High-Throughput Drug Screening Identifies Pazopanib and Clofilium Tosylate as Promising Treatments for Malignant Rhabdoid Tumors

Cell Rep. 2017 Nov 14;21(7):1737-1745. doi: 10.1016/j.celrep.2017.10.076.

Abstract

Rhabdoid tumors (RTs) are aggressive tumors of early childhood characterized by SMARCB1 inactivation. Their poor prognosis highlights an urgent need to develop new therapies. Here, we performed a high-throughput screening of approved drugs and identified broad inhibitors of tyrosine kinase receptors (RTKs), including pazopanib, and the potassium channel inhibitor clofilium tosylate (CfT), as SMARCB1-dependent candidates. Pazopanib targets were identified as PDGFRα/β and FGFR2, which were the most highly expressed RTKs in a set of primary tumors. Combined genetic inhibition of both these RTKs only partially recapitulated the effect of pazopanib, emphasizing the requirement for broad inhibition. CfT perturbed protein metabolism and endoplasmic reticulum stress and, in combination with pazopanib, induced apoptosis of RT cells in vitro. In vivo, reduction of tumor growth by pazopanib was enhanced in combination with CfT, matching the efficiency of conventional chemotherapy. These results strongly support testing pazopanib/CfT combination therapy in future clinical trials for RTs.

Keywords: SMARCB1; clofilium tosylate; high-throughput drug screening; pazopanib; rhabdoid tumors; tyrosine kinase inhibitors.

MeSH terms

  • Antineoplastic Agents / pharmacology*
  • Apoptosis / drug effects
  • Cell Line, Tumor
  • Drug Discovery / methods*
  • Endoplasmic Reticulum Stress / drug effects
  • High-Throughput Screening Assays / methods*
  • Humans
  • Indazoles
  • Protein Kinase Inhibitors / pharmacology*
  • Pyrimidines / pharmacology*
  • Quaternary Ammonium Compounds / pharmacology*
  • Receptor, Platelet-Derived Growth Factor alpha / antagonists & inhibitors
  • Receptor, Platelet-Derived Growth Factor beta / antagonists & inhibitors
  • Rhabdoid Tumor / metabolism*
  • SMARCB1 Protein / metabolism
  • Sulfonamides / pharmacology*

Substances

  • Antineoplastic Agents
  • Indazoles
  • Protein Kinase Inhibitors
  • Pyrimidines
  • Quaternary Ammonium Compounds
  • SMARCB1 Protein
  • SMARCB1 protein, human
  • Sulfonamides
  • pazopanib
  • clofilium
  • Receptor, Platelet-Derived Growth Factor alpha
  • Receptor, Platelet-Derived Growth Factor beta