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Cancer Therapy: Preclinical

The Checkpoint Kinase 1 Inhibitor Prexasertib Induces Regression of Preclinical Models of Human Neuroblastoma

Caitlin D. Lowery, Alle B. VanWye, Michele Dowless, Wayne Blosser, Beverly L. Falcon, Julie Stewart, Jennifer Stephens, Richard P. Beckmann, Aimee Bence Lin and Louis F. Stancato
Caitlin D. Lowery
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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Alle B. VanWye
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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Michele Dowless
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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Wayne Blosser
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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Beverly L. Falcon
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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Julie Stewart
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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Jennifer Stephens
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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Richard P. Beckmann
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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Aimee Bence Lin
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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Louis F. Stancato
Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana.
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  • For correspondence: stancato_louis@lilly.com
DOI: 10.1158/1078-0432.CCR-16-2876 Published August 2017
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    Figure 1.

    Cancer cell sensitivity profile of prexasertib. Prexasertib was evaluated for efficacy in a panel of more than 300 adult and pediatric cancer cell lines. Average EC50 values for proliferation for a subset of these lines after prexasertib treatment is displayed here and are grouped by histology. Several pediatric tumor types, including neuroblastoma, exhibited sensitivity to prexasertib treatment over two cell doublings, with EC50 values within the clinically achievable range based on the average plasma concentration 24 hours postinfusion (Cavg, 24) reported in the phase I trial in adult patients with solid tumors (Hong 2016). NS, not specified.

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    Figure 2.

    Prexasertib reduces neuroblastoma cell proliferation and inhibits CHK1 autophosphorylation. A, Neuroblastoma cell lines, PANC-1, and primary melanocytes were assayed for proliferation after 72 hours of prexasertib treatment and EC50 values were calculated. Experiments were repeated in triplicate, and error bars represent SEM. B, After 24 or 48 hours of treatment with 50 nmol/L prexasertib, cells were lysed, and the indicated total and phosphorylated proteins were assessed by Western blot analysis.

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    Figure 3.

    Prexasertib-induced double-strand DNA breaks leads to neuroblastoma cell death in vitro. KELLY, NBL-S, PANC-1, and primary melanocytes were incubated with DMSO or 50 nmol/L prexasertib for 24 hours and subsequently fixed. Cells were immunostained for γH2AX (green) and cleaved PARP (red). DNA was stained with Hoescht 33342 (blue). Representative single channel and composite images taken with a 20× objective using the appropriate filters are shown. Experiments were repeated at least twice.

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    Figure 4.

    CHK1 is the functional target of prexasertib in neuroblastoma. CHK1 and CHK2 were knocked down individually and in combination with siRNA for 72 hours, then treated with 50 nmol/L prexasertib for an additional 24 hours. A, Whole-cell lysates were analyzed by Western blot analysis for expression and/or phosphorylation of the indicated proteins. B, Effects of siRNA against CHK1 or CHK2 with or without additional prexasertib treatment on cell proliferation were evaluated by CellTiter Glo in KELLY (top) and PANC-1 (bottom). Error bars represent SEM from technical triplicates.

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    Figure 5.

    Neuroblastoma xenografts rapidly regress during prexasertib treatment. KELLY (A) or IMR-32 (C) xenograft models were treated subcutaneously with vehicle or 10 mg/kg prexasertib twice daily following a 3 day on, 4 day off dosing schedule for 4 weeks (n = 5 for all arms). KELLY (B) and IMR-32 (D) xenografts were harvested after 6 days of vehicle or prexasertib treatment and subjected to an immunofluorescence-based tumor health panel. Cell proliferation, cell death, and vessel-positive area were measured by Ki67, TUNEL, and MECA-32 immunostaining, respectively. Average percent positive area (= 100 × marker + phantoms/total Hoescht + phantoms) for each group (KELLY: n = 5/group; IMR-32: n = 6/group) ± SEM is displayed below representative images taken at a 10X magnification. Vehicle: Embedded Image; prexasertib starting at 200 mm3 average tumor volume: Embedded Image; prexasertib starting at 500 mm3 average tumor volume: Embedded Image. Thin and thick dashed lines represent dosing period for 200 mm3 and 500 mm3 starting tumor volume, respectively. *, P < 0.05; ***, P < 0.0001.

