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Updated: Aug 9, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
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.
Abstract:
Cisplatin resistance occurs, at least in part, through the function of the Fanconi anemia (FA)/BRCA pathway, a DNA-damage response pathway required for repair of cisplatin cross-links. In the current study, we designed a cell-based screening strategy to identify small-molecule inhibitors of the FA/BRCA pathway with the hypothesis that such molecules could restore sensitivity to platinum agents. We identified four inhibitors, including three protein kinase inhibitors (wortmannin, H-9, and alsterpaullone) and one natural compound (curcumin) that inhibit the FA/BRCA pathway. We show that curcumin, a compound that is generally regarded as safe, inhibits the monoubiquitination of the FANCD2 protein as predicted by the screen and consequently sensitizes ovarian and breast tumor cell lines to cisplatin through apoptotic cell death. We believe that this study shows an efficient, high-throughput method for identifying new compounds that may sensitize cancer cells to DNA-damaging chemotherapy.
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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