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Administration of a Novel Chemotherapy Agent in a<br />

Pediatric Brain Tumor Mouse Model<br />

Gregory A. Norris1,2 , Michelle Cook Sangar2 , James M. Olson2 1 The College of Wooster, Wooster, OH; 2 <strong>Fred</strong> <strong>Hutchinson</strong> Cancer <strong>Research</strong> Center, Seattle, WA<br />

Introduction Results<br />

Conclusions<br />

2012 Lee Hartwell Poster Award<br />

1. PD-0332991 significantly decreases retinoblastoma<br />

protein phosphorylation, evidence of targeted cyclindependent<br />

kinase 4/6 inhibition.<br />

PD-0332991 Causes Decreased p-Rb in<br />

ATRT In Vitro<br />

PD-0332291 Causes Decreased p-Rb in Colon<br />

Carcinoma Cells In Vitro<br />

Atypical Teratoid Rhabdoid Tumor (ATRT) is a rare, highly malignant<br />

pediatric central nervous system tumor. The prognosis is poor, with a<br />

2-year survival rate estimated at 15%. 1<br />

2. PD-0332991 is efficacious in vivo, resulting in tumor<br />

regression.<br />

Control 0.062 0.125 0.25 0.5 1 µM<br />

PD-­‐0332991<br />

PD-­‐0332991<br />

0.031 0.062 0.125 0.25 0.5 1 µM<br />

DMSO<br />

Published data shows that approximately 75% of ATRTs possess a<br />

hallmark mutation in the SMARCB1 gene. Loss of SMARCB1 leads to<br />

cyclin D upregulation, a critical protein in cell cycle control. 2,3<br />

3. PD-0332991 is a promising chemotherapy agent for<br />

the treatment of pediatric atypical teratoid rhabdoid tumor.<br />

p-Rb<br />

p-Rb<br />

Rb<br />

Rb<br />

Future Work<br />

α-Tubulin<br />

α-Tubulin<br />

Test PD-0332991 in ATRT mice with tumors in the<br />

brain. Determine whether the drug is able to cross the<br />

blood brain barrier.<br />

Figure 4. Western blot analysis for determining the level of<br />

phosphorlyated retinoblastoma (p-Rb) and total retinoblastoma<br />

protein (Rb) in vitro. ATRT cells from culture were treated with different<br />

concentrations of PD-0332991 for 24 hours.<br />

Figure 3. Western blot analysis for determining the level of phosphorlyated<br />

retinoblastoma (p-Rb) and total retinoblastoma protein (Rb) in vitro. Colo-205<br />

cells from culture were treated with different concentrations of PD-0332991 for 24<br />

hours.<br />

PD-0332991 Suppresses Proliferation<br />

Use flow cytometry to confirm tumor cells are in G1 arrest following cyclin-dependent kinase 4/6 inhibition.<br />

PD-0332991 Causes Decreased p-Rb in ATRT<br />

In Vivo<br />

Ki-67 Staining"<br />

Vehicle Vehicle Drug Drug Control<br />

109<br />

Test PD-0332991 in combination with traditional<br />

cytotoxic chemotherapy agents.<br />

PD-0332991"<br />

Vehicle"<br />

p-Rb<br />

Acknowledgments<br />

Rb<br />

Figure 1. The G1 /S transition. The G1 /S transition is a critical point in the cell cycle at<br />

which cells become committed to cell division. It is regulated by the cyclin-dependent<br />

kinases 4 and 6 (CDK 4/6)—cyclin D—retinoblastoma protein (Rb) signaling pathway. 4,5<br />

α-Tubulin<br />

I would like to thank the <strong>Summer</strong> <strong>Undergraduate</strong><br />

<strong>Research</strong> <strong>Program</strong> for this opportunity. The program is<br />

supported in part by the Cancer Center Support Grant<br />

(CCSG) CURE Supplement: 3 P30 CA015704-38S1.<br />

Progression through the G1/S transition requires phosphorylation of<br />

Rb by CDK 4/6 in complex with cyclin D. Rb phosphorylation leads to<br />

the release of bound E2F, a transcription factor responsible for the<br />

regulation of genes that control DNA replication. 4,5<br />

Figure 6. Inhibition of proliferation in ATRT tumors by PD-0332991. Mice bearing ATRT<br />

flank tumors were treated with PD-0332991 for 2 days. Immunohistochemistry analysis was<br />

used to compare the level of Ki-67, a marker of proliferation, between drug-treated and<br />

vehicle-treated tumors.<br />

Figure 5. Inhibition of retinoblastoma phosphorylation in ATRT tumors by PD-0332991.<br />

Mice bearing ATRT flank tumors were treated with PD-0332991 for 2 days. Western blot analysis<br />

was used to determine the level of p-Rb in the tumor lysates.<br />

This work was also supported by the Infant and Toddler<br />

Brain Tumor Grant (R01CA155360) and the Seattle<br />

Children’s Neuro-oncology Endowment Support.<br />

PD-0332991 Treatment Causes Tumor Regression In ATRT Mouse Model<br />

The G1/S phase checkpoint is<br />

dysregulated in ATRTs due to overexpression<br />

of cyclin D1,which leads to<br />

inappropriate retinoblastoma protein<br />

phosphorylation. 3<br />

3000<br />

Special thanks to Michelle Cook Sangar, Chris Hubert,<br />

and the rest of the Olson lab team.<br />

2500<br />

Vehicle111(7L)<br />

Vehicle121(3RR)<br />

Vehicle131(5NP)<br />

Vehicle141(9LL)<br />

Vehicle151(1R)<br />

Drug111(11NP)<br />

2000<br />

References<br />

Figure 2. Molecular Structure<br />

of PD-0332991<br />

1500<br />

PD-0332991, a reversible CDK 4/6<br />

inhibitor developed by Pfizer, was tested in<br />

an ATRT mouse model. An ATRT tumor<br />

fragment from a pediatric patient was<br />

xenografted into the flanks of mice and<br />

passaged. Tumor-derived cell lines were<br />

also propagated in vitro.<br />

1. Cocce et al. A complex karyotype in an atypical teratoid/rhabdoid tumor: case report<br />

and review of the literature. J Neurooncol 104. 375-380 (2011).<br />

Drug121(6R)<br />

Drug131(4L)<br />

Drug141(2RR)<br />

Drug151(8LR)<br />

1000<br />

Tumor*Volume**(mm 3 )<br />

2. Charles W.M. Roberts & Jaclyn A. Biegel. The role of SMARCB1/INI1 in the<br />

development of rhabdoid tumor. Cancer Biol Ther 8. 412-416 (2009).<br />

500<br />

Objectives<br />

3. Biegel et al. The Role of INI1 and the SWI/SNF Complex in the Development of<br />

Rhabdoid Tumors: Meeting Summary from the Workshop on Childhood Atypical<br />

Teratoid/Rhabdoid Tumors. Cancer Res 62. 323-328 (2002).<br />

0<br />

1. Confirm cyclin-dependent kinase 4/6 inhibition after<br />

PD-0332991 treatment.<br />

4. Silvia Lapenna & Antonio Giordano. Cell cycle kinases as therapeutic targets for<br />

cancer. Nature Rev. Drug Discovery 8. 547-566 (July 2009).<br />

1 5 8 11 15 19 22 26 29 32 36 39 43 46 50 53 57 60<br />

Days<br />

2. Determine the efficacy of PD-0332991 therapy in atypical<br />

teratoid rhabdoid tumor.<br />

5. Fry et al. Specific Inhibition of cyclin-dependent kinase 4/6 by PD0332991 and<br />

associated antitumor activity in human tumor xenografts. Mol. Cancer Ther. 3.<br />

1427-1438 (2004).<br />

Figure 7. Long-term efficacy of PD-0332991 treatment in an ATRT patient-derived xenograft mouse model. Mice with ATRT flank tumors were<br />

treated with either PD-0332991 or vehicle daily by oral gavage.<br />

3. Determine whether PD-0332991 warrants further study in<br />

atypical teratoid rhabdoid tumor.<br />

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