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Sequential Therapy with PARP and WEE1 Inhibitors Minimizes Toxicity while Maintaining Efficacy

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单位: [1]Univ Texas MD Anderson Canc Ctr, Dept Syst Biol, Houston, TX 77030 USA [2]Oregon Hlth & Sci Univ, Dept Cell Dev & Canc Biol, Portland, OR 97201 USA [3]Knight Canc Inst, Portland, OR 97201 USA [4]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Obstet & Gynecol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China [5]Univ Texas MD Anderson Canc Ctr, Dept Pathol, Houston, TX 77030 USA [6]Univ Texas MD Anderson Canc Ctr, Dept Bioinformat & Computat Biol, Houston, TX 77030 USA [7]Univ Texas MD Anderson Canc Ctr, Dept Canc Prevent, Houston, TX 77030 USA [8]Univ Texas MD Anderson Canc Ctr, Dept Gynecol Oncol & Reprod Med, Houston, TX 77030 USA [9]AstraZeneca, Oncol Innovat Med & Early Clin Dev, Cambridge CB4 0WG, England [10]Univ Texas MD Anderson Canc Ctr, Dept Invest Canc Therapeut, Houston, TX 77030 USA [11]Univ Texas MD Anderson Canc Ctr, Dept Epigenet & Mol Carcinogenesis, 1808 Pk Rd 1C, Smithville, TX 78957 USA
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We demonstrate that concurrent administration of poly(ADP-ribose) polymerase (PARP) and WEE1 inhibitors is effective in inhibiting tumor growth but poorly tolerated. Concurrent treatment with PARP and WEE1 inhibitors induces replication stress, DNA damage, and abrogates the G(2) DNA damage checkpoint in both normal and malignant cells. Following cessation of monotherapy with PARP or WEE1 inhibitors, effects of these inhibitors persist suggesting that sequential administration of PARP and WEE1 inhibitors could maintain efficacy while ameliorating toxicity. Strikingly, while sequential administration mirrored concurrent therapy in cancer cells that have high basal replication stress, low basal replication stress in normal cells protected them from DNA damage and toxicity, thus improving tolerability while preserving efficacy in ovarian cancer xenograft and patient-derived xenograft models.

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出版当年[2018]版:
大类 | 1 区 医学
小类 | 1 区 细胞生物学 1 区 肿瘤学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 细胞生物学 1 区 肿瘤学
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出版当年[2017]版:
Q1 CELL BIOLOGY Q1 ONCOLOGY
最新[2023]版:
Q1 CELL BIOLOGY Q1 ONCOLOGY

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第一作者单位: [1]Univ Texas MD Anderson Canc Ctr, Dept Syst Biol, Houston, TX 77030 USA [2]Oregon Hlth & Sci Univ, Dept Cell Dev & Canc Biol, Portland, OR 97201 USA [3]Knight Canc Inst, Portland, OR 97201 USA [4]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Obstet & Gynecol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China
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通讯机构: [1]Univ Texas MD Anderson Canc Ctr, Dept Syst Biol, Houston, TX 77030 USA [2]Oregon Hlth & Sci Univ, Dept Cell Dev & Canc Biol, Portland, OR 97201 USA [3]Knight Canc Inst, Portland, OR 97201 USA [4]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Obstet & Gynecol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China
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