Gene Expression and Regulation Program, The Wistar Institute, Philadelphia, PA 19104, USA.
Gene Expression and Regulation Program, The Wistar Institute, Philadelphia, PA 19104, USA; Kazan Federal University, Kazan, Russia.
Cell Rep. 2017 Dec 19;21(12):3398-3405. doi: 10.1016/j.celrep.2017.11.095.
PARP inhibition is known to be an effective clinical strategy in BRCA mutant cancers, but PARP inhibition has not been applied to BRCA-proficient tumors. Here, we show the synergy of BET bromodomain inhibition with PARP inhibition in BRCA-proficient ovarian cancers due to mitotic catastrophe. Treatment of BRCA-proficient ovarian cancer cells with the BET inhibitor JQ1 downregulated the G2-M cell-cycle checkpoint regulator WEE1 and the DNA-damage response factor TOPBP1. Combining PARP inhibitor Olaparib with the BET inhibitor, we observed a synergistic increase in DNA damage and checkpoint defects, which allowed cells to enter mitosis despite the accumulation of DNA damage, ultimately causing mitotic catastrophe. Moreover, JQ1 and Olaparib showed synergistic suppression of growth of BRCA-proficient cancer in vivo in a xenograft ovarian cancer mouse model. Our findings indicate that a combination of BET inhibitor and PARP inhibitor represents a potential therapeutic strategy for BRCA-proficient cancers.
聚腺苷二磷酸核糖聚合酶(PARP)抑制已被证实是 BRCA 突变型癌症的一种有效临床策略,但 PARP 抑制尚未应用于 BRCA 功能正常的肿瘤。在这里,我们发现由于有丝分裂灾难,BET 溴结构域抑制剂与 PARP 抑制剂在 BRCA 功能正常的卵巢癌中具有协同作用。用 BET 抑制剂 JQ1 处理 BRCA 功能正常的卵巢癌细胞会下调 G2-M 细胞周期检查点调节剂 WEE1 和 DNA 损伤反应因子 TOPBP1。将 PARP 抑制剂奥拉帕利与 BET 抑制剂联合使用,我们观察到 DNA 损伤和检查点缺陷协同增加,这使得细胞能够进入有丝分裂,尽管 DNA 损伤积累,但最终导致有丝分裂灾难。此外,在异种卵巢癌小鼠模型中,JQ1 和奥拉帕利联合应用对 BRCA 功能正常的癌症的生长具有协同抑制作用。我们的研究结果表明,BET 抑制剂和 PARP 抑制剂的联合应用代表了 BRCA 功能正常型癌症的一种潜在治疗策略。
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