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2016 ; 7
(40
): 65504-65513
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Targeting DNA double strand break repair with hyperthermia and DNA-PKcs
inhibition to enhance the effect of radiation treatment
#MMPMID27602767
van Oorschot B
; Granata G
; Di Franco S
; Ten Cate R
; Rodermond HM
; Todaro M
; Medema JP
; Franken NA
Oncotarget
2016[Oct]; 7
(40
): 65504-65513
PMID27602767
show ga
Radiotherapy is based on the induction of lethal DNA damage, primarily DNA
double-strand breaks (DSB). Efficient DSB repair via Non-Homologous End Joining
or Homologous Recombination can therefore undermine the efficacy of radiotherapy.
By suppressing DNA-DSB repair with hyperthermia (HT) and DNA-PKcs inhibitor
NU7441 (DNA-PKcsi), we aim to enhance the effect of radiation.The sensitizing
effect of HT for 1 hour at 42°C and DNA-PKcsi [1 ?M] to radiation treatment was
investigated in cervical and breast cancer cells, primary breast cancer sphere
cells (BCSCs) enriched for cancer stem cells, and in an in vivo human tumor
model. A significant radio-enhancement effect was observed for all cell types
when DNA-PKcsi and HT were applied separately, and when both were combined, HT
and DNA-PKcsi enhanced radio-sensitivity to an even greater extent. Strikingly,
combined treatment resulted in significantly lower survival rates, 2 to 2.5 fold
increase in apoptosis, more residual DNA-DSB 6 h post treatment and a G2-phase
arrest. In addition, tumor growth analysis in vivo showed significant reduction
in tumor growth and elevated caspase-3 activity when radiation was combined with
HT and DNA-PKcsi compared to radiation alone. Importantly, no toxic side effects
of HT or DNA-PKcsi were found.In conclusion, inhibiting DNA-DSB repair using HT
and DNA-PKcsi before radiotherapy leads to enhanced cytotoxicity in cancer cells.
This effect was even noticed in the more radio-resistant BCSCs, which are clearly
sensitized by combined treatment. Therefore, the addition of HT and DNA-PKcsi to
conventional radiotherapy is promising and might contribute to more efficient
tumor control and patient outcome.
|*Hyperthermia, Induced
[MESH]
|Animals
[MESH]
|Breast Neoplasms/pathology/*therapy
[MESH]
|Chromones/*pharmacology
[MESH]
|DNA Breaks, Double-Stranded
[MESH]
|DNA Damage
[MESH]
|DNA End-Joining Repair
[MESH]
|DNA Repair
[MESH]
|DNA-Activated Protein Kinase/*antagonists & inhibitors
[MESH]