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通过共同靶向核苷酸切除修复和细胞周期检查点增强合成致死作用来增强化疗反应。

Enhancing chemotherapy response through augmented synthetic lethality by co-targeting nucleotide excision repair and cell-cycle checkpoints.

机构信息

David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA.

Center for Precision Cancer Medicine, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA.

出版信息

Nat Commun. 2020 Aug 17;11(1):4124. doi: 10.1038/s41467-020-17958-z.

Abstract

In response to DNA damage, a synthetic lethal relationship exists between the cell cycle checkpoint kinase MK2 and the tumor suppressor p53. Here, we describe the concept of augmented synthetic lethality (ASL): depletion of a third gene product enhances a pre-existing synthetic lethal combination. We show that loss of the DNA repair protein XPA markedly augments the synthetic lethality between MK2 and p53, enhancing anti-tumor responses alone and in combination with cisplatin chemotherapy. Delivery of siRNA-peptide nanoplexes co-targeting MK2 and XPA to pre-existing p53-deficient tumors in a highly aggressive, immunocompetent mouse model of lung adenocarcinoma improves long-term survival and cisplatin response beyond those of the synthetic lethal p53 mutant/MK2 combination alone. These findings establish a mechanism for co-targeting DNA damage-induced cell cycle checkpoints in combination with repair of cisplatin-DNA lesions in vivo using RNAi nanocarriers, and motivate further exploration of ASL as a generalized strategy to improve cancer treatment.

摘要

针对 DNA 损伤,细胞周期检查点激酶 MK2 和肿瘤抑制因子 p53 之间存在合成致死关系。在这里,我们描述了增强合成致死(ASL)的概念:耗尽第三种基因产物会增强预先存在的合成致死组合。我们表明,DNA 修复蛋白 XPA 的缺失显著增强了 MK2 和 p53 之间的合成致死性,单独使用以及与顺铂化疗联合使用均可增强抗肿瘤反应。在肺腺癌的高度侵袭性、免疫功能正常的小鼠模型中,将靶向 MK2 和 XPA 的 siRNA-肽纳米复合物递送至预先存在的 p53 缺陷肿瘤中,可提高长期生存率和对顺铂的反应,超过单独使用合成致死性 p53 突变体/MK2 组合的效果。这些发现为使用 RNAi 纳米载体在体内联合靶向 DNA 损伤诱导的细胞周期检查点和修复顺铂-DNA 损伤建立了一种机制,并促使进一步探索 ASL 作为一种提高癌症治疗效果的通用策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c6d/7431578/b03ccf129e64/41467_2020_17958_Fig1_HTML.jpg

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