Synthetic lethality of PARP and NAMPT inhibition in triple‐negative breast cancer cells

I Bajrami, A Kigozi, A Van Weverwijk… - EMBO molecular …, 2012 - embopress.org
I Bajrami, A Kigozi, A Van Weverwijk, R Brough, J Frankum, CJ Lord, A Ashworth
EMBO molecular medicine, 2012embopress.org
PARP inhibitors have been proposed as a potential targeted therapy for patients with triple‐
negative (ER‐, PR‐, HER2‐negative) breast cancers. However, it is as yet unclear as to
whether single agent or combination therapy using PARP inhibitors would be most
beneficial. To better understand the mechanisms that determine the response to PARP
inhibitors, we investigated whether enzymes involved in metabolism of the PARP substrate,
β‐NAD+, might alter the response to a clinical PARP inhibitor. Using an olaparib …
Abstract
PARP inhibitors have been proposed as a potential targeted therapy for patients with triple‐negative (ER‐, PR‐, HER2‐negative) breast cancers. However, it is as yet unclear as to whether single agent or combination therapy using PARP inhibitors would be most beneficial. To better understand the mechanisms that determine the response to PARP inhibitors, we investigated whether enzymes involved in metabolism of the PARP substrate, β‐NAD+, might alter the response to a clinical PARP inhibitor. Using an olaparib sensitization screen in a triple‐negative (TN) breast cancer model, we identified nicotinamide phosphoribosyltransferase (NAMPT) as a non‐redundant modifier of olaparib response. NAMPT is a rate‐limiting enzyme involved in the generation of the PARP substrate β‐NAD+ and the suppression of β‐NAD+ levels by NAMPT inhibition most likely explains these observations. Importantly, the combination of a NAMPT small molecule inhibitor, FK866, with olaparib inhibited TN breast tumour growth in vivo to a greater extent than either single agent alone suggesting that assessing NAMPT/PARP inhibitor combinations for the treatment of TN breast cancer may be warranted.
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