[HTML][HTML] Sublethal concentrations of 17-AAG suppress homologous recombination DNA repair and enhance sensitivity to carboplatin and olaparib in HR proficient …

YE Choi, C Battelli, J Watson, J Liu, J Curtis… - Oncotarget, 2014 - ncbi.nlm.nih.gov
YE Choi, C Battelli, J Watson, J Liu, J Curtis, AN Morse, UA Matulonis, D Chowdhury
Oncotarget, 2014ncbi.nlm.nih.gov
The promise of PARP-inhibitors (PARPis) in the management of epithelial ovarian cancer
(EOC) is tempered by the fact that approximately 50% of patients with homologous
recombination (HR)-proficient tumors do not respond well to these agents. Combination of
PARPis with agents that inhibit HR may represent an effective strategy to enhance their
activity in HR-proficient tumors. Using a bioinformatics approach, we identified that heat
shock protein 90 inhibitors (HSP90i) may suppress HR and thus revert HR-proficient to HR …
Abstract
The promise of PARP-inhibitors (PARPis) in the management of epithelial ovarian cancer (EOC) is tempered by the fact that approximately 50% of patients with homologous recombination (HR)-proficient tumors do not respond well to these agents. Combination of PARPis with agents that inhibit HR may represent an effective strategy to enhance their activity in HR-proficient tumors. Using a bioinformatics approach, we identified that heat shock protein 90 inhibitors (HSP90i) may suppress HR and thus revert HR-proficient to HR-deficient tumors. Analysis of publicly available gene expression data showed that exposure of HR-proficient breast cancer cell lines to HSP90i 17-AAG (17-allylamino-17-demethoxygeldanamycin) downregulated HR, ATM and Fanconi Anemia pathways. In HR-proficient EOC cells, 17-AAG suppressed HR as assessed using the RAD51 foci formation assay and this was further confirmed using the Direct Repeat-GFP reporter assay. Furthermore, 17-AAG downregulated BRCA1 and/or RAD51 protein levels, and induced significantly more γH2AX activation in combination with olaparib compared to olaparib alone. Finally, sublethal concentrations of 17-AAG sensitized HR-proficient EOC lines to olaparib and carboplatin but did not affect sensitivity of the HR-deficient OVCAR8 line arguing that the 17-AAG mediated sensitization is dependent on suppression of HR. These results provide a preclinical rationale for using a combination of olaparib/17-AAG in HR-proficient EOC.
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