Abstract
Glioblastoma, IDH-wild type (GBM) is the most common and lethal malignant primary brain tumor. Standard of care includes surgery, radiotherapy, and chemotherapy with the DNA alkylating agent temozolomide (TMZ). Despite these intensive efforts, current GBM therapy remains mainly palliative with only modest improvement achieved in overall survival. With regards to radiotherapy, GBM is ranked as one of the most radioresistant tumor types. In this study, we wanted to investigate if enriching cells in the most radiosensitive cell cycle phase, mitosis, could improve localized radiotherapy for GBM. To achieve cell cycle arrest in mitosis we used ispinesib, a small molecule inhibitor to the mitotic kinesin, KIF11. Cell culture studies validated that ispinesib radiosensitized patient-derived GBM cells. In vivo, we validated that ispinesib increased the fraction of tumor cells arrested in mitosis as well as increased apoptosis. Critical for the translation of this approach, we validated that combination therapy with ispinesib and irradiation led to the greatest increase in survival over either monotherapy alone. Our data highlight KIF11 inhibition in combination with radiotherapy as a new combinatorial approach that reduces the overall radioresistance of GBM and which can readily be moved into clinical trials.
Original language | English |
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Article number | 3173 |
Journal | Cancers |
Volume | 15 |
Issue number | 12 |
DOIs | |
State | Published - Jun 2023 |
Externally published | Yes |
Funding
This research was funded by an American Cancer Society Research Scholars Grant RSG-18-066-01-TBG, an Internal Research Program Grant from The Ohio State University Comprehensive Cancer Center, and funds from The Ohio State University Comprehensive Cancer Center/Department of Radiation Oncology (M.V.). Other funding includes the National Institute of General Medical Sciences of the National Institutes of Health under award number 2T32GM068412-11A1 (M.M.T.); an Ohio State University Graduate School Dean’s Distinguished University Fellowship (A.A.Z.); the Pelotonia Fellowship Program (M.M.T. and A.A.Z.); an American Brain Tumor Association Basic Research Fellowship supported by an Anonymous Corporate Donor (M.S.S.); and the National Institute of General Medical Sciences of the National Institutes of Health under award numbers R01GM112895 and R01GM108743 (M.K.S.). The APC was funded by M.V and the Department of Radiation Biology. The Small Animal Radiation Research Platform was purchased via a National Institutes of Health shared instrument grant, 1S10OD020006-01. The research reported in this publication was supported by The Ohio State University Comprehensive Cancer Center and the National Institutes of Health under grant number P30 CA016058. Any opinions, findings, and conclusions expressed in this material are those of the authors and do not necessarily reflect those of the funding agencies or The Ohio State University.
Funders | Funder number |
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Anonymous Corporate Donor | R01GM112895, R01GM108743 |
Department of Radiation Biology | 1S10OD020006-01, P30 CA016058 |
Ohio State University Comprehensive Cancer Center | |
Ohio State University Comprehensive Cancer Center/Department | |
Ohio State University Graduate School Dean’s Distinguished University | |
National Institutes of Health | 2T32GM068412-11A1 |
American Cancer Society | RSG-18-066-01-TBG |
National Institute of General Medical Sciences | |
American Brain Tumor Association | |
Ohio State University |
Keywords
- KIF11
- glioblastoma
- radiotherapy