Chemosensitization to cisplatin by inhibitors of the Fanconi anemia/BRCA pathway

Deborah Chirnomas1, Toshiyasu Taniguchi, Michelle de la Vega

  • 1Department of Radiation Oncology, Dana-Farber Cancer Institute, Harvard Medical School, 44 Binney Street, Boston, MA 02115, USA.

Insights

Curcumin, a natural compound, can overcome cisplatin resistance by inhibiting the Fanconi anemia (FA)/BRCA DNA repair pathway. This approach sensitizes ovarian and breast cancer cells to chemotherapy, offering a new strategy for cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Cisplatin resistance is a significant challenge in cancer therapy, often mediated by DNA damage response pathways like Fanconi anemia (FA)/BRCA.
  • The FA/BRCA pathway is crucial for repairing DNA cross-links induced by platinum-based chemotherapy agents such as cisplatin.

Purpose of the Study:

  • To develop a cell-based screening strategy to identify small-molecule inhibitors of the FA/BRCA pathway.
  • To investigate whether inhibiting the FA/BRCA pathway can restore sensitivity to platinum agents in resistant cancer cells.

Main Methods:

  • A high-throughput cell-based screen was employed to identify inhibitors of the FA/BRCA pathway.
  • The efficacy of identified inhibitors, particularly curcumin, was evaluated in sensitizing ovarian and breast cancer cell lines to cisplatin.

Main Results:

  • Four small-molecule inhibitors of the FA/BRCA pathway were identified, including three protein kinase inhibitors and the natural compound curcumin.
  • Curcumin was confirmed to inhibit FANCD2 monoubiquitination, a key step in the FA/BRCA pathway.
  • Curcumin treatment sensitized cisplatin-resistant ovarian and breast cancer cell lines to cisplatin, inducing apoptotic cell death.

Conclusions:

  • The study presents an efficient method for discovering compounds that can overcome cisplatin resistance by targeting the FA/BRCA pathway.
  • Curcumin demonstrates potential as a sensitizing agent to enhance the efficacy of platinum-based chemotherapy in specific cancer types.
  • Inhibiting DNA repair pathways offers a promising strategy to improve outcomes for patients with cisplatin-resistant cancers.

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