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  • Therapeutic Challenge with ...
    Thangavel, Chellappagounder; Boopathi, Ettickan; Liu, Yi; McNair, Christopher; Haber, Alex; Perepelyuk, Maryna; Bhardwaj, Anshul; Addya, Sankar; Ertel, Adam; Shoyele, Sunday; Birbe, Ruth; Salvino, Joseph M; Dicker, Adam P; Knudsen, Karen E; Den, Robert B

    Clinical cancer research, 03/2018, Letnik: 24, Številka: 6
    Journal Article

    The retinoblastoma tumor suppressor (RB), a key regulator of cell-cycle progression and proliferation, is functionally suppressed in up to 50% of non-small cell lung cancer (NSCLC). RB function is exquisitely controlled by a series of proteins, including the CyclinD-CDK4/6 complex. In this study, we interrogated the capacity of a CDK4/6 inhibitor, palbociclib, to activate RB function. We employed multiple isogenic RB-proficient and -deficient NSCLC lines to interrogate the cytostatic and cytotoxic capacity of CDK 4/6 inhibition and We demonstrate that while short-term exposure to palbociclib induces cellular senescence, prolonged exposure results in inhibition of tumor growth. Mechanistically, CDK 4/6 inhibition induces a proapoptotic transcriptional program through suppression of IAPs FOXM1 and Survivin, while simultaneously augmenting expression of SMAC and caspase-3 in an RB-dependent manner. This study uncovers a novel function of RB activation to induce cellular apoptosis through therapeutic administration of a palbociclib and provides a rationale for the clinical evaluation of CDK 4/6 inhibitors in the treatment of patients with NSCLC. .