Effect of afatinib alone and in combination with dasatinib in triple-negative breast cancer cell lines.

Authors

null

Mohamed F.K. Ibrahim

Molecular Therapeutics for Cancer Ireland, National Institute for Cellular Biotechnology, Dublin, Ireland

Mohamed F.K. Ibrahim , Alexandra Canonici , Denis Collins , John Crown , Norma O'Donovan

Organizations

Molecular Therapeutics for Cancer Ireland, National Institute for Cellular Biotechnology, Dublin, Ireland, Department of Medical Oncology, St. Vincent's University Hospital, Dublin, Ireland

Research Funding

No funding sources reported

Background: TNBC is a subtype of breast cancer negative for expression of estrogen and progesterone receptors and lack of HER2 gene amplification. It is associated with poor prognosis and lack of targeted therapies. Therefore, there is a need for identification of new therapies. EGFR, a member of the ErbB family, is frequently overexpressed in TNBC. Furthermore, crosstalk between EGFR and Src kinase signaling has been observed in breast cancer. The aim of this study is to assess the activity of afatinib, an irreversible pan-HER tyrosine kinase inhibitor alone and in combination with dasatinib, a Src inhibitor, in TNBC. Methods: Using proliferation assays, the effect of afatinib was assessed alone and in combination with dasatinib in TNBC cell lines. Combination indexes (CI) at ED50, effective dose of combination that inhibits 50% of growth, were determined using the Chou and Talalay equation. CI < 1 implies synergy and CI > 1 implies antagonism. Results: The 6 TNBC cell lines tested responded to afatinib with IC50 values ranging from 0.02 to 2.44 µM. As previously shown, the TNBC cell lines showed sensitivity to dasatinib with IC50 values ranging from 9.6 nM to 3.1 µM. The HDQ-P1 cell line, classified as belonging to the basal-like 2 subtype of TNBC, showed significant sensitivity to both afatinib (IC50 = 17.5 ± 2.1 nM) and dasatinib (IC50= 16.6 ± 5.3 nM). The combination of afatinib and dasatinib was synergistic in 5 of the 6 TNBC cell lines tested (Table). Conclusions: Our results suggest that afatinib may have activity in TNBC. We also demonstrate that afatinib in combination with dasatinib may be more effective than either agent alone.

Effect of afatinib in combination with dasatinib in TNBC cell lines.
% growth inhibition
Cell lines Subtype Afatinib Dasatinib Afatinib + Dasatinib CI (ED50)
HCC1143 Basal-Like 1 1 µM - 30.9 ± 5.6 200 nM - 52.6 ± 3.2 61.9 ± 3.7 N/A
HCC1937 Basal-Like 1 1 µM - 53.8 ± 3.1 50 nM - 43.1 ± 1.5 70.0 ± 2.2 0.39 ± 0.09
HDQP1 Basal-Like 2 100 nM - 66.5 ± 2.4 200 nM - 87.1 ± 2.5 91 ± 0.8 0.26 ± 0.05
MDA-MB-231 Mesenchymal stem-like 1 µM - 60.9 ± 10.7 200 nM - 87.6 ± 2.2 89.5 ± 3.0 1.05 ± 0.09
Hs578T Mesenchymal stem-like 1 µM - 15.7 ± 1.9 50 nM - 53.8 ± 1.5 65.5 ± 2.7 0.22 ± 0.04
BT20 Unclassified 1 µM - 36.9 ± 4.1 625 nM - 39.7 ± 1.5 76.9 ± 1.4 0.00 ± 0.00

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Abstract Details

Meeting

2014 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Breast Cancer - Triple-Negative/Cytotoxics/Local Therapy

Track

Breast Cancer

Sub Track

Triple-Negative Breast Cancer

Citation

J Clin Oncol 32:5s, 2014 (suppl; abstr 1128)

DOI

10.1200/jco.2014.32.15_suppl.1128

Abstract #

1128

Poster Bd #

221

Abstract Disclosures

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