Abstract 4453: Synergistic anticancer effect of combination of AZD6244 and BYL719 targeting KRAS mutant in non-small cell lung cancer

Abstract

Abstract KRAS mutation is found in 10-30% of non-small cell lung cancer (NSCLC) and highly correlated with smokers. So far, targeted agents demonstrating therapeutic activity against K-ras mutation are not available in a clinical setting. In this study, we show that dual agents, MEK inhibitor, AZD6244, and PI3K inhibitor, BYL719, have a synergistic effect on only KRAS mutant NSCLC cells. We defined that the combination of AZD6244 and BYL719 at ratios of IC50 1/2:1/2, 1:1, 2:2 (μM / μM) has ratio-dependent synergistic effect. In vitro, the combination of AZD6244 and BYL719 potently inhibited cell proliferation with cytotoxicity in H2009 and A549 cells more than the same cells treated with single drug. Also, BYL719 enhanced AZD6244-induced apoptosis and the combination treatment induced cleavage-PARP and Bim overexpression. In vivo, the antitumor efficacy was potentiated by co-treatment of AZD6244 and BYL719 in A549 xenografts. These data suggest that the combination of MEK and PI3K inhibitors might be a candidate for clinical development for its synergistic effect against KRAS-driven lung cancer. Citation Format: Eun Hye Jho, Sin Il Kang, Yeon-Hee Bae, Young Mee Park, Jong-Mu Sun, Jin Seok Ahn, Keunchil Park, Myung-Ju Ahn. Synergistic anticancer effect of combination of AZD6244 and BYL719 targeting KRAS mutant in non-small cell lung cancer. [abstract]. In: Proceedings of the 105th Annual Meeting of the American Association for Cancer Research; 2014 Apr 5-9; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2014;74(19 Suppl):Abstract nr 4453. doi:10.1158/1538-7445.AM2014-4453