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CDK4/6 Inhibition With Lerociclib is a Potential Therapeutic Strategy for the Treatment of Pediatric Sarcomas
Journal article   Peer reviewed

CDK4/6 Inhibition With Lerociclib is a Potential Therapeutic Strategy for the Treatment of Pediatric Sarcomas

Janet R. Julson, Sara C. Horton, Colin H. Quinn, Andee M. Beierle, Laura V. Bownes, Jerry E. Stewart, Jamie Aye, Karina J. Yoon and Elizabeth A. Beierle
Journal of pediatric surgery, Vol.59(3), pp.473-482
03/2024
DOI: 10.1016/j.jpedsurg.2023.10.004
PMCID: PMC10922146
PMID: 37919169
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC10922146/pdf/nihms-1936549.pdfView
Open Access

Abstract

Sarcomas are a heterogenous collection of bone and soft tissue tumors. The heterogeneity of these tumors makes it difficult to standardize treatment. CDK 4/6 inhibitors are a family of targeted agents which limit cell cycle progression and have been shown to be upregulated in sarcomas. In the current preclinical study, we evaluated the effects of lerociclib, a CDK4/6 inhibitor, on pediatric sarcomas in vitro and in 3D bioprinted tumors. The effects of lerociclib on viability, proliferation, cell cycle, motility, and stemness were assessed in established sarcoma cell lines, U-2 OS and MG-63, as well as sarcoma patient-derived xenografts (PDXs). 3D printed biotumors of each of the U-2 OS, MG-63, and COA79 cells were utilized to study the effects of lerociclib on tumor growth ex vivo. CDK 4/6, as well as the intermediaries retinoblastoma protein (Rb) and phosphorylated Rb were identified as targets in the four sarcoma cell lines. Lerociclib treatment induced cell cycle arrest, decreased proliferation, motility, and stemness of sarcoma cells. Treatment with lerociclib decreased sarcoma cell viability in both traditional 2D culture as well as 3D bioprinted microtumors. Inhibition of CDK 4/6 activity with lerociclib was efficacious in traditional 2D sarcoma cell culture as well as in 3D bioprints. Lerociclib holds promise and warrants further investigation as a novel therapeutic strategy for management of these heterogenous groups of tumors. •Sarcomas are a family of tumors which remain difficult to treat due to their heterogeneity and lack of adequate cell lines and models for study, especially in the pediatric population.•CDK 4/6 inhibition with agents such as lerociclib represent an example of targeted therapies amenable to high throughput testing via novel techniques such as 3D bioprinting.
3D bioprinting CDK 4/6 inhibitors Lerociclib Pediatric sarcomas

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