A synergistic two-drug therapy specifically targets a DNA repair dysregulation that occurs in p53-deficient colorectal and pancreatic cancers

Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved..

The tumor-suppressor p53 is commonly inactivated in colorectal cancer and pancreatic ductal adenocarcinoma, but existing treatment options for p53-mutant (p53Mut) cancer are largely ineffective. Here, we report a therapeutic strategy for p53Mut tumors based on abnormalities in the DNA repair response. Investigation of DNA repair upon challenge with thymidine analogs reveals a dysregulation in DNA repair response in p53Mut cells that leads to accumulation of DNA breaks. Thymidine analogs do not interrupt DNA synthesis but induce DNA repair that involves a p53-dependent checkpoint. Inhibitors of poly(ADP-ribose) polymerase (PARPis) markedly enhance DNA double-strand breaks and cell death induced by thymidine analogs in p53Mut cells, whereas p53 wild-type cells respond with p53-dependent inhibition of the cell cycle. Combinations of trifluorothymidine and PARPi agents demonstrate superior anti-neoplastic activity in p53Mut cancer models. These findings support a two-drug combination strategy to improve outcomes for patients with p53Mut cancer.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:5

Enthalten in:

Cell reports. Medicine - 5(2024), 3 vom: 19. März, Seite 101434

Sprache:

Englisch

Beteiligte Personen:

Alruwaili, Mohammed M [VerfasserIn]
Zonneville, Justin [VerfasserIn]
Naranjo, Maricris N [VerfasserIn]
Serio, Hannah [VerfasserIn]
Melendy, Thomas [VerfasserIn]
Straubinger, Robert M [VerfasserIn]
Gillard, Bryan [VerfasserIn]
Foster, Barbara A [VerfasserIn]
Rajan, Priyanka [VerfasserIn]
Attwood, Kristopher [VerfasserIn]
Chatley, Sarah [VerfasserIn]
Iyer, Renuka [VerfasserIn]
Fountzilas, Christos [VerfasserIn]
Bakin, Andrei V [VerfasserIn]

Links:

Volltext

Themen:

5-fluorodeoxyuridine
9007-49-2
Colorectal cancer
DNA
DNA damage
EC 2.4.2.30
Journal Article
PARP inhibitor
Pancreatic cancer
Patient-derived xenograft
Poly(ADP-ribose) Polymerase Inhibitors
Poly(ADP-ribose) Polymerases
Poly(ADP-ribose) polymerase
TAS102
Thymidine
Trifluorothymidine
Tumor Suppressor Protein p53
VC2W18DGKR

Anmerkungen:

Date Completed 22.03.2024

Date Revised 03.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.xcrm.2024.101434

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36877452X