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

First Author  De Raedt T Year  2011
Journal  Cancer Cell Volume  20
Issue  3 Pages  400-13
PubMed ID  21907929 Mgi Jnum  J:175966
Mgi Id  MGI:5288074 Doi  10.1016/j.ccr.2011.08.014
Citation  De Raedt T, et al. (2011) Exploiting cancer cell vulnerabilities to develop a combination therapy for ras-driven tumors. Cancer Cell 20(3):400-13
abstractText  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.
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