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Screening a living biobank identifies cabazitaxel as a strategy to combat acquired taxol resistance in high-grade serous ovarian cancer
Tighe, A. Nelson, L. Morgan, R. D. Barnes, B. M. Lin, I. H. Littler, S. Altringham, J. Tan, J. L. McGrail, J. C. Taylor, S. S.
Tighe, A.
Nelson, L.
Morgan, R. D.
Barnes, B. M.
Lin, I. H.
Littler, S.
Altringham, J.
Tan, J. L.
McGrail, J. C.
Taylor, S. S.
Abstract
The anti-mitotic agent taxol (paclitaxel) remains a cornerstone of ovarian cancer treatment. To tackle drug resistance and toxicity, second-generation targeted anti-mitotic agents and combination strategies are being explored but have yet to demonstrate meaningful clinical benefits. A limitation is the lack of a platform to compare strategies in models that capture disease heterogeneity. To overcome this, we screen 83 patient-derived ex vivo ovarian cancer models that exhibit extensive intra- and inter-patient heterogeneity, testing four distinct approaches to enhance taxol sensitivity. Inhibitors of the HSET kinesin or the Mps1 spindle assembly checkpoint kinase show minimal impact on the taxol sensitivity landscape. By contrast, Bcl-xL inhibition exerts a global anti-proliferative effect. Inhibition of the MDR1 drug efflux pump restores taxol sensitivity in models characterized by ABCB1 overexpression. These MDR1-driven resistant models also respond to cabazitaxel, which is a poor MDR1 substrate, highlighting a potential therapeutic option for ovarian cancers with acquired taxol resistance.
Description
Date
2025
Publisher
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Article
Citation
Tighe A, Nelson L, Morgan RD, Barnes BM, Lin IH, Littler S, et al. Screening a living biobank identifies cabazitaxel as a strategy to combat acquired taxol resistance in high-grade serous ovarian cancer. Cell reports Medicine. 2025 Jun 17;6(6):102160. PubMed PMID: 40466638. Pubmed Central PMCID: PMC12208324. Epub 2025/06/05. eng.