Ex vivo organotypic cultures for synergistic therapy prioritization identify patient-specific responses to combined MEK and Src inhibition in colorectal cancer

Translating preclinical studies to effective treatment protocols and identifying specific therapeutic responses in individuals with cancer is challenging. This may arise due to the complex genetic makeup of tumor cells and the impact of their multifaceted tumor microenvironment on drug response. To...

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Veröffentlicht in:Nature cancer 2022-02, Vol.3 (2), p.219-231
Hauptverfasser: Gavert, Nancy, Zwang, Yaara, Weiser, Roi, Greenberg, Orli, Halperin, Sharon, Jacobi, Oded, Mallel, Giuseppe, Sandler, Oded, Berger, Adi Jacob, Stossel, Erez, Rotin, Daniil, Grinshpun, Albert, Kamer, Iris, Bar, Jair, Pines, Guy, Saidian, Daniel, Bar, Ilan, Golan, Shay, Rosenbaum, Eli, Nadu, Andrei, Ben-Ami, Eytan, Weitzen, Rony, Nechushtan, Hovav, Golan, Talia, Brenner, Baruch, Nissan, Aviram, Margalit, Ofer, Hershkovitz, Dov, Lahat, Guy, Straussman, Ravid
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container_end_page 231
container_issue 2
container_start_page 219
container_title Nature cancer
container_volume 3
creator Gavert, Nancy
Zwang, Yaara
Weiser, Roi
Greenberg, Orli
Halperin, Sharon
Jacobi, Oded
Mallel, Giuseppe
Sandler, Oded
Berger, Adi Jacob
Stossel, Erez
Rotin, Daniil
Grinshpun, Albert
Kamer, Iris
Bar, Jair
Pines, Guy
Saidian, Daniel
Bar, Ilan
Golan, Shay
Rosenbaum, Eli
Nadu, Andrei
Ben-Ami, Eytan
Weitzen, Rony
Nechushtan, Hovav
Golan, Talia
Brenner, Baruch
Nissan, Aviram
Margalit, Ofer
Hershkovitz, Dov
Lahat, Guy
Straussman, Ravid
description Translating preclinical studies to effective treatment protocols and identifying specific therapeutic responses in individuals with cancer is challenging. This may arise due to the complex genetic makeup of tumor cells and the impact of their multifaceted tumor microenvironment on drug response. To find new clinically relevant drug combinations for colorectal cancer (CRC), we prioritized the top five synergistic combinations from a large in vitro screen for ex vivo testing on 29 freshly resected human CRC tumors and found that only the combination of mitogen-activated protein kinase kinase (MEK) and proto-oncogene tyrosine-protein kinase Src (Src) inhibition was effective when tested ex vivo. Pretreatment phosphorylated Src (pSrc) was identified as a predictive biomarker for MEK and Src inhibition only in the absence of KRAS mutations. Overall, we demonstrate the potential of using ex vivo platforms to identify drug combinations and discover MEK and Src dual inhibition as an effective drug combination in a predefined subset of individuals with CRC.
doi_str_mv 10.1038/s43018-021-00325-2
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subjects Cell Line, Tumor
Cell Proliferation
Colorectal Neoplasms - drug therapy
Humans
Mitogen-Activated Protein Kinase Kinases
Mutation
Tumor Microenvironment
title Ex vivo organotypic cultures for synergistic therapy prioritization identify patient-specific responses to combined MEK and Src inhibition in colorectal cancer
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