PARP 抑制剂与电离辐射的合成致死性依赖于 p53。
Synthetic Lethality of PARP Inhibition and Ionizing Radiation is p53-dependent.
机构信息
Department of Radiation Oncology, The Ohio State University College of Medicine, Columbus, Ohio.
Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
出版信息
Mol Cancer Res. 2018 Jul;16(7):1092-1102. doi: 10.1158/1541-7786.MCR-18-0106. Epub 2018 Mar 28.
PARP inhibitors (PARPi) are potentially effective therapeutic agents capable of inducing synthetic lethality in tumors with deficiencies in homologous recombination (HR)-mediated DNA repair such as those carrying BRCA1 mutations. However, BRCA mutations are rare, the majority of tumors are proficient in HR repair, and thus most tumors are resistant to PARPi. Previously, we observed that ionizing radiation (IR) initiates cytoplasmic translocation of BRCA1 leading to suppression of HR-mediated DNA repair and induction of synthetic PARPi lethality in wild-type BRCA1 and HR-proficient tumor cells. The tumor suppressor p53 was identified as a key factor that regulates DNA damage-induced BRCA1 cytoplasmic sequestration following IR. However, the role of p53 in IR-induced PARPi sensitization remains unclear. This study elucidates the role of p53 in IR-induced PARPi cytotoxicity in HR-proficient cancer cells and suggests p53 status may help define a patient population that might benefit from this treatment strategy. Sensitization to PARPi following IR was determined and utilizing human breast and glioma tumor cells carrying wild-type BRCA1 and p53, and in associated cells in which p53 function was modified by knockdown or mutation. In breast and glioma cells with proficient HR repair, IR-induced BRCA1 cytoplasmic sequestration, HR repair inhibition, and subsequent PARPi sensitization and was dependent upon functional p53. Implications: p53 status determines PARP inhibitor sensitization by ionizing radiation in multiple BRCA1 and HR-proficient tumor types and may predict which patients are most likely to benefit from combination therapy. .
聚腺苷二磷酸核糖聚合酶(PARP)抑制剂是一种潜在有效的治疗药物,能够诱导同源重组(HR)介导的 DNA 修复缺陷的肿瘤发生合成致死,例如携带 BRCA1 突变的肿瘤。然而,BRCA 突变是罕见的,大多数肿瘤都擅长 HR 修复,因此大多数肿瘤对 PARPi 有抗性。以前,我们观察到电离辐射(IR)引发 BRCA1 的细胞质易位,导致 HR 介导的 DNA 修复抑制和野生型 BRCA1 和 HR 有效的肿瘤细胞中合成 PARPi 致死的诱导。肿瘤抑制因子 p53 被鉴定为调节 IR 后 BRCA1 细胞质隔离的关键因素。然而,p53 在 IR 诱导的 PARPi 增敏中的作用尚不清楚。本研究阐明了 p53 在 HR 有效的癌细胞中 IR 诱导的 PARPi 细胞毒性中的作用,并表明 p53 状态可能有助于定义可能受益于这种治疗策略的患者群体。通过利用携带野生型 BRCA1 和 p53 的人乳腺癌和神经胶质瘤肿瘤细胞以及通过敲低或突变修饰 p53 功能的相关细胞,确定了 IR 后 PARPi 的敏感性。在 HR 修复有效的乳腺癌和神经胶质瘤细胞中,IR 诱导的 BRCA1 细胞质隔离、HR 修复抑制以及随后的 PARPi 增敏取决于功能性 p53。结论:p53 状态决定了多种 BRCA1 和 HR 有效的肿瘤类型中电离辐射对 PARP 抑制剂的增敏作用,并且可能预测哪些患者最有可能从联合治疗中受益。
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