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Identification of BCL-XL as highly active survival factor and promising therapeutic target in colorectal cancer.


ABSTRACT: Since metastatic colorectal cancer (CRC) is a leading cause of cancer-related death, therapeutic approaches overcoming primary and acquired therapy resistance are an urgent medical need. In this study, the efficacy and toxicity of high-affinity inhibitors targeting antiapoptotic BCL-2 proteins (BCL-2, BCL-XL, and MCL-1) were evaluated. By RNA sequencing analysis of a pan-cancer cohort comprising >1500 patients and subsequent prediction of protein activity, BCL-XL was identified as the only antiapoptotic BCL-2 protein that is overactivated in CRC. Consistently, pharmacologic and genetic inhibition of BCL-XL induced apoptosis in human CRC cell lines. In a combined treatment approach, targeting BCL-XL augmented the efficacy of chemotherapy in vitro, in a murine CRC model, and in human ex vivo derived CRC tissue cultures. Collectively, these data show that targeting of BCL-XL is efficient and safe in preclinical CRC models, observations that pave the way for clinical translation.

SUBMITTER: Scherr AL 

PROVIDER: S-EPMC7568722 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Identification of BCL-XL as highly active survival factor and promising therapeutic target in colorectal cancer.

Scherr Anna-Lena AL   Mock Andreas A   Gdynia Georg G   Schmitt Nathalie N   Heilig Christoph E CE   Korell Felix F   Rhadakrishnan Praveen P   Hoffmeister Paula P   Metzeler Klaus H KH   Schulze-Osthoff Klaus K   Illert Anna L AL   Boerries Melanie M   Trojan Jörg J   Waidmann Oliver O   Falkenhorst Johanna J   Siveke Jens J   Jost Philipp J PJ   Bitzer Michael M   Malek Nisar P NP   Vecchione Loredana L   Jelas Ivan I   Brors Benedikt B   Glimm Hanno H   Stenzinger Albrecht A   Grekova Svetlana P SP   Gehrig Tobias T   Schulze-Bergkamen Henning H   Jäger Dirk D   Schirmacher Peter P   Heikenwalder Mathias M   Goeppert Benjamin B   Schneider Martin M   Fröhling Stefan S   Köhler Bruno C BC  

Cell death & disease 20201017 10


Since metastatic colorectal cancer (CRC) is a leading cause of cancer-related death, therapeutic approaches overcoming primary and acquired therapy resistance are an urgent medical need. In this study, the efficacy and toxicity of high-affinity inhibitors targeting antiapoptotic BCL-2 proteins (BCL-2, BCL-XL, and MCL-1) were evaluated. By RNA sequencing analysis of a pan-cancer cohort comprising >1500 patients and subsequent prediction of protein activity, BCL-XL was identified as the only antia  ...[more]

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