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CDK12抑制可逆转三阴性乳腺癌BRCA野生型和突变模型中的原发性和获得性PARP抑制剂耐药性。

CDK12 Inhibition Reverses De Novo and Acquired PARP Inhibitor Resistance in BRCA Wild-Type and Mutated Models of Triple-Negative Breast Cancer.

作者信息

Johnson Shawn F, Cruz Cristina, Greifenberg Ann Katrin, Dust Sofia, Stover Daniel G, Chi David, Primack Benjamin, Cao Shiliang, Bernhardy Andrea J, Coulson Rhiannon, Lazaro Jean-Bernard, Kochupurakkal Bose, Sun Heather, Unitt Christine, Moreau Lisa A, Sarosiek Kristopher A, Scaltriti Maurizio, Juric Dejan, Baselga José, Richardson Andrea L, Rodig Scott J, D'Andrea Alan D, Balmaña Judith, Johnson Neil, Geyer Matthias, Serra Violeta, Lim Elgene, Shapiro Geoffrey I

机构信息

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.

Experimental Therapeutics Group, Vall d'Hebron Institute of Oncology, 08035 Barcelona, Spain; Medical Oncology Department, Hospital Vall d'Hebron, Vall d'Hebron Institute of Oncology, Universitat Autonoma de Barcelona, 08035 Barcelona, Spain.

出版信息

Cell Rep. 2016 Nov 22;17(9):2367-2381. doi: 10.1016/j.celrep.2016.10.077.

Abstract

Although poly(ADP-ribose) polymerase (PARP) inhibitors are active in homologous recombination (HR)-deficient cancers, their utility is limited by acquired resistance after restoration of HR. Here, we report that dinaciclib, an inhibitor of cyclin-dependent kinases (CDKs) 1, 2, 5, and 9, additionally has potent activity against CDK12, a transcriptional regulator of HR. In BRCA-mutated triple-negative breast cancer (TNBC) cells and patient-derived xenografts (PDXs), dinaciclib ablates restored HR and reverses PARP inhibitor resistance. Additionally, we show that de novo resistance to PARP inhibition in BRCA1-mutated cell lines and a PDX derived from a PARP-inhibitor-naive BRCA1 carrier is mediated by residual HR and is reversed by CDK12 inhibition. Finally, dinaciclib augments the degree of response in a PARP-inhibitor-sensitive model, converting tumor growth inhibition to durable regression. These results highlight the significance of HR disruption as a therapeutic strategy and support the broad use of combined CDK12 and PARP inhibition in TNBC.

摘要

尽管聚(ADP - 核糖)聚合酶(PARP)抑制剂在同源重组(HR)缺陷型癌症中具有活性,但其效用因HR恢复后的获得性耐药而受到限制。在此,我们报告,细胞周期蛋白依赖性激酶(CDK)1、2、5和9的抑制剂dinaciclib对HR的转录调节因子CDK12也具有强效活性。在BRCA突变的三阴性乳腺癌(TNBC)细胞和患者来源的异种移植瘤(PDX)中,dinaciclib消除恢复的HR并逆转PARP抑制剂耐药性。此外,我们表明,BRCA1突变细胞系和来自未接受过PARP抑制剂治疗的BRCA1携带者的PDX对PARP抑制的原发性耐药由残余的HR介导,并可通过抑制CDK12来逆转。最后,dinaciclib增强了PARP抑制剂敏感模型中的反应程度,将肿瘤生长抑制转变为持久消退。这些结果突出了破坏HR作为一种治疗策略的重要性,并支持在TNBC中广泛联合使用CDK12和PARP抑制剂。

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