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2014 ; 4
(10
): 1198-213
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ATM regulates 3-methylpurine-DNA glycosylase and promotes therapeutic resistance
to alkylating agents
#MMPMID25100205
Agnihotri S
; Burrell K
; Buczkowicz P
; Remke M
; Golbourn B
; Chornenkyy Y
; Gajadhar A
; Fernandez NA
; Clarke ID
; Barszczyk MS
; Pajovic S
; Ternamian C
; Head R
; Sabha N
; Sobol RW
; Taylor MD
; Rutka JT
; Jones C
; Dirks PB
; Zadeh G
; Hawkins C
Cancer Discov
2014[Oct]; 4
(10
): 1198-213
PMID25100205
show ga
Alkylating agents are a first-line therapy for the treatment of several
aggressive cancers, including pediatric glioblastoma, a lethal tumor in children.
Unfortunately, many tumors are resistant to this therapy. We sought to identify
ways of sensitizing tumor cells to alkylating agents while leaving normal cells
unharmed, increasing therapeutic response while minimizing toxicity. Using an
siRNA screen targeting over 240 DNA damage response genes, we identified novel
sensitizers to alkylating agents. In particular, the base excision repair (BER)
pathway, including 3-methylpurine-DNA glycosylase (MPG), as well as ataxia
telangiectasia mutated (ATM), were identified in our screen. Interestingly, we
identified MPG as a direct novel substrate of ATM. ATM-mediated phosphorylation
of MPG was required for enhanced MPG function. Importantly, combined inhibition
or loss of MPG and ATM resulted in increased alkylating agent-induced
cytotoxicity in vitro and prolonged survival in vivo. The discovery of the
ATM-MPG axis will lead to improved treatment of alkylating agent-resistant
tumors. SIGNIFICANCE: Inhibition of ATM and MPG-mediated BER cooperate to
sensitize tumor cells to alkylating agents, impairing tumor growth in vitro and
in vivo with no toxicity to normal cells, providing an ideal therapeutic window.