Abstract |
Decitabine, a cancer therapeutic that inhibits DNA methylation, produces variable antitumor response rates in patients with solid tumors that might be leveraged clinically with identification of a predictive biomarker. In this study, we profiled the response of human ovarian, melanoma, and breast cancer cells treated with decitabine, finding that RAS/MEK/ERK pathway activation and DNMT1 expression correlated with cytotoxic activity. Further, we showed that KRAS genomic status predicted decitabine sensitivity in low-grade and high-grade serous ovarian cancer cells. Pretreatment with decitabine decreased the cytotoxic activity of MEK inhibitors in KRAS-mutant ovarian cancer cells, with reciprocal downregulation of DNMT1 and MEK/ERK phosphorylation. In parallel with these responses, decitabine also upregulated the proapoptotic BCL-2 family member BNIP3, which is known to be regulated by MEK and ERK, and heightened the activity of proapoptotic small-molecule navitoclax, a BCL-2 family inhibitor. In a xenograft model of KRAS-mutant ovarian cancer, combining decitabine and navitoclax heightened antitumor activity beyond administration of either compound alone. Our results define the RAS/ MEK/DNMT1 pathway as a determinant of sensitivity to DNA methyltransferase inhibition, specifically implicating KRAS status as a biomarker of drug response in ovarian cancer.
|
Authors | Michelle L Stewart, Pablo Tamayo, Andrew J Wilson, Stephanie Wang, Yun Min Chang, Jong W Kim, Dineo Khabele, Alykhan F Shamji, Stuart L Schreiber |
Journal | Cancer research
(Cancer Res)
Vol. 75
Issue 14
Pg. 2897-906
(Jul 15 2015)
ISSN: 1538-7445 [Electronic] United States |
PMID | 25968887
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
|
Copyright | ©2015 American Association for Cancer Research. |
Chemical References |
- Biomarkers, Tumor
- Decitabine
- Azacitidine
|
Topics |
- Animals
- Azacitidine
(analogs & derivatives, therapeutic use)
- Biomarkers, Tumor
(genetics)
- Cystadenocarcinoma, Serous
(drug therapy, genetics, pathology)
- Decitabine
- Drug Resistance, Neoplasm
(genetics)
- Female
- Genes, ras
- Humans
- Mice
- Mice, Nude
- Mice, Transgenic
- Mutation
- Ovarian Neoplasms
(drug therapy, genetics, pathology)
- Prognosis
- Tumor Cells, Cultured
- Xenograft Model Antitumor Assays
|