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Drug synergy screen and network modeling in dedifferentiated liposarcoma identifies CDK4 and IGF1R as synergistic drug targets.
[dedifferentiated liposarcoma]
Dedifferentiated
liposarcoma
(
DDLS
)
is
a
rare
but
aggressive
cancer
with
high
recurrence
and
low
response
rates
to
targeted
therapies
.
Increasing
treatment
efficacy
may
require
combinations
of
targeted
agents
that
counteract
the
effects
of
multiple
abnormalities
.
To
identify
a
possible
multicomponent
therapy
,
we
performed
a
combinatorial
drug
screen
in
a
DDLS
-derived
cell
line
and
identified
cyclin-dependent
kinase
4
(
CDK
4
)
and
insulin-like
growth
factor
1
receptor
(
IGF
1
R
)
as
synergistic
drug
targets
.
We
measured
the
phosphorylation
of
multiple
proteins
and
cell
viability
in
response
to
systematic
drug
combinations
and
derived
computational
models
of
the
signaling
network
.
These
models
predict
that
the
observed
synergy
in
reducing
cell
viability
with
CDK
4
and
IGF
1
R
inhibitors
depends
on
the
activity
of
the
AKT
pathway
.
Experiments
confirmed
that
combined
inhibition
of
CDK
4
and
IGF
1
R
cooperatively
suppresses
the
activation
of
proteins
within
the
AKT
pathway
.
Consistent
with
these
findings
,
synergistic
reductions
in
cell
viability
were
also
found
when
combining
CDK
4
inhibition
with
inhibition
of
either
AKT
or
epidermal
growth
factor
receptor
(
EGFR
)
,
another
receptor
similar
to
IGF
1
R
that
activates
AKT
.
Thus
,
network
models
derived
from
context-
specific
proteomic
measurements
of
systematically
perturbed
cancer
cells
may
reveal
cancer
-
specific
signaling
mechanisms
and
aid
in
the
design
of
effective
combination
therapies
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated