TP53和DNA-PK作为奥拉帕尼增强结直肠癌疗效的潜在生物标志物。
TP53 and DNA-PK as potential biomarkers for enhanced efficacy of Olaparib in colorectal cancer.
作者信息
Kim Do Yeon, Yun Hyeseon, You Ji-Eun, Park Yoon Sun, Ryu Yea Seong, Koh Dong-In, Shin Jae-Sik, Jin Dong-Hoon
机构信息
Asan Institute for Life Science, Asan Medical Center, Seoul, Republic of Korea.
Department of Pharmacology, AMIST, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
出版信息
Invest New Drugs. 2025 May 16. doi: 10.1007/s10637-025-01544-5.
Olaparib is selected based on the presence of BRCA mutations in patient populations; however, further investigation is still required regarding its effect on restoring homologous recombination (HR) through the inactivation of non-homologous end joining (NHEJ). Therefore, identifying regulators of NHEJ could increase the sensitivity of cancer cells to Olaparib by inhibiting DNA damage repair is a major focus of current research. Loss of DNA-dependent protein kinase (DNA-PK), which is a major components of NHEJ, compromises DNA damage repair, and the resulting increase in DNA damage burden may heighten reliance on poly (ADP-ribose) polymerase (PARP)-dependent DNA repair in cancer cells, rendering them more susceptible to PARP inhibitor therapy. However, DNA-PK alone is not sufficient to enhance the effectiveness of Olaparib, so various adjuvant and combination therapies are being explored. We classified colorectal cancer (CRC) cells based on their sensitivity to Olaparib and found that they were categorized according to TP53 status. Here, we examine the role of DNA-PK in the response to Olaparib, emphasizing its relationship with TP53 status. Our findings indicate that the inhibition of DNA-PK enhances sensitivity to Olaparib and induces phosphorylation of p53 exclusively in cells with TP53 wild-type (WT). Furthermore, using CRC patient-derived cells (PDC) and patient-derived xenograft (PDX) model, we show that the sensitivity of Olaparib is determined TP53 and DNA-PK genotypes. These findings highlight TP53 and DNA-PK as potential predictive biomarkers for optimizing PARP inhibitor-based therapy in CRC.
奥拉帕利是根据患者群体中BRCA突变的存在情况来选择的;然而,关于其通过使非同源末端连接(NHEJ)失活来恢复同源重组(HR)的效果,仍需要进一步研究。因此,识别NHEJ的调节因子,通过抑制DNA损伤修复来提高癌细胞对奥拉帕利的敏感性,是当前研究的一个主要重点。DNA依赖性蛋白激酶(DNA-PK)作为NHEJ的主要成分之一,其缺失会损害DNA损伤修复,而由此导致的DNA损伤负担增加可能会增强癌细胞对聚(ADP-核糖)聚合酶(PARP)依赖性DNA修复的依赖,使其更容易受到PARP抑制剂治疗的影响。然而,仅DNA-PK不足以提高奥拉帕利的疗效,因此正在探索各种辅助和联合治疗方法。我们根据结直肠癌(CRC)细胞对奥拉帕利的敏感性对其进行分类,发现它们是根据TP53状态进行分类的。在此,我们研究了DNA-PK在对奥拉帕利反应中的作用,强调了它与TP53状态的关系。我们的研究结果表明,抑制DNA-PK可增强对奥拉帕利的敏感性,并仅在TP53野生型(WT)细胞中诱导p53磷酸化。此外,使用结直肠癌患者来源的细胞(PDC)和患者来源的异种移植(PDX)模型,我们表明奥拉帕利的敏感性由TP53和DNA-PK基因型决定。这些发现突出了TP53和DNA-PK作为潜在预测生物标志物,可用于优化结直肠癌中基于PARP抑制剂的治疗。