Mutant RAS has remained recalcitrant to targeted therapy efforts. We demonstrate that combined treatment with poly(adenosine diphosphate-ribose) polymerase (PARP) inhibitors and mitogen-activated protein kinase (MAPK) kinase (MEK) inhibitors evokes unanticipated, synergistic cytotoxic effects in vitro and in vivo in multiple RAS mutant tumor models across tumor lineages where RAS mutations are prevalent. The effects of PARP and MEK inhibitor combinations are independent of BRCA1/2 and p53 mutation status, suggesting that the synergistic activity is likely to be generalizable. Synergistic activity of PARP and MEK inhibitor combinations in RAS mutant tumors is associated with (i) induction of BIM-mediated apoptosis, (ii) decrease in expression of components of the homologous recombination DNA repair pathway, (iii) decrease in homologous recombination DNA damage repair capacity, (iv) decrease in DNA damage checkpoint activity, (v) increase in PARP inhibitor-induced DNA damage, (vi) decrease in vascularity that could increase PARP inhibitor efficacy by inducing hypoxia, and (vii) elevated PARP1 protein, which increases trapping activity of PARP inhibitors. Mechanistically, enforced expression of FOXO3a, which is a target of the RAS/MAPK pathway, was sufficient to recapitulate the functional consequences of MEK inhibitors including synergy with PARP inhibitors. Thus, the ability of mutant RAS to suppress FOXO3a and its reversal by MEK inhibitors accounts, at least in part, for the synergy of PARP and MEK inhibitors in RAS mutant tumors. The rational combination of PARP and MEK inhibitors warrants clinical investigation in patients with RAS mutant tumors where there are few effective therapeutic options.
基金:
Susan G. Komen grantSusan G. Komen Breast Cancer Foundation [SAC110052]; Stand Up to Cancer Dream Team Translational Research grant [SU2C-AACR-DT0209]; NIHUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA [5U01CA168394, 5P50CA098258, 5P50CA083639]; Andrew Sabin Family Fellowship Program; Cancer Center Support grant [CA016672]; Dr. Miriam and Sheldon G. Adelson Medical Research Foundation; NATIONAL CANCER INSTITUTEUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Cancer Institute (NCI) [P50CA083639, P30CA016672, U24CA210950, U01CA217842, P50CA098258, U01CA168394, P50CA217685] Funding Source: NIH RePORTER
第一作者单位:[1]Univ Texas MD Anderson Canc Ctr, Dept Syst Biol, Houston, TX 77030 USA[2]Huazhong Univ Sci & Technol, Dept Obstet & Gynecol, Tongji Hosp, Tongji Med Coll, Wuhan 430030, Peoples R China
通讯作者:
通讯机构:[1]Univ Texas MD Anderson Canc Ctr, Dept Syst Biol, Houston, TX 77030 USA[2]Huazhong Univ Sci & Technol, Dept Obstet & Gynecol, Tongji Hosp, Tongji Med Coll, Wuhan 430030, Peoples R China
推荐引用方式(GB/T 7714):
Sun Chaoyang,Fang Yong,Yin Jun,et al.Rational combination therapy with PARP and MEK inhibitors capitalizes on therapeutic liabilities in RAS mutant cancers[J].SCIENCE TRANSLATIONAL MEDICINE.2017,9(392):doi:10.1126/scitranslmed.aal5148.
APA:
Sun, Chaoyang,Fang, Yong,Yin, Jun,Chen, Jian,Ju, Zhenlin...&Mills, Gordon B..(2017).Rational combination therapy with PARP and MEK inhibitors capitalizes on therapeutic liabilities in RAS mutant cancers.SCIENCE TRANSLATIONAL MEDICINE,9,(392)
MLA:
Sun, Chaoyang,et al."Rational combination therapy with PARP and MEK inhibitors capitalizes on therapeutic liabilities in RAS mutant cancers".SCIENCE TRANSLATIONAL MEDICINE 9..392(2017)