Despite recent advances in
cancer management and
therapy, resistance to cytotoxic medications remains a major clinical challenge; hence, combination-based anti-
cancer treatment regimens are currently gaining momentum.
PTC-209 reduced BMI1
protein expression, while
palbociclib inhibited CDK4, Rb, and pRbSer795
protein expression in MDA-MB-231 cells.
PTC-209 and
palbociclib exhibited dose-dependent cytotoxic effects against MDA-MB-231 (breast), HCT116 (colon), and PC-3 (prostate) models, which was more profound in the combination group. Transcriptome and pathway analyses revealed inhibition of
insulin signaling, focal adhesion, DNA damage response, and Wnt/pluripotency signaling pathways as well as cell proliferation, and cellular movement functional categories by
PTC-209. Transcriptome and pathway analyses revealed
palbociclib to mainly affect cell cycle progression and survival. Upstream analysis identified several networks affected by
PTC-209 (EZH2, IFNB1, TRIB3, EGFR, SREBF1, IL1A, ERG, TGFB1, MAX, MNT) and
palbociclib (RABL6, MITF, RARA, TAL1, AREG, E2F3, FOXM1, ESR1, ERBB2, and E2F).
PTC-209 and
palbociclib reduced colony and sphere formation, cell migration, and cell viability, which was further enhanced in the combination group. Concordantly, combination of
PTC-209 and
palbociclib exhibited more profound effects on MDA-MB-231
tumor formation in vivo. Our data suggest concurrent targeting of BMI1 and CDK4/CDK6 might provide novel therapeutic opportunity for breast, colon, and
prostate cancer.