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Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
The combined status of ATM and p53 link tumor development with therapeutic response
Hai Jiang1, H Christian Reinhardt, Jirina Bartkova
1The Koch Institute for Integrative Cancer Research at Massachusetts Institute of Technology, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA.
Abstract:
While the contribution of specific tumor suppressor networks to cancer development has been the subject of considerable recent study, it remains unclear how alterations in these networks are integrated to influence the response of tumors to anti-cancer treatments. Here, we show that mechanisms commonly used by tumors to bypass early neoplastic checkpoints ultimately determine chemotherapeutic response and generate tumor-specific vulnerabilities that can be exploited with targeted therapies. Specifically, evaluation of the combined status of ATM and p53, two commonly mutated tumor suppressor genes, can help to predict the clinical response to genotoxic chemotherapies. We show that in p53-deficient settings, suppression of ATM dramatically sensitizes tumors to DNA-damaging chemotherapy, whereas, conversely, in the presence of functional p53, suppression of ATM or its downstream target Chk2 actually protects tumors from being killed by genotoxic agents. Furthermore, ATM-deficient cancer cells display strong nononcogene addiction to DNA-PKcs for survival after DNA damage, such that suppression of DNA-PKcs in vivo resensitizes inherently chemoresistant ATM-deficient tumors to genotoxic chemotherapy. Thus, the specific set of alterations induced during tumor development plays a dominant role in determining both the tumor response to conventional chemotherapy and specific susceptibilities to targeted therapies in a given malignancy.
Insights
Tumor suppressor gene alterations, like ATM and p53, dictate chemotherapy response. Targeting DNA-PKcs can resensitize chemoresistant ATM-deficient tumors to DNA-damaging agents.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Tumor suppressor networks are crucial in cancer development.
- Understanding how network alterations impact anti-cancer treatment response is unclear.
- Common tumor mechanisms bypassing checkpoints influence treatment outcomes.
Purpose of the Study:
- To investigate how tumor suppressor network alterations predict chemotherapy response.
- To identify tumor-specific vulnerabilities for targeted therapies.
- To evaluate the combined status of ATM and p53 in predicting response to genotoxic chemotherapies.
Main Methods:
- Analysis of ATM and p53 gene status in tumors.
- Assessment of tumor response to DNA-damaging chemotherapy under varying ATM/p53 conditions.
- Investigation of DNA-PKcs dependency in ATM-deficient cancer cells.
- In vivo studies of DNA-PKcs suppression in chemoresistant tumors.
Main Results:
- Combined ATM and p53 status predicts response to genotoxic chemotherapy.
- ATM suppression sensitizes p53-deficient tumors to chemotherapy.
- Functional p53 with ATM or Chk2 suppression confers resistance to genotoxic agents.
- ATM-deficient cells show addiction to DNA-PKcs for DNA damage survival.
- DNA-PKcs suppression resensitizes chemoresistant ATM-deficient tumors to chemotherapy.
Conclusions:
- Tumor development alterations dominantly influence chemotherapy response.
- Specific genetic alterations create vulnerabilities exploitable by targeted therapies.
- The interplay between ATM, p53, and DNA-PKcs is critical for therapeutic strategies.
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