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Exploiting cancer cell vulnerabilities to develop a combination therapy for ras-driven tumors

  • Thomas De Raedt
  • , Zandra Walton
  • , Jessica L. Yecies
  • , Danan Li
  • , Yimei Chen
  • , Clare F. Malone
  • , Ophélia Maertens
  • , Seung Min Jeong
  • , Roderick T. Bronson
  • , Valerie Lebleu
  • , Raghu Kalluri
  • , Emmanuel Normant
  • , Marcia C. Haigis
  • , Brendan D. Manning
  • , Kwok Kin Wong
  • , Kay F. Macleod
  • , Karen Cichowski
  • Brigham and Women’s Hospital
  • Harvard University
  • Dana-Farber Harvard Cancer Center
  • Dana-Farber Cancer Institute
  • The University of Chicago
  • Beth Israel Deaconess Medical Center
  • Infinity Pharmaceuticals, Inc.

Research output: Contribution to journalArticlepeer-review

231 Scopus citations

Abstract

Ras-driven tumors are often refractory to conventional therapies. Here we identify a promising targeted therapeutic strategy for two Ras-driven cancers: Nf1-deficient malignancies and Kras/p53 mutant lung cancer. We show that agents that enhance proteotoxic stress, including the HSP90 inhibitor IPI-504, induce tumor regression in aggressive mouse models, but only when combined with rapamycin. These agents synergize by promoting irresolvable ER stress, resulting in catastrophic ER and mitochondrial damage. This process is fueled by oxidative stress, which is caused by IPI-504-dependent production of reactive oxygen species, and the rapamycin-dependent suppression of glutathione, an important endogenous antioxidant. Notably, the mechanism by which these agents cooperate reveals a therapeutic paradigm that can be expanded to develop additional combinations.

Original languageEnglish
Pages (from-to)400-413
Number of pages14
JournalCancer Cell
Volume20
Issue number3
DOIs
StatePublished - Sep 2011

Bibliographical note

Funding Information:
We thank Wade Harper, Steve Elledge, Nathanael Gray, Heather Harding, and Hugues de Thé for helpful discussions. This work was supported by the NCI KC: (CA129814) and the Ludwig Center at DF/HCC; KWW: (CA122794, CA140594). TD is a recipient of the Young Investigator Award of the Children's Tumor Foundation. OM is a Postdoctoral Fellow of the Research Foundation Flanders (FWO).

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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