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10.1158/1078-0432.CCR-16-1216

http://scihub22266oqcxt.onion/10.1158/1078-0432.CCR-16-1216
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C5457806!5457806!27913567
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suck abstract from ncbi


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pmid27913567      Clin+Cancer+Res 2017 ; 23 (11): 2880-90
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  • Drug-repositioning screens identify Triamterene as a selective drug for the treatment of DNA Mismatch Repair deficient cells #MMPMID27913567
  • Guillotin D; Austin P; Begum R; Freitas MO; Merve A; Brend T; Short S; Marino S; Martin SA
  • Clin Cancer Res 2017[Jun]; 23 (11): 2880-90 PMID27913567show ga
  • Purpose: The DNA Mismatch repair (MMR) pathway is required for the maintenance of genome stability. Unsurprisingly, mutations in MMR genes occur in a wide range of different cancers. Studies thus far have largely focused on specific tumor types or MMR mutations, however it is becoming increasingly clear that a therapy targeting MMR-deficiency in general would be clinically very beneficial. Experimental Design: Based on a drug-repositioning approach, we screened a large panel of cell lines with various MMR deficiencies from a range of different tumor types with a compound drug library of previously approved drugs. We have identified the potassium-sparing diuretic drug Triamterene, as a novel sensitizing agent in MMR-deficient tumor cells, in vitro and in vivo. Results: The selective tumor cell cytotoxicity of Triamterene occurs through its antifolate activity, and depends on the activity of the folate synthesis enzyme, thymidylate synthase. Triamterene leads to a thymidylate synthase-dependent differential increase in reactive oxygen species in MMR-deficient cells, ultimately resulting in an increase in DNA double strand breaks. Conclusion: Conclusively, our data reveal a new drug repurposing and novel therapeutic strategy that has potential for the treatment of MMR-deficiency in a range of different tumor types and could significantly improve patient survival.
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