CRISPR/Cas9-generated models uncover therapeutic vulnerabilities of del(11q) CLL cells to dual BCR and PARP inhibition

The deletion of 11q (del(11q)) invariably comprises ATM gene in chronic lymphocytic leukemia (CLL). Concomitant mutations in this gene in the remaining allele have been identified in 1/3 of CLL cases harboring del(11q), being the biallelic loss of ATM associated with adverse prognosis. Although the introduction of targeted BCR inhibition has significantly favored the outcomes of del(11q) patients, responses of patients harboring ATM functional loss through biallelic inactivation are unexplored, and the development of resistances to targeted therapies have been increasingly reported, urging the need to explore novel therapeutic approaches. Here, we generated isogenic CLL cell lines harboring del(11q) and ATM mutations through CRISPR/Cas9-based gene-editing. With these models, we uncovered a novel therapeutic vulnerability of del(11q)/ATM-mutated cells to dual BCR and PARP inhibition. Ex vivo studies in the presence of stromal stimulation on 38 CLL primary samples confirmed a synergistic action of the combination of olaparib and ibrutinib in del(11q)/ATM-mutated CLL patients. In addition, we showed that ibrutinib produced a homologous recombination repair impairment through RAD51 dysregulation, finding a synergistic link of both drugs in the DNA damage repair pathway. Our data provide a preclinical rationale for the use of this combination in CLL patients with this high-risk cytogenetic abnormality.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Leukemia - 34(2020), 6 vom: 23. Juni, Seite 1599-1612

Sprache:

Englisch

Beteiligte Personen:

Quijada-Álamo, Miguel [VerfasserIn]
Hernández-Sánchez, María [VerfasserIn]
Alonso-Pérez, Verónica [VerfasserIn]
Rodríguez-Vicente, Ana E [VerfasserIn]
García-Tuñón, Ignacio [VerfasserIn]
Martín-Izquierdo, Marta [VerfasserIn]
Hernández-Sánchez, Jesús María [VerfasserIn]
Herrero, Ana B [VerfasserIn]
Bastida, José María [VerfasserIn]
San Segundo, Laura [VerfasserIn]
Gruber, Michaela [VerfasserIn]
García, Juan Luis [VerfasserIn]
Yin, Shanye [VerfasserIn]
Ten Hacken, Elisa [VerfasserIn]
Benito, Rocío [VerfasserIn]
Ordóñez, José Luis [VerfasserIn]
Wu, Catherine J [VerfasserIn]
Hernández-Rivas, Jesús María [VerfasserIn]

Links:

Volltext

Themen:

1X70OSD4VX
ATM protein, human
Adenine
Ataxia Telangiectasia Mutated Proteins
BCR protein, human
EC 2.4.2.30
EC 2.7.11.1
Ibrutinib
JAC85A2161
Journal Article
Olaparib
PARP1 protein, human
Phthalazines
Piperazines
Piperidines
Poly(ADP-ribose) Polymerase Inhibitors
Poly (ADP-Ribose) Polymerase-1
Proto-Oncogene Proteins c-bcr
Pyrazoles
Pyrimidines
Research Support, Non-U.S. Gov't
WOH1JD9AR8

Anmerkungen:

Date Completed 07.10.2020

Date Revised 04.12.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41375-020-0714-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM305715682