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基于 PARP 捕获与催化抑制的多聚(ADP-核糖)聚合酶(PARP)抑制剂与喜树碱或替莫唑胺联合治疗的原理。

Rationale for poly(ADP-ribose) polymerase (PARP) inhibitors in combination therapy with camptothecins or temozolomide based on PARP trapping versus catalytic inhibition.

机构信息

Developmental Therapeutics Branch, Laboratory of Molecular Pharmacology, Center for Cancer Research (Ju.M., J.H.D., Y.P.), National Clinical Target Validation Laboratory (Y.Z., J.J.), and Division of Cancer Treatment and Diagnosis (Jo.M., J.H.D.), National Cancer Institute, National Institutes of Health, Bethesda, Maryland; and Department of Radiation Genetics, Graduate School of Medicine, Kyoto University, Yoshidakonoe, Sakyo-ku, Kyoto, Japan (Ju.M., S.T.).

出版信息

J Pharmacol Exp Ther. 2014 Jun;349(3):408-16. doi: 10.1124/jpet.113.210146. Epub 2014 Mar 20.

Abstract

We recently showed that poly(ADP-ribose) polymerase (PARP) inhibitors exert their cytotoxicity primarily by trapping PARP-DNA complexes in addition to their NAD(+)-competitive catalytic inhibitory mechanism. PARP trapping is drug-specific, with olaparib exhibiting a greater ability than veliparib, whereas both compounds are potent catalytic PARP inhibitors. Here, we evaluated the combination of olaparib or veliparib with therapeutically relevant DNA-targeted drugs, including the topoisomerase I inhibitor camptothecin, the alkylating agent temozolomide, the cross-linking agent cisplatin, and the topoisomerase II inhibitor etoposide at the cellular and molecular levels. We determined PARP-DNA trapping and catalytic PARP inhibition in genetically modified chicken lymphoma DT40, human prostate DU145, and glioblastoma SF295 cancer cells. For camptothecin, both PARP inhibitors showed highly synergistic effects due to catalytic PARP inhibition, indicating the value of combining either veliparib or olaparib with topoisomerase I inhibitors. On the other hand, for temozolomide, PARP trapping was critical in addition to catalytic inhibition, consistent with the fact that olaparib was more effective than veliparib in combination with temozolomide. For cisplatin and etoposide, olaparib only showed no or a weak combination effect, which is consistent with the lack of involvement of PARP in the repair of cisplatin- and etoposide-induced lesions. Hence, we conclude that catalytic PARP inhibitors are highly effective in combination with camptothecins, whereas PARP inhibitors capable of PARP trapping are more effective with temozolomide. Our study provides insights in combination treatment rationales for different PARP inhibitors.

摘要

我们最近表明,聚 ADP-核糖聚合酶 (PARP) 抑制剂除了具有 NAD(+)竞争性催化抑制机制外,还通过捕获 PARP-DNA 复合物发挥其细胞毒性。PARP 捕获具有药物特异性,奥拉帕尼比 veliparib 的能力更强,而这两种化合物都是有效的催化 PARP 抑制剂。在这里,我们在细胞和分子水平上评估了奥拉帕尼或 veliparib 与治疗相关的 DNA 靶向药物的联合使用,包括拓扑异构酶 I 抑制剂喜树碱、烷化剂替莫唑胺、交联剂顺铂和拓扑异构酶 II 抑制剂依托泊苷。我们确定了遗传修饰的鸡淋巴瘤 DT40、人前列腺 DU145 和神经胶质瘤 SF295 癌细胞中 PARP-DNA 捕获和催化 PARP 抑制。对于喜树碱,两种 PARP 抑制剂由于催化 PARP 抑制均表现出高度协同作用,表明将 veliparib 或奥拉帕尼与拓扑异构酶 I 抑制剂联合使用具有价值。另一方面,对于替莫唑胺,除了催化抑制外,PARP 捕获也很关键,这与奥拉帕尼与替莫唑胺联合使用比 veliparib 更有效这一事实一致。对于顺铂和依托泊苷,奥拉帕尼仅表现出无或弱的联合作用,这与 PARP 参与顺铂和依托泊苷诱导损伤的修复无关。因此,我们得出结论,催化 PARP 抑制剂与喜树碱联合使用非常有效,而能够捕获 PARP 的 PARP 抑制剂与替莫唑胺联合使用更有效。我们的研究为不同 PARP 抑制剂的联合治疗提供了思路。

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