Radiosensitization and DNA repair inhibition by the combined use of novel inhibitors of DNA-dependent protein kinase and poly (ADP-ribose) polymerase-1

SJ Veuger, NJ Curtin, CJ Richardson, GCM Smith… - Cancer research, 2003 - AACR
SJ Veuger, NJ Curtin, CJ Richardson, GCM Smith, BW Durkacz
Cancer research, 2003AACR
The DNA repair enzymes, DNA-dependent protein kinase (DNA-PK) and poly (ADP-ribose)
polymerase-1 (PARP-1), are key determinants of radio-and chemo-resistance. We have
developed and evaluated novel specific inhibitors of DNA-PK (NU7026) and PARP-1
(AG14361) for use in anticancer therapy. PARP-1-and DNA-PK-deficient cell lines were 4-
fold more sensitive to ionizing radiation (IR) alone, and showed reduced potentially lethal
damage recovery (PLDR) in G0 cells, compared with their proficient counterparts. NU7026 …
Abstract
The DNA repair enzymes, DNA-dependent protein kinase (DNA-PK) and poly(ADP-ribose) polymerase-1 (PARP-1), are key determinants of radio- and chemo-resistance. We have developed and evaluated novel specific inhibitors of DNA-PK (NU7026) and PARP-1 (AG14361) for use in anticancer therapy. PARP-1- and DNA-PK-deficient cell lines were 4-fold more sensitive to ionizing radiation (IR) alone, and showed reduced potentially lethal damage recovery (PLDR) in G0 cells, compared with their proficient counterparts. NU7026 (10 μm) potentiated IR cytotoxicity [potentiation factor at 90% cell kill (PF90) = 1.51 ± 0.04] in exponentially growing DNA-PK proficient but not deficient cells. Similarly, AG14361 (0.4 μm) potentiated IR in PARP-1+/+ (PF90 = 1.37 ± 0.03) but not PARP-1−/− cells. When NU7026 and AG14361 were used in combination, their potentiating effects were additive (e.g., PF90 = 2.81 ± 0.19 in PARP-1+/+ cells). Both inhibitors alone reduced PLDR ∼3-fold in the proficient cell lines. Furthermore, the inhibitor combination completely abolished PLDR. IR-induced DNA double strand break (DNA DSB) repair was inhibited by both NU7026 and AG14361, and use of the inhibitor combination prevented 90% of DNA DSB rejoining, even 24-h postirradiation. Thus, there was a correlation between the ability of the inhibitors to prevent IR-induced DNA DSB repair and their ability to potentiate cytotoxicity. Thus, individually, or in combination, the DNA-PK and PARP-1 inhibitors act as potent radiosensitizers and show potential as tools for anticancer therapeutic intervention.
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