Oral Presentation 27th Lorne Cancer Conference 2015

A druggable synergistic interaction between Chk1- and MK2 inhibitors for the treatment of KRAS-mutant cancer (#30)

Christian Reinhardt 1
  1. University Hospital of Cologne, Cologne, Germany

 KRAS is one of the most frequently mutated oncogenes in human tumors. Nevertheless, despite substantial efforts, no clinically applicable strategy has yet been developed to effectively treat  and eradicate KRAS-mutant malignancies. We performed a cell line-based compound screen and identified strong synergistic interactions between cell cycle checkpoint-abrogating Chk1- and MK2 inhibitors, specifically in KRAS- and BRAF-driven cells. Mechanistically, we show that KRAS- and BRAF-mutant cancer cells display intrinsic genotoxic stress, leading to tonic activation Chk1- and MK2. We demonstrate that simultaneous Chk1- and MK2 inhibition leads to the induction of a mitotic catastrophe in KRAS-mutant cells. This druggable synergistic interaction is validated using xenograft models, as well as an autochthonous model of KRAS-driven lung adenocarcinoma. Lastly, we show that combined checkpoint inhibition induces apoptotic cell death in KRAS-mutant tumor cells directly isolated from patients. These results implicate combined Chk1- and MK2 inhibition as a therapeutic strategy for the treatment of KRAS- or BRAF-driven cancers.