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mTOR inhibition overcomes primary and acquired resistance to Wee1 inhibition by augmenting replication stress in epithelial ovarian cancers.

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单位: [1]Department of Gynecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430030, Hubei, P. R. China. [2]Department of Obstetrics and Gynecology, First Affiliated Hospital, Shihezi University School of Medicine Shihezi 832000, Xinjiang, P. R. China. [3]Department of CT and MRI, First Affiliated Hospital, Shihezi University School of Medicine Shihezi 832000, Xinjiang, P. R. China. [4]Shenzhen Dapeng New District Maternity & Child Health Hospital Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Shenzhen 518038, P. R. China. [5]Department of Anesthesiology, Department of Gynecology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Shenzhen 518038, P. R. China.
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关键词: Wee1 inhibitor mTOR inhibitor epithelial ovarian cancer patient-derived xenograft replication stress

摘要:
Epithelial ovarian cancer is characterized by universal TP53 mutations, which result in G1/S checkpoint deficiencies. Therefore, it is hypothesized that the abrogation of the G2/M checkpoint with Wee1 inhibitor might preferentially sensitize TP53-defective ovarian cancer cells. Given the extremely high molecular diversity in ovarian cancer, one approach to improving the clinical efficacy is to identify drug combinations that either broaden the applicable spectrum or circumvent resistance. Here, through a high-throughput unbiased proteomic profiling (RPPA), we found the complementary activated mTOR pathway contributes greatly to Wee1 inhibitor resistance. A combination of Wee1 and mTOR inhibits synergistically inhibiting tumor growth in ovarian cancer cell lines and patient-derived xenograft that closely mimic the heterogeneity of patient tumors. Mechanistically, dual Wee1/mTOR inhibition induced massive DNA replication stress, leading to fork stalling and DNA damage. Moreover, we found that the addition of nucleotide metabolic substrate dNTPs alleviated replication stress, restored the cell cycle and reduced apoptosis to some extent, supporting dNTPs depletion is necessary for the synergy between Wee1 and mTOR inhibits. These results suggest that our study opening up a wider therapeutic window of Wee1 inhibitor for the treatment in epithelial ovarian cancers. AJCR Copyright © 2020.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
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Q2 ONCOLOGY
最新[2023]版:
Q2 ONCOLOGY

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第一作者单位: [1]Department of Gynecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430030, Hubei, P. R. China. [2]Department of Obstetrics and Gynecology, First Affiliated Hospital, Shihezi University School of Medicine Shihezi 832000, Xinjiang, P. R. China.
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通讯机构: [1]Department of Gynecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430030, Hubei, P. R. China. [*1]Department of Gynecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030,Hubei, P. R. China.
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