Breast Cancer Research

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Open Access Highly Access Research article

The aromatase inhibitor letrozole and inhibitors of insulin-like growth factor I receptor synergistically induce apoptosis in in vitro models of estrogen-dependent breast cancer

Joanna Lisztwan1*, Astrid Pornon1, Bin Chen2, Shiuan Chen2 and Dean B Evans1

Author Affiliations

1 Novartis Institutes of BioMedical Research Basel, Oncology Research, Klybeckstrasse 141, CH-4057, Basel, Switzerland

2 Department of Surgical Research, Beckman Research Institute of the City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA

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Breast Cancer Research 2008, 10:R56 doi:10.1186/bcr2113

Published: 8 July 2008

Additional files

Additional file 1:

A file showing synergy between AEW541 and letrozole. Specifically, the combination of AEW541 and letrozole is consistently synergistic in inhibiting androstenedione-dependent proliferation. Steroid-deprived MCF7/Aro (upper panels) and T47D/Aro (lower panels) cells were treated with Δ4A in the presence of increasing concentrations of letrozole and/or AEW541 for 6 days. Percentage inhibition of proliferation was determined as described, and combination index (CI) values of the two agents plotted, in accordance with a nonexclusive Monte Carlo extrapolation. Similarly, a conservative isobologram was plotted. The table summarizes results obtained. Fa indicates fraction affected, and DRI the dose response index. CI values above 1.1 are antagonistic, 0.9 to 1.1 are additive, 0.7 to 0.9 moderately synergistic, 0.3 to 0.7 synergistic, and under 0.3 strongly synergistic. Note that the effective dose (ED) at 50%, 75% and 90% inhibition is decreased when both agents are combined. *DRI is greater than 10 (outside of concentration range).

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Additional file 2:

A file that shows that letrozole and AEW541 do not modulate p38MAPK signaling. Steroid-deprived MCF7/Aro cells were treated for 24 hours with either no Δ4A (lane 1), Δ4A in the presence of DMSO (lane 2), or Δ4A in the presence of 92 nmol/l AEW541 (lane 3), 445 nmol/l letrozole (lane 4), or both combined (lane 5). Cells were processed for Western blotting with specific antibodies for the proteins indicated. Note that samples correspond to data shown in Figure 3.

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