Table 3:
PP2A inhibition by LB100 in combination with cytotoxic chemotherapy or radiation.
| Reference | Cancer | Combination Therapy |
Major Findings In addition to enhanced tumor growth inhibition with combination therapy vs. radiation / chemotherapy alone |
|---|---|---|---|
| Lu et al. PCNA 2009 | Glioblastoma Neuroblastoma | Temozolamide Doxorubicin | Combination therapy induced tumor regression and prevented recurrence in 50% of animals Prevented DNA damage-induced S-phase arrest; cells progress to mitosis and are susceptible to irregular replication and mitotic catastrophe |
| Zhang et al. Biomaterials 2010 | Sarcoma | Doxorubicin | Reduced incidence of lung metastasis |
| Martiniova et al. PLoS One 2011 | Pheochromocytoma | Temozolamide | Delayed tumor recurrence, prolonged disease-free survival in 40% of animals that had developed intra-hepatic metastases |
| Wei et al. Clin Cancer Res 2013 | Pancreatic Cancer | Radiation | LB100-mediated radio-sensitization was specific to pancreatic cancer cells vs. normal colonic epithelial cells HRR in response to DNA damage was also inhibited LB100-induced signaling alterations were consistent with those induced by si-PPP2R1A |
| Bai et al. Mol Cancer Ther 2014 | Hepatocellular Carcinoma | Doxorubicin Cisplatin | Reported increased angiogenesis and vascular permeability, which enhanced drug penetration but may also create potential for metastasis |
| Lv et al. Oncotarget 2014 | Nasopharyngeal Carcinoma | Radiation | LB100 was capable of radio-sensitizing a previously resistant cell line |
| Bai et al. Cancer Letters 2014 | Pancreatic Cancer | Doxorubicin | Increased blood vessel density allowed for enhanced blood perfusion and doxorubicin drug concentration in tumor tissue; was linked to HIF-1α expression and increased VEGF secretion |
| Zhang et al. Cell Cycle 2015 | Osteosarcoma | Cisplatin | Reduced incidence of lung metastases |
| Chang et al. Mol Cancer Ther 2015 | Ovarian Carcinoma | Cisplatin | Delayed tumor burden in an intraperitoneal metastasis model and prevented tumor relapse PP2A-C knockdown also sensitized cells to cisplatin |
| Gordon et al. Mol Cancer Ther 2015 | Glioblastoma | Radiation | In contrast to some reports, mitotic catastrophe was a major cell death mechanism with combination therapy, while apoptosis was minimally observed |
| Ho et al. Oncotarget 2016 | Medulloblastoma | Cisplatin | LB100 decreased cell motility and in vivo invasiveness, tumors for both combination and LB100 monotherapy displayed well-demarcated borders LB100 has anti-tumor activity through STAT3 inhibition and altered subcellular localization |
| Fu et al. Tumor Biol 2016 | Hepatocellular Carcinoma | Sorafenib | LB100 activity was linked to hypoxic environments, where apoptosis occurred subsequent to Smad3 hyperphosphorylation and Bcl2 inhibition |
| Hu et al. Sci Rep 2017 | Acute Myeloid Leukemia | Daunorubicin | Bcl2 upregulation is a hallmark of the syndrome. LB100 increased miR-181b which inhibited Bcl2 to induce apoptosis |
| Hao et al. Neuro Oncol 2017 | Chordoma | Radiation | LB100 reduced tumor cell mobility and invasiveness both without and with radiation co-treatment |
| Lai et al. Sci Transl Med 2018 | BCR-ABL+ Leukemia | Imatinib | PP2A inhibition was able to re-sensitize TKI non-responding cells, and also demonstrated success in targeting stem cell populations |
| Ho et al. Cancer Letters 2018 | Meningioma | Radiation | Also linked LB100 anti-tumor growth activity to inhibited STAT3 signaling |