Pathological and Oncological Sciences III.
Dr. Požonec, Veronika
ib0xr7
National Institue of Oncology
06309631044
pozonec.veronika@oncol.hu
Investigation of Novel Therapeutic Targets in Small Cell Lung Cancer – Dual Inhibition of BCL-2 and MCL-1
Veronika Pozonec1,2, Zsolt Megyesfalvi1,3,4, Zsuzsanna Valko4,5, Anna Schwendenwein5, Christian Lang5, Sandor Paku6, Nandor Barany4,5,6, Bence Ferencz1,4, Erzsebet Schlegl4, Kristiina Boettiger5, Melinda Rezeli7, Gyorgy Marko-Varga7, Ferenc Renyi-Vamos1,4, Mir Alireza Hoda5, Thomas Klikovits5,8, Konrad Hoetzenecker5, Michael Grusch9, Viktoria Laszlo4,5, Balazs Dome1,4,5,10, Karin Schelch5,9
1: Department of Thoracic Surgery, Semmelweis University and National Institute of Oncology, Budapest, Hungary
2: Department of Head and Neck Oncology, Multidisciplinary Head and Neck Center, National Institute of Oncology, Budapest, Hungary
3: Department of Thoracic Surgery, Comprehensive Cancer Center Vienna, Medical University of Vienna, Vienna, Austria
4: National Koranyi Institute of Pulmonology, Budapest, Hungary
5: Department of Thoracic Surgery, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria
6: Department of Pathology and Experimental Cancer Research, Semmelweis University, Budapest, Hungary
7: Department of Biomedical Engineering, Lund University, Lund, Sweden
8: Department of Thoracic Surgery, Klinik Floridsdorf, Vienna, Austria
9: Center for Cancer Research, Medical University of Vienna, Vienna, Austria
10: Department of Translational Medicine, Lund University, Sweden
Szóbeli
Pathological and Oncological Sciences III.
English
Pathological and Oncological Sciences
INTRODUCTION: Despite being one of the most aggressive tumors, there were no relevant breakthroughs in the therapeutic approach of small cell lung cancer (SCLC) for decades. BCL-2 family members are involved in apoptosis regulation and represent therapeutic targets in many malignancies.
AIMS: We aimed to investigate the subtype-specific expression pattern of the BCL-2 family members and to analyze the effectiveness of BCL-2/MCL-1 dual inhibition in human SCLC.
METHODS: We performed qPCR, Western blot, and MS-based proteomics on 27 SCLC cell lines. The effectiveness of the BCL-2 and MCL-1 inhibitors (venetoclax and S63845) was examined by using MTT-assay, flow cytometry and in vivo mouse models. Ectopic BAX overexpression was achieved by expression plasmids. Drug interactions were calculated using the Combenefit software. To confirm our preclinical findings, BCL-2 expression was measured on surgically removed human tissue samples.
RESULTS: The highest BCL-2 expression was observed in the SCLC-A and -P subtypes. Although sensitivity to venetoclax was reflected by BCL-2 levels, not all cell lines responded consistently despite their high BCL-2 expression. Venetoclax resistant cell lines had an elevated level of MCL-1 and a lower expression of BAX. In contrast, other members of the BCL-2 family had no effect on therapeutic response. A combination of venetoclax and S63845 resulted in a significant, synergistic in vitro and in vivo anti-tumor activity and apoptosis induction in double-resistant cells. In non-responding cells, BAX overexpression sensitized them to venetoclax and S63845 and induced synergistic drug interaction.
CONCLUSIONS: Here we provide evidence that dual targeting of BCL-2 and MCL-1 in the presence of BAX breaks venetoclax resistance in human SCLC and offers novel therapeutic approaches.
FUNDING: VP: New National Excellence Program of the Hungarian Ministry for Innovation and Technology (UNKP‐23‐3).
BD and ZM : Hungarian National Research, Development, and Innovation Office (2020‐1.1.6‐JÖVŐ, TKP2021‐EGA‐33, FK‐143751, FK-147045).
ZM: New National Excellence Program of the Ministry for Innovation and Technology of Hungary (UNKP‐20‐3, UNKP‐21‐3, UNKP-23-5), Bolyai Research Scholarship of the Hungarian Academy of Sciences, International Association for the Study of Lung Cancer/International Lung Cancer Foundation Young Investigator Grant (2022).
Semmelweis University
Dr. Megyesfalvi Zsolt Ph.D.
I do not give consent to the publication of my abstract on the website of the congress.
Szabad
elfogadva
szóbeli
nem rendelkezett róla
8065
10:30
10:40