2018
DOI: 10.1158/0008-5472.can-17-3932
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Mechanistic Distinctions between CHK1 and WEE1 Inhibition Guide the Scheduling of Triple Therapy with Gemcitabine

Abstract: Combination of cytotoxic therapy with emerging DNA damage response inhibitors (DDRi) has been limited by tolerability issues. However, the goal of most combination trials has been to administer DDRi with standard-of-care doses of chemotherapy. We hypothesized that mechanism-guided treatment scheduling could reduce the incidence of dose-limiting toxicities and enable tolerable multitherapeutic regimens. Integrative analyses of mathematical modeling and single-cell assays distinguished the synergy kinetics of WE… Show more

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Cited by 36 publications
(48 citation statements)
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“…Both mechanisms result in S phase arrest and then replication catastrophe upon addition of a CHK1 inhibitor. Koh agrees with this conclusion (4). His primary concern is that we use high concentrations of gemcitabine.…”
supporting
confidence: 56%
“…Both mechanisms result in S phase arrest and then replication catastrophe upon addition of a CHK1 inhibitor. Koh agrees with this conclusion (4). His primary concern is that we use high concentrations of gemcitabine.…”
supporting
confidence: 56%
“…The ability of S phase-arrested cells to undergo premature mitosis before completing DNA synthesis is well-recognized (30). More recently, it was demonstrated that CHK1i can force some gemcitabine-arrested cell lines to prematurely enter mitosis (15)(16)(17). Mitotic catastrophe is a well-characterized cytotoxic insult that could explain CHK1i-mediated sensitization to gemcitabine (31).…”
Section: Premature Mitotic Entry Is Not Required For Chk1i-mediated Dmentioning
confidence: 99%
“…It has also been reported that inhibiting CHK1 in the absence of dNTPs may aberrantly activate endonucleases, such as MUS81 (14), albeit this could also be a consequence of dissociating RAD51 foci. CHK1i can also induce premature activation of cyclin-dependent kinase 1 (CDK1) in S phase-arrested cells leading to premature mitosis (15)(16)(17). Another area of investigation has been the restart of stalled replication following recovery from the genotoxic insult (18).…”
mentioning
confidence: 99%
“…Many anticancer compounds have low potency, poor therapeutic index or suffer from development of resistance [34]. Monotherapy is rarely efficient and instead drug cocktails are widely used in the clinic [23, 26]. Establishing these combinations can enhance the scope of preclinical studies and inform the design of future clinical trials.…”
Section: Resultsmentioning
confidence: 99%
“…Thus, combination anticancer therapies have been used clinically for over 50 years to improve the responses achieved by monotherapies alone. Cancer cell line-based models for these combination therapies are easy and inexpensive to perform using high-throughput drug screening protocols (HTS) to identify the most effective drug combination [25, 26]. HTS helps to explore the relation between the cell line characteristics and drug specific dose responses [25].…”
Section: Introductionmentioning
confidence: 99%