Treatment scheduling effects on the evolution of drug resistance in heterogeneous cancer cell populations
Abstract The effect of scheduling of targeted therapy combinations on drug resistance is underexplored in triple-negative breast cancer (TNBC). TNBC constitutes heterogeneous cancer cell populations the composition of which can change dynamically during treatment resulting in the selection of resist...
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Nature Portfolio
2021
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oai:doaj.org-article:2761058a831d4c5bb0c7d0fdb6e51e5e2021-12-02T15:00:58ZTreatment scheduling effects on the evolution of drug resistance in heterogeneous cancer cell populations10.1038/s41523-021-00270-42374-4677https://doaj.org/article/2761058a831d4c5bb0c7d0fdb6e51e5e2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41523-021-00270-4https://doaj.org/toc/2374-4677Abstract The effect of scheduling of targeted therapy combinations on drug resistance is underexplored in triple-negative breast cancer (TNBC). TNBC constitutes heterogeneous cancer cell populations the composition of which can change dynamically during treatment resulting in the selection of resistant clones with a fitness advantage. We evaluated crizotinib (ALK/MET inhibitor) and navitoclax (ABT-263; Bcl-2/Bcl-xL inhibitor) combinations in a large design consisting of 696 two-cycle sequential and concomitant treatment regimens with varying treatment dose, duration, and drug holiday length over a 26-day period in MDA-MB-231 TNBC cells and found that patterns of resistance depend on the schedule and sequence in which the drugs are given. Further, we tracked the clonal dynamics and mechanisms of resistance using DNA-integrated barcodes and single-cell RNA sequencing. Our study suggests that longer formats of treatment schedules in vitro screening assays are required to understand the effects of resistance and guide more realistically in vivo and clinical studies.Gauri A. PatwardhanMichal MarczykVikram B. WaliDavid F. SternLajos PusztaiChristos HatzisNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Breast Cancer, Vol 7, Iss 1, Pp 1-13 (2021) |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Gauri A. Patwardhan Michal Marczyk Vikram B. Wali David F. Stern Lajos Pusztai Christos Hatzis Treatment scheduling effects on the evolution of drug resistance in heterogeneous cancer cell populations |
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Abstract The effect of scheduling of targeted therapy combinations on drug resistance is underexplored in triple-negative breast cancer (TNBC). TNBC constitutes heterogeneous cancer cell populations the composition of which can change dynamically during treatment resulting in the selection of resistant clones with a fitness advantage. We evaluated crizotinib (ALK/MET inhibitor) and navitoclax (ABT-263; Bcl-2/Bcl-xL inhibitor) combinations in a large design consisting of 696 two-cycle sequential and concomitant treatment regimens with varying treatment dose, duration, and drug holiday length over a 26-day period in MDA-MB-231 TNBC cells and found that patterns of resistance depend on the schedule and sequence in which the drugs are given. Further, we tracked the clonal dynamics and mechanisms of resistance using DNA-integrated barcodes and single-cell RNA sequencing. Our study suggests that longer formats of treatment schedules in vitro screening assays are required to understand the effects of resistance and guide more realistically in vivo and clinical studies. |
format |
article |
author |
Gauri A. Patwardhan Michal Marczyk Vikram B. Wali David F. Stern Lajos Pusztai Christos Hatzis |
author_facet |
Gauri A. Patwardhan Michal Marczyk Vikram B. Wali David F. Stern Lajos Pusztai Christos Hatzis |
author_sort |
Gauri A. Patwardhan |
title |
Treatment scheduling effects on the evolution of drug resistance in heterogeneous cancer cell populations |
title_short |
Treatment scheduling effects on the evolution of drug resistance in heterogeneous cancer cell populations |
title_full |
Treatment scheduling effects on the evolution of drug resistance in heterogeneous cancer cell populations |
title_fullStr |
Treatment scheduling effects on the evolution of drug resistance in heterogeneous cancer cell populations |
title_full_unstemmed |
Treatment scheduling effects on the evolution of drug resistance in heterogeneous cancer cell populations |
title_sort |
treatment scheduling effects on the evolution of drug resistance in heterogeneous cancer cell populations |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/2761058a831d4c5bb0c7d0fdb6e51e5e |
work_keys_str_mv |
AT gauriapatwardhan treatmentschedulingeffectsontheevolutionofdrugresistanceinheterogeneouscancercellpopulations AT michalmarczyk treatmentschedulingeffectsontheevolutionofdrugresistanceinheterogeneouscancercellpopulations AT vikrambwali treatmentschedulingeffectsontheevolutionofdrugresistanceinheterogeneouscancercellpopulations AT davidfstern treatmentschedulingeffectsontheevolutionofdrugresistanceinheterogeneouscancercellpopulations AT lajospusztai treatmentschedulingeffectsontheevolutionofdrugresistanceinheterogeneouscancercellpopulations AT christoshatzis treatmentschedulingeffectsontheevolutionofdrugresistanceinheterogeneouscancercellpopulations |
_version_ |
1718389127799373824 |