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.

Genes & Development
|July 18, 2009
PubMed

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.

Related Concept Videos

Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
Interactions Between Signaling Pathways01:19

Interactions Between Signaling Pathways

Signaling cascades usually lack linearity. Multiple pathways interact and regulate one another, allowing cells to integrate and respond to diverse environmental stimuli.
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
DNA Damage can Stall the Cell Cycle02:36

DNA Damage can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
DNA Damage Can Stall the Cell Cycle02:36

DNA Damage Can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...