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  • Table 1.

    EC50 (μmol/L) comparison of prexasertib and SOC in pediatric cancer cell lines

    Cell lineCancer typePrexasertibDoxorubicinCisplatinGemcitabine
    MOLT-4<0.0010.0261.1210.014
    MOLT-3Acute lymphocytic leukemia<0.0010.0060.2270.003
    CCRF-CEM<0.0010.0361.4430.017
    RD-ESEwing sarcoma0.0030.2672.9440.070
    SK-NM-C<0.0010.0740.2140.010
    DAOYMedulloblastoma<0.0010.0721.1700.035
    D238<0.0010.1382.4070.007
    KELLY<0.0010.0301.6600.002
    TGWNeuroblastoma0.0010.1903.4990.029
    IMR-32<0.0010.0100.0050.004
    SH-SY5Y<0.0010.0380.4200.034
    SJSA10.001>0.20013.260>0.200
    HOSOsteosarcoma<0.0010.0406.774>0.200
    SAOS-20.0010.0431.4450.002
    Y79Retinoblastoma0.0010.0281.3830.001
    A204Rhabdoid<0.0010.0272.4000.003
    TE 381.T0.0010.0262.0400.003
    SJCRH30Rhabdomyosarcoma<0.0010.0071.3840.001
    RD<0.0010.0130.7810.002

Additional Files

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    • Supplemental Materials and Methods - Supplemental methodology, specifically the in vitro cord formation assay and the enzyme-linked immunosorbent assay.
    • Supplemental Data - Supplemental Table 1. Cell culture conditions. Supplemental Table 2. Antibody details. Supplemental Table 3. Catalog information for Dharmacon RNAi constructs. Supplemental Table 4. EC50 values of prexasertib in pediatric cell lines included in the cancer cell line sensitivity panel. Supplemental Table 5. Quantification of percent positive cells for each immunostain following prexasertib treatment. Supplemental Figure 1. Prexasertib induces caspase activation in NB cell lines. Supplemental Figure 2. Prexasertib promotes neuroblastoma cell death by inducing DNA damage. Supplemental Figure 3. Inhibition of CHK1 promotes phosphorylation of RPA32/2. Supplemental Figure 4. Assessment of siRNA-mediated knockdown of CHK1 on total protein and phosphorylation status. Supplemental Figure 5. No significant weight loss was observed during prexasertib treatment. Supplemental Figure 6. Combination with doxorubicin does not enhance prexasertib efficacy in vivo. Supplemental Figure 7. Vasculature markers are more prevalent in prexasertib-treated neuroblastoma xenografts. Supplemental Figure 8. Prexasertib reduces VEGF endothelial cell cord formation in vitro, but does not affect established cords. Supplemental Figure 9. Neuroblastoma cell lines drive endothelial cord formation in vitro.
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Clinical Cancer Research: 23 (15)
August 2017
Volume 23, Issue 15
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The Checkpoint Kinase 1 Inhibitor Prexasertib Induces Regression of Preclinical Models of Human Neuroblastoma
Caitlin D. Lowery, Alle B. VanWye, Michele Dowless, Wayne Blosser, Beverly L. Falcon, Julie Stewart, Jennifer Stephens, Richard P. Beckmann, Aimee Bence Lin and Louis F. Stancato
Clin Cancer Res August 1 2017 (23) (15) 4354-4363; DOI: 10.1158/1078-0432.CCR-16-2876

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The Checkpoint Kinase 1 Inhibitor Prexasertib Induces Regression of Preclinical Models of Human Neuroblastoma
Caitlin D. Lowery, Alle B. VanWye, Michele Dowless, Wayne Blosser, Beverly L. Falcon, Julie Stewart, Jennifer Stephens, Richard P. Beckmann, Aimee Bence Lin and Louis F. Stancato
Clin Cancer Res August 1 2017 (23) (15) 4354-4363; DOI: 10.1158/1078-0432.CCR-16-2876
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