CHK1抑制剂通过靶向PARG诱导聚(ADP-核糖)化,导致过度复制和代谢应激,并克服卵巢癌的化疗耐药性。
CHK1 inhibitor induced PARylation by targeting PARG causes excessive replication and metabolic stress and overcomes chemoresistance in ovarian cancer.
作者信息
Acharya Ganesh, Mani Chinnadurai, Sah Naresh, Saamarthy Karunakar, Young Robert, Reedy Mark B, Sobol Robert W, Palle Komaraiah
机构信息
Department of Cell Biology and Biochemistry, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Department of Obstetrics & Gynecology, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
出版信息
Cell Death Discov. 2024 Jun 11;10(1):278. doi: 10.1038/s41420-024-02040-0.
Chemoresistance contributes to the majority of deaths in women with ovarian cancer (OC). Altered DNA repair and metabolic signaling is implicated in mediating therapeutic resistance. DNA damage checkpoint kinase 1 (CHK1) integrates cell cycle and DNA repair in replicating cells, and its inhibition causes replication stress, repair deficiency and cell cycle dysregulation. We observed elevated Poly-ADP-ribosylation (PAR) of proteins (PARylation) and subsequent decrease in cellular NAD levels in OC cells treated with the CHK1 inhibitor prexasertib, indicating activation of NAD dependent DNA repair enzymes poly-ADP-ribose polymerases (PARP1/2). While multiple PARP inhibitors are in clinical use in treating OC, tumor resistance to these drugs is highly imminent. We reasoned that inhibition of dePARylation by targeting Poly (ADP-ribose) glycohydrolase (PARG) would disrupt metabolic and DNA repair crosstalk to overcome chemoresistance. Although PARG inhibition (PARGi) trapped PARylation of the proteins and activated CHK1, it did not cause any significant OC cell death. However, OC cells deficient in CHK1 were hypersensitive to PARGi, suggesting a role for metabolic and DNA repair crosstalk in protection of OC cells. Correspondingly, OC cells treated with a combination of CHK1 and PARG inhibitors exhibited excessive replication stress-mediated DNA lesions, cell cycle dysregulation, and mitotic catastrophe compared to individual drugs. Interestingly, increased PARylation observed in combination treatment resulted in depletion of NAD levels. These decreased NAD levels were also paralleled with reduced aldehyde dehydrogenase (ALDH) activity, which requires NAD to maintain cancer stem cells. Furthermore, prexasertib and PARGi combinations exhibited synergistic cell death in OC cells, including an isogenic chemoresistant cell line and 3D organoid models of primary patient-derived OC cell lines. Collectively, our data highlight a novel crosstalk between metabolism and DNA repair involving replication stress and NAD-dependent PARylation, and suggest a novel combination therapy of CHK1 and PARG inhibitors to overcome chemoresistance in OC.
化疗耐药是导致卵巢癌(OC)女性患者死亡的主要原因。DNA修复和代谢信号的改变与介导治疗耐药有关。DNA损伤检查点激酶1(CHK1)在复制细胞中整合细胞周期和DNA修复,抑制它会导致复制应激、修复缺陷和细胞周期失调。我们观察到,用CHK1抑制剂prexasertib处理的OC细胞中蛋白质的多聚ADP核糖基化(PARylation)升高,随后细胞内NAD水平降低,这表明NAD依赖性DNA修复酶多聚ADP核糖聚合酶(PARP1/2)被激活。虽然多种PARP抑制剂正在临床用于治疗OC,但肿瘤对这些药物的耐药性非常突出。我们推断,通过靶向多聚(ADP-核糖)糖苷水解酶(PARG)抑制去PARylation将破坏代谢和DNA修复的相互作用,从而克服化疗耐药。虽然PARG抑制(PARGi)捕获了蛋白质的PARylation并激活了CHK1,但它并未导致任何显著的OC细胞死亡。然而,缺乏CHK1的OC细胞对PARGi高度敏感,这表明代谢和DNA修复的相互作用在保护OC细胞中发挥作用。相应地,与单独使用药物相比,用CHK1和PARG抑制剂联合处理的OC细胞表现出过度的复制应激介导的DNA损伤、细胞周期失调和有丝分裂灾难。有趣的是,联合治疗中观察到的PARylation增加导致NAD水平耗尽。这些降低的NAD水平也与醛脱氢酶(ALDH)活性降低平行,而ALDH活性需要NAD来维持癌症干细胞。此外,prexasertib和PARGi联合用药在OC细胞中表现出协同细胞死亡,包括同基因化疗耐药细胞系和原发性患者来源的OC细胞系的3D类器官模型。总的来说,我们的数据突出了代谢与DNA修复之间涉及复制应激和NAD依赖性PARylation的新型相互作用,并提出了CHK1和PARG抑制剂联合治疗以克服OC化疗耐药的新方法。