RRC ID 66858
著者 Zenke FT, Zimmermann A, Sirrenberg C, Dahmen H, Kirkin V, Pehl U, Grombacher T, Wilm C, Fuchss T, Amendt C, Vassilev LT, Blaukat A.
タイトル Pharmacologic Inhibitor of DNA-PK, M3814, Potentiates Radiotherapy and Regresses Human Tumors in Mouse Models.
ジャーナル Mol Cancer Ther
Abstract Physical and chemical DNA-damaging agents are used widely in the treatment of cancer. Double-strand break (DSB) lesions in DNA are the most deleterious form of damage and, if left unrepaired, can effectively kill cancer cells. DNA-dependent protein kinase (DNA-PK) is a critical component of nonhomologous end joining (NHEJ), one of the two major pathways for DSB repair. Although DNA-PK has been considered an attractive target for cancer therapy, the development of pharmacologic DNA-PK inhibitors for clinical use has been lagging. Here, we report the discovery and characterization of a potent, selective, and orally bioavailable DNA-PK inhibitor, M3814 (peposertib), and provide in vivo proof of principle for DNA-PK inhibition as a novel approach to combination radiotherapy. M3814 potently inhibits DNA-PK catalytic activity and sensitizes multiple cancer cell lines to ionizing radiation (IR) and DSB-inducing agents. Inhibition of DNA-PK autophosphorylation in cancer cells or xenograft tumors led to an increased number of persistent DSBs. Oral administration of M3814 to two xenograft models of human cancer, using a clinically established 6-week fractionated radiation schedule, strongly potentiated the antitumor activity of IR and led to complete tumor regression at nontoxic doses. Our results strongly support DNA-PK inhibition as a novel approach for the combination radiotherapy of cancer. M3814 is currently under investigation in combination with radiotherapy in clinical trials.
巻・号 19(5)
ページ 1091-1101
公開日 2020-5-1
DOI 10.1158/1535-7163.MCT-19-0734
PII 1535-7163.MCT-19-0734
PMID 32220971
MeSH Animals Apoptosis Carcinoma, Non-Small-Cell Lung / drug therapy Carcinoma, Non-Small-Cell Lung / pathology Carcinoma, Non-Small-Cell Lung / radiotherapy* Cell Proliferation DNA-Activated Protein Kinase / antagonists & inhibitors* Female Gene Expression Regulation, Enzymologic / drug effects* Gene Expression Regulation, Neoplastic / drug effects* Head and Neck Neoplasms / drug therapy Head and Neck Neoplasms / pathology Head and Neck Neoplasms / radiotherapy* Humans Lung Neoplasms / drug therapy Lung Neoplasms / pathology Lung Neoplasms / radiotherapy Mice Mice, Nude Protein Kinase Inhibitors / pharmacology* Pyridazines / pharmacology* Quinazolines / pharmacology* Radiation, Ionizing* Squamous Cell Carcinoma of Head and Neck / drug therapy Squamous Cell Carcinoma of Head and Neck / pathology Squamous Cell Carcinoma of Head and Neck / radiotherapy Tumor Cells, Cultured Xenograft Model Antitumor Assays
IF 5.615
リソース情報
ヒト・動物細胞 KP4(RCB1005) EBC-1(RCB1965)