Subtil Florentine S B, Gröbner Carolin, Recknagel Niklas, Parplys Ann Christin, Kohl Sibylla, Arenz Andrea, Eberle Fabian, Dikomey Ekkehard, Engenhart-Cabillic Rita, Schötz Ulrike
Department of Radiotherapy and Radiooncology, Philipps-University, 35043 Marburg, Germany.
Laboratory of Radiobiology & Experimental Radiooncology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Cancers (Basel). 2022 Jun 28;14(13):3160. doi: 10.3390/cancers14133160.
The standard of care for advanced head and neck cancers (HNSCCs) is radiochemotherapy, including cisplatin. This treatment results in a cure rate of approximately 85% for oropharyngeal HPV-positive HNSCCs, in contrast to only 50% for HPV-negative HNSCCs, and is accompanied by severe side effects for both entities. Therefore, innovative treatment modalities are required, resulting in a better outcome for HPV-negative HNSCCs, and lowering the adverse effects for both entities. The effect of the dual PI3K/mTOR inhibitor NVP-BEZ235 on a combined treatment with cisplatin and radiation was studied in six HPV-negative and six HPV-positive HNSCC cell lines. Cisplatin alone was slightly more effective in HPV-positive cells. This could be attributed to a defect in homologous recombination, as demonstrated by depleting RAD51. Solely for HPV-positive cells, pretreatment with BEZ235 resulted in enhanced cisplatin sensitivity. For the combination of cisplatin and radiation, additive effects were observed. However, when pretreated with BEZ235, this combination changed into a synergistic interaction, with a slightly stronger enhancement for HPV-positive cells. This increase could be attributed to a diminished degree of DSB repair in G1, as visualized via the detection of γH2AX/53BP1 foci. BEZ235 can be used to enhance the effect of combined treatment with cisplatin and radiation in both HPV-negative and -positive HNSCCs.
晚期头颈癌(HNSCCs)的标准治疗方法是放化疗,包括使用顺铂。这种治疗方法使口咽HPV阳性HNSCCs的治愈率约为85%,相比之下,HPV阴性HNSCCs的治愈率仅为50%,并且两种类型的癌症都会出现严重的副作用。因此,需要创新的治疗方式,以改善HPV阴性HNSCCs的治疗效果,并降低两种类型癌症的不良反应。在六种HPV阴性和六种HPV阳性HNSCC细胞系中研究了双PI3K/mTOR抑制剂NVP-BEZ235对顺铂与放疗联合治疗的影响。单独使用顺铂时,在HPV阳性细胞中效果略好。这可能归因于同源重组缺陷,如通过消耗RAD51所证明的那样。仅对于HPV阳性细胞,用BEZ235预处理可增强顺铂敏感性。对于顺铂与放疗的联合治疗,观察到了相加作用。然而,当用BEZ235预处理时,这种联合作用转变为协同相互作用,对HPV阳性细胞的增强作用略强。这种增加可能归因于通过检测γH2AX/53BP1病灶所显示的G1期DNA双链断裂(DSB)修复程度降低。BEZ235可用于增强顺铂与放疗联合治疗对HPV阴性和阳性HNSCCs的疗效。