Department of Respiratory Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Laboratory for Bioanalysis and Molecular Imaging, Graduate School of Pharmaceutical Sciences, Hokkaido University, Sapporo, Japan.
Int J Cancer. 2020 Feb 15;146(4):1114-1124. doi: 10.1002/ijc.32515. Epub 2019 Jun 28.
Bromodomain and extraterminal domain (BET) inhibitors are broadly active against distinct types of cancer, including nonsmall cell lung cancer (NSCLC). Previous studies have addressed the effect of BET-inhibiting drugs on the expression of oncogenes such as c-Myc, but DNA damage repair pathways have also been reported to be involved in the efficacy of these drugs. AZD1775, an inhibitor of the G2-M cell cycle checkpoint kinase WEE1, induces DNA damage by promoting premature mitotic entry. Thus, we hypothesized that BET inhibition would increase AZD1775-induced cytotoxicity by impairing DNA damage repair. Here, we demonstrate that combined inhibition of BET and WEE1 synergistically suppresses NSCLC growth both in vitro and in vivo. Two BET inhibitors, JQ1 and AZD5153, increased and prolonged AZD1775-induced DNA double-strand breaks (DSBs) and concomitantly repressed genes related to nonhomologous end joining (NHEJ), including XRCC4 and SHLD1. Furthermore, pharmaceutical inhibition of BET or knockdown of the BET protein BRD4 markedly diminished NHEJ activity, and the BET-inhibitor treatment also repressed myelin transcription factor 1 (MYT1) expression and promoted mitotic entry with subsequent mitotic catastrophe when combined with WEE1 inhibition. Our findings reveal that BET proteins, predominantly BRD4, play an essential role in DSB repair through the NHEJ pathway, and further suggest that combined inhibition of BET and WEE1 could serve as a novel therapeutic strategy for NSCLC.
溴结构域和末端外结构域(BET)抑制剂广泛对抗不同类型的癌症,包括非小细胞肺癌(NSCLC)。先前的研究已经解决了 BET 抑制药物对癌基因如 c-Myc 的表达的影响,但也有报道称 DNA 损伤修复途径也参与了这些药物的疗效。G2-M 细胞周期检查点激酶 WEE1 的抑制剂 AZD1775 通过促进过早有丝分裂进入来诱导 DNA 损伤。因此,我们假设 BET 抑制会通过损害 DNA 损伤修复来增加 AZD1775 诱导的细胞毒性。在这里,我们证明 BET 和 WEE1 的联合抑制在体外和体内均协同抑制 NSCLC 的生长。两种 BET 抑制剂,JQ1 和 AZD5153,增加并延长了 AZD1775 诱导的 DNA 双链断裂(DSB),并同时抑制了与非同源末端连接(NHEJ)相关的基因,包括 XRCC4 和 SHLD1。此外,BET 的药物抑制或 BET 蛋白 BRD4 的敲低显着降低了 NHEJ 活性,并且 BET 抑制剂治疗还通过抑制 MYT1 表达和促进有丝分裂进入以及随后的有丝分裂灾难,当与 WEE1 抑制联合使用时,促进有丝分裂进入以及随后的有丝分裂灾难。我们的研究结果表明,BET 蛋白,主要是 BRD4,通过 NHEJ 途径在 DSB 修复中发挥重要作用,并进一步表明 BET 和 WEE1 的联合抑制可能成为 NSCLC 的一种新的治疗策略。
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