Network-based assessment of HDAC6 activity predicts preclinical and clinical responses to the HDAC6 inhibitor ricolinostat in breast cancer.

Network-based assessment of HDAC6 activity predicts preclinical and clinical responses to the HDAC6 inhibitor ricolinostat in breast cancer.
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基于网络的HDAC6活性评估预测了乳腺癌中HDAC6抑制剂ricolinostat的临床前和临床反应。

DOI:
10.1038/s43018-022-00489-5
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发表时间:
2023-02
期刊:
影响因子:
22.7
通讯作者:
Silva, Jose
Silva, Jose
中科院分区:
医学1区
文献类型:
--
作者:
Zeleke, Tizita Z.;Pan, Qingfei;Chiuzan, Codruta;Onishi, Maika;Li, Yuxin;Tan, Haiyan;Alvarez, Mariano J.;Honan, Erin;Yang, Min;Chia, Pei Ling;Mukhopadhyay, Partha;Kelly, Sean;Wu, Ruby;Fenn, Kathleen;Trivedi, Meghna S.;Accordino, Melissa;Crew, Katherine D.;Hershman, Dawn L.;Maurer, Matthew;Jones, Simon;High, Anthony;Peng, Junmin;Califano, Andrea;Kalinsky, Kevin;Yu, Jiyang;Silva, Jose

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与泛组蛋白去乙酰化酶抑制剂相比,抑制个体组蛋白去乙酰化酶(HDAC)正成为耐受性良好的抗癌策略。通过临床前研究,我们证明了对主要HDAC 6抑制剂(HDAC 6 i)ricolinstat的敏感性可以通过基于计算网络的算法(HDAC 6评分)预测。对约3,000例人类乳腺癌(BC)的分析表明,其中约30%可以从HDAC 6 i治疗中获益。因此,我们设计了Ib期剂量递增临床试验以评估ricolinostat加nab-紫杉醇在转移性BC患者中的活性(NCT 02632071)。研究结果表明,这两种药物可以安全地联合使用,在HR+/HER 2 −疾病患者中发现了临床活性,HDAC 6评分具有作为预测生物标志物的潜力。对其他肿瘤类型的分析也鉴定了多个对HDAC 6 is具有预测敏感性的群组。从机制上讲,我们已经将HDAC 6 i/s的抗癌活性与其诱导c-Myc超乙酰化(ac-K148)的能力联系起来,从而促进其在敏感癌细胞中的蛋白酶体介导的降解。Silva及其同事开发了一种基于网络的HDAC 6评分,可以预测临床前模型对HDAC 6抑制剂ricolinstat的敏感性,以及在Ib期临床试验中接受ricolinstat的HR+/HER 2 −乳腺癌患者。
Inhibiting individual histone deacetylases (HDAC) is emerging as well-tolerated anticancer strategy compared with pan-HDAC inhibitors. Through pre-clinical studies, we demonstrated that the sensitivity to the leading HDAC6 inhibitor (HDAC6i) ricolinstat can be predicted by a computational network-based algorithm (HDAC6-score). Analysis of ~3,000 human breast cancers (BCs) showed that ~30% of them could benefice from HDAC6i therapy. Thus, we designed a phase Ib dose-escalation clinical trial to evaluate the activity of ricolinostat plus nab-paclitaxel in metastatic BC patients (NCT02632071). Study results showed that the two agents can be safely combined, that clinical activity is identified in patients with HR+/HER2− disease, and that the HDAC6-score has potential as predictive biomarker. Analysis of other tumor types also identified multiple cohorts with predicted sensitivity to HDAC6is. Mechanistically, we have linked the anticancer activity of HDAC6i/s to their ability to induce c-Myc hyperacetylation (ac-K148) promoting its proteasome-mediated degradation in sensitive cancer cells. Silva and colleagues develop a network-based HDAC6 score which could predict sensitivity to the HDAC6 inhibitor ricolinstat in preclinical models, as well as patients with HR+/HER2− breast cancer that received ricolinstat in a phase Ib clinical trial.
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