Malignant gliomas are highly lethal
tumors resistant to current
therapies. The standard treatment modality for these
tumors, surgical resection followed by
radiation therapy and concurrent
temozolomide, has demonstrated activity, but development of resistance and
disease progression is common. Although oncogenic Ras mutations are uncommon in
gliomas, Ras has been found to be constitutively activated through the action of upstream signaling pathways, suggesting that
farnesyltransferase inhibitors may show activity against these
tumors. We now report the in vitro and orthotopic in vivo results of combination
therapy using radiation,
temozolomide and
lonafarnib (
SCH66336), an oral farnesyl
transferase inhibitor, in a murine model of
glioblastoma. We examined the viability, proliferation, farnesylation of H-Ras, and activation of downstream signaling of combination-treated U87 cells in vitro.
Lonafarnib alone or in combination with radiation and
temozolomide had limited
tumor cell cytotoxicity in vitro although it did demonstrate significant inhibition in
tumor cell proliferation. In vivo,
lonafarnib alone had a modest ability to inhibit orthotopic U87
tumors, radiation and
temozolomide demonstrated better inhibition, while significant anti-
tumor activity was found with concurrent
lonafarnib, radiation, and
temozolomide, with the majority of animals demonstrating a decrease in
tumor volume. The use of
tumor neurospheres derived from freshly resected adult human
glioblastoma tissue was relatively resistant to both
temozolomide and
radiation therapy.
Lonafarnib had a significant inhibitory activity against these neurospheres and could potentate the activity of
temozolomide and radiation. These data support the continued research of high grade
glioma treatment combinations of farnesyl
transferase inhibitors,
temozolomide, and
radiation therapy.