Cytotoxicity and Differentiating Effect of the Poly(ADP-Ribose) Polymerase Inhibitor Olaparib in Myelodysplastic Syndromes

Myelodysplastic syndromes (MDS) are highly heterogeneous myeloid diseases, characterized by frequent genetic/chromosomal aberrations. Olaparib is a potent, orally bioavailable poly(ADP-ribose) polymerase 1 (PARP1) inhibitor with acceptable toxicity profile, designed as targeted therapy for DNA repair defective tumors. Here, we investigated olaparib activity in primary cultures of bone marrow mononuclear cells collected from patients with MDS (<i<n</i< = 28). A single treatment with olaparib induced cytotoxic effects in most samples, with median IC<sub<50</sub< of 5.4 µM (2.0−24.8 µM), lower than plasma peak concentration reached in vivo. In addition, olaparib induced DNA damage as shown by a high proportion of γH2AX positive cells in samples with low IC<sub<50</sub<s. Olaparib preferentially killed myeloid cells causing a significant reduction of blasts and promyelocytes, paralleled by an increase in metamyelocytes and mature granulocytes while sparing lymphocytes that are not part of the MDS clone. Consistently, flow cytometry analysis revealed a decrease of CD117+/CD123+ immature progenitors (<i<p</i< &lt; 0.001) and induction of CD11b+/CD16+ (<i<p</i< &lt; 0.001) and CD10+/CD15+ (<i<p</i< &lt; 0.01) neutrophils. Morphological and immunophenotypic changes were associated with a dose-dependent increase of PU.1 and CEBPA transcription factors, which are drivers of granulocytic and monocytic differentiation. Moreover, the combination of olaparib with decitabine resulted in augmented cytotoxic and differentiating effects. Our data suggest that olaparib may have therapeutic potential in MDS patients..

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Cancers - 11(2019), 9, p 1373

Sprache:

Englisch

Beteiligte Personen:

Isabella Faraoni [VerfasserIn]
Maria Irno Consalvo [VerfasserIn]
Francesca Aloisio [VerfasserIn]
Emiliano Fabiani [VerfasserIn]
Manuela Giansanti [VerfasserIn]
Francesca Di Cristino [VerfasserIn]
Giulia Falconi [VerfasserIn]
Lucio Tentori [VerfasserIn]
Ambra Di Veroli [VerfasserIn]
Paola Curzi [VerfasserIn]
Luca Maurillo [VerfasserIn]
Pasquale Niscola [VerfasserIn]
Francesco Lo-Coco [VerfasserIn]
Grazia Graziani [VerfasserIn]
Maria Teresa Voso [VerfasserIn]

Links:

doi.org [kostenfrei]
doaj.org [kostenfrei]
www.mdpi.com [kostenfrei]
Journal toc [kostenfrei]

Themen:

AML
Hematopoietic differentiation
MDS
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Olaparib
PARP inhibitors
PARP1

doi:

10.3390/cancers11091373

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ032373643