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2014 ; 53
(9
): 744-52
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Triplex-forming oligonucleotides targeting c-MYC potentiate the anti-tumor
activity of gemcitabine in a mouse model of human cancer
#MMPMID23681918
Boulware SB
; Christensen LA
; Thames H
; Coghlan L
; Vasquez KM
; Finch RA
Mol Carcinog
2014[Sep]; 53
(9
): 744-52
PMID23681918
show ga
Antimetabolite chemotherapy remains an essential cancer treatment modality, but
often produces only marginal benefit due to the lack of tumor specificity, the
development of drug resistance, and the refractoriness of slowly proliferating
cells in solid tumors. Here, we report a novel strategy to circumvent the
proliferation-dependence of traditional antimetabolite-based therapies.
Triplex-forming oligonucleotides (TFOs) were used to target site-specific DNA
damage to the human c-MYC oncogene, thereby inducing replication-independent,
unscheduled DNA repair synthesis (UDS) preferentially in the TFO-targeted region.
The TFO-directed UDS facilitated incorporation of the antimetabolite, gemcitabine
(GEM), into the damaged oncogene, thereby potentiating the anti-tumor activity of
GEM. Mice bearing COLO 320DM human colon cancer xenografts (containing amplified
c-MYC) were treated with a TFO targeted to c-MYC in combination with GEM. Tumor
growth inhibition produced by the combination was significantly greater than with
either TFO or GEM alone. Specific TFO binding to the genomic c-MYC gene was
demonstrated, and TFO-induced DNA damage was confirmed by NBS1 accumulation,
supporting a mechanism of enhanced efficacy of GEM via TFO-targeted DNA
damage-induced UDS. Thus, coupling antimetabolite chemotherapeutics with a
strategy that facilitates selective targeting of cells containing amplification
of cancer-relevant genes can improve their activity against solid tumors, while
possibly minimizing host toxicity.