1. Polo-like Kinase 1 Inhibitors Demonstrate In Vitro and In Vivo Efficacy in Preclinical Models of Small Cell Lung Cancer.
- Author
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Zhang, Guojing, Pannucci, Abbe, Ivanov, Andrey A., Switchenko, Jeffrey, Sun, Shi-Yong, Sica, Gabriel L., Liu, Zhentao, Huang, Yufei, Schmitz, John C., and Owonikoko, Taofeek K.
- Abstract
Simple Summary: We systematically examined the efficacy of three different polo-like kinase 1 (PLK1) inhibitors in preclinical models of small cell lung cancers (SCLCs). This study uncovered robust in vitro activity of PLK1 inhibitors against SCLC cell lines and confirmed the efficacy in patient-derived xenograft models of platinum-sensitive and resistant SCLC. Using mutation and transcriptomic profiling, we found a strong correlation of PLK1 inhibitor efficacy with inactivating TP53 gene mutation and the expression of YAP1 transcription factor. The result of this preclinical study has been translated into the clinic in an ongoing phase II clinical trial of onvansertib in relapsed SCLC (NCT05450965) where YAP1 expression and inactivating TP53 gene mutations will be interrogated as potential biomarkers to guide future clinical studies. Objective: To investigate the preclinical efficacy and identify predictive biomarkers of polo-like kinase 1 (PLK1) inhibitors in small cell lung cancer (SCLC) models. Methods: We tested the cytotoxicity of selective PLK1 inhibitors (rigosertib, volasertib, and onvansertib) in a panel of SCLC cell lines. We confirmed the therapeutic efficacy of subcutaneous xenografts of representative cell lines and in four patient-derived xenograft models generated from patients with platinum-sensitive and platinum-resistant SCLC. We employed an integrated analysis of genomic and transcriptomic sequencing data to identify potential biomarkers of the activity and mechanisms of resistance in laboratory-derived resistance models. Results: Volasertib, rigosertib, and onvansertib showed strong in vitro cytotoxicity at nanomolar concentrations in human SCLC cell lines. Rigosertib, volasertib, and onvansertib showed equivalent efficacy to that of standard care agents (irinotecan and cisplatin) in vivo with significant growth inhibition superior to cisplatin in PDX models of platinum-sensitive and platinum-resistant SCLC. There was an association between YAP1 expression and disruptive or inactivation TP53 gene mutations, with greater efficacy of PLK1 inhibitors. Comparison of lab-derived onvansertib-resistant H526 cells to parental cells revealed differential gene expression with upregulation of NAP1L3, CYP7B1, AKAP7, and FOXG1 and downregulation of RPS4Y1, KDM5D, USP9Y, and EIF1AY highlighting the potential mechanisms of resistance in the clinical setting. Conclusions: We established the efficacy of PLK1 inhibitors in vitro and in vivo using PDX models of platinum-sensitive and resistant relapsed SCLC. An ongoing phase II trial is currently testing the efficacy of onvansertib in patients with SCLC (NCT05450965). [ABSTRACT FROM AUTHOR]
- Published
- 2025
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