Genome Damage and Stability Centre, University of Sussex, Falmer BN1 9RQ, United Kingdom.
Mol Cancer Ther. 2009 Aug;8(8):2243-54. doi: 10.1158/1535-7163.MCT-09-0201. Epub 2009 Aug 11.
Glioblastoma multiforme (GBM) are the most common primary brain tumor and are resistant to standard therapies. The nondividing nature of normal brain provides an opportunity to enhance the therapeutic ratio by combining radiation with inhibitors of replication-specific DNA repair pathways. Based on our previous findings that inhibition of poly(ADP-ribose) polymerase (PARP) increases radiosensitivity of human glioma cells in a replication-dependent manner and generates excess DNA breaks that are repaired by homologous recombination (HR), we hypothesized that inhibition of HR would amplify the replication-specific radiosensitizing effects of PARP inhibition. Specific inhibitors of HR are not available, but the heat shock protein 90 inhibitor 17-allylamino-17-demethoxygeldanamycin (17-AAG) has been reported to inhibit HR function. The radiosensitizing effects of 17-AAG and the PARP inhibitor olaparib were assessed, and the underlying mechanisms explored. 17-AAG down-regulated Rad51 and BRCA2 protein levels, abrogated induction of Rad51 foci by radiation, and inhibited HR measured by the I-Sce1 assay. Individually, 17-AAG and olaparib had modest, replication-dependent radiosensitizing effects on T98G glioma cells. Additive radiosensitization was observed with combination treatment, mirrored by increases in gammaH2AX foci in G(2)-phase cells. Unlike olaparib, 17-AAG did not increase radiation sensitivity of Chinese hamster ovary cells, indicating tumor specificity. However, 17-AAG also enhanced radiosensitivity in HR-deficient cells, indicating that its effects were only partially mediated by HR inhibition. Additional mechanisms are likely to include destabilization of oncoproteins that are up-regulated in GBM. 17-AAG is therefore a tumor-specific, replication-dependent radiosensitizer that enhances the effects of PARP inhibition. This combination has therapeutic potential in the management of GBM.
多形性胶质母细胞瘤(GBM)是最常见的原发性脑肿瘤,对标准治疗具有抗性。正常大脑的非分裂性质为通过将辐射与复制特异性 DNA 修复途径的抑制剂结合来提高治疗比率提供了机会。基于我们之前的发现,即抑制聚(ADP-核糖)聚合酶(PARP)以复制依赖性方式增加人神经胶质瘤细胞的放射敏感性,并产生由同源重组(HR)修复的过量 DNA 断裂,我们假设抑制 HR 将扩增 PARP 抑制的复制特异性放射增敏作用。HR 的特异性抑制剂不可用,但是热休克蛋白 90 抑制剂 17-丙烯酰胺-17-脱甲氧基格尔德霉素(17-AAG)已被报道可抑制 HR 功能。评估了 17-AAG 和 PARP 抑制剂奥拉帕利的放射增敏作用,并探讨了潜在的机制。17-AAG 下调 Rad51 和 BRCA2 蛋白水平,消除了辐射诱导的 Rad51 焦点,并通过 I-Sce1 测定抑制 HR。单独使用时,17-AAG 和奥拉帕利对 T98G 神经胶质瘤细胞具有适度的、复制依赖性的放射增敏作用。联合治疗观察到相加的放射增敏作用,G2 期细胞中γH2AX 焦点增加。与奥拉帕利不同,17-AAG 不会增加中国仓鼠卵巢细胞的辐射敏感性,表明肿瘤特异性。然而,17-AAG 还增强了 HR 缺陷细胞的放射敏感性,表明其作用仅部分通过 HR 抑制介导。其他机制可能包括不稳定在 GBM 中上调的癌蛋白。因此,17-AAG 是一种肿瘤特异性、复制依赖性的放射增敏剂,可增强 PARP 抑制的作用。这种组合在 GBM 的治疗中有治疗潜力。