Institut de Recherche en Cancérologie de Montpellier, IRCM, U1194, Montpellier University, INSERM, ICM, CNRS, Montpellier, France.
Institut de Recherche en Cancérologie de Montpellier, IRCM, U1194, Montpellier University, INSERM, ICM, CNRS, Montpellier, France; Oncologie Clinique, Institut Du Cancer de Montpellier, Montpellier, France.
Cancer Lett. 2024 May 1;589:216820. doi: 10.1016/j.canlet.2024.216820. Epub 2024 Apr 3.
One in three Triple Negative Breast Cancer (TNBC) is Homologous Recombination Deficient (HRD) and susceptible to respond to PARP inhibitor (PARPi), however, resistance resulting from functional HR restoration is frequent. Thus, pharmacologic approaches that induce HRD are of interest. We investigated the effectiveness of CDK-inhibition to induce HRD and increase PARPi sensitivity of TNBC cell lines and PDX models. Two CDK-inhibitors (CDKi), the broad range dinaciclib and the CDK12-specific SR-4835, strongly reduced the expression of key HR genes and impaired HR functionality, as illustrated by BRCA1 and RAD51 nuclear foci obliteration. Consequently, both CDKis showed synergism with olaparib, as well as with cisplatin and gemcitabine, in a range of TNBC cell lines and particularly in olaparib-resistant models. In vivo assays on PDX validated the efficacy of dinaciclib which increased the sensitivity to olaparib of 5/6 models, including two olaparib-resistant and one BRCA1-WT model. However, no olaparib response improvement was observed in vivo with SR-4835. These data support that the implementation of CDK-inhibitors could be effective to sensitize TNBC to olaparib as well as possibly to cisplatin or gemcitabine.
三阴性乳腺癌(TNBC)中有三分之一为同源重组缺陷(HRD),对 PARP 抑制剂(PARPi)敏感,但由于 HR 功能恢复而产生的耐药性很常见。因此,诱导 HRD 的药物治疗方法引起了关注。我们研究了 CDK 抑制诱导 HRD 和增加 TNBC 细胞系和 PDX 模型对 PARPi 敏感性的效果。两种 CDK 抑制剂(CDKi),广谱的 dinaciclib 和 CDK12 特异性的 SR-4835,强烈降低了关键 HR 基因的表达,并损害了 HR 功能,BRCA1 和 RAD51 核焦点的破坏就是例证。因此,两种 CDKis 在一系列 TNBC 细胞系中,特别是在 PARPi 耐药模型中,与奥拉帕利、顺铂和吉西他滨均表现出协同作用。PDX 的体内试验验证了 dinaciclib 的疗效,它增加了 5/6 模型对奥拉帕利的敏感性,包括两个奥拉帕利耐药和一个 BRCA1-WT 模型。然而,SR-4835 在体内没有观察到奥拉帕利反应的改善。这些数据支持 CDK 抑制剂的实施可以有效地使 TNBC 对奥拉帕利以及顺铂或吉西他滨敏感。
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