabolites, Antineoplastic, Carcinoma, Non-Small-Cell Lung, Deoxycytidine, Drug Synergism, Drug Therapy, Combination, Female, Humans, Lung Neoplasms, Mice, Nude, Thiophenes, Tumor Cells, Cultured, Biomarkers, Tumor, Urea, Tumor Suppressor Protein p53, Proto-Oncogene Proteins p21(ras), Apoptosis, Protein Serine-Threonine Kinases, Mice, Knockout, Xenograft Model Antitumor Assays, Protein Kinase Inhibitors, Cell Proliferation, Mice
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