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PARP1 is activated at telomeres upon G4 stabilization: possible target for telomere-based therapy
E Salvati1, M Scarsella, M Porru
1Experimental Chemotherapy Laboratory, Regina Elena Cancer Institute, Rome, Italy.
Abstract:
New anti-telomere strategies represent important goals for the development of selective cancer therapies. In this study, we reported that uncapped telomeres, resulting from pharmacological stabilization of quadruplex DNA by RHPS4 (3,11-difluoro-6,8,13-trimethyl-8H-quino[4,3,2-kl]acridinium methosulfate), trigger specific recruitment and activation of poly-adenosine diphosphate (ADP) ribose polymerase I (PARP1) at the telomeres, forming several ADP-ribose polymers that co-localize with the telomeric repeat binding factor 1 protein and are inhibited by selective PARP(s) inhibitors or PARP1-specific small interfering RNAs. The knockdown of PARP1 prevents repairing of RHPS4-induced telomere DNA breaks, leading to increases in chromosome abnormalities and eventually to the inhibition of tumor cell growth both in vitro and in xenografts. More interestingly, the integration of a TOPO1 inhibitor on the combination treatment proved to have a high therapeutic efficacy ensuing a complete regression of the tumor as well as a significant increase in overall survival and cure of mice even when treatments started at a very late stage of tumor growth. Overall, this work reveals the unexplored link between the PARP1 and G-quadruplex ligands and demonstrates the excellent efficacy of a multi-component strategy based on the use of PARP inhibitors in telomere-based therapy.
Insights
New cancer therapies target telomeres by stabilizing G-quadruplex DNA with RHPS4, activating PARP1. Inhibiting PARP1 or combining with TOPO1 inhibitors halts tumor growth and improves survival.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Telomere maintenance is crucial for cancer cell proliferation.
- Targeting telomeres offers a strategy for selective cancer therapy.
- G-quadruplex DNA stabilizers are emerging as anti-cancer agents.
Purpose of the Study:
- To investigate the mechanism of action of RHPS4, a G-quadruplex stabilizer.
- To explore the role of poly-adenosine diphosphate (ADP) ribose polymerase I (PARP1) in response to telomere uncapping.
- To evaluate combination therapies involving PARP1 inhibition and TOPO1 inhibition for cancer treatment.
Main Methods:
- Pharmacological stabilization of telomeric G-quadruplex DNA using RHPS4.
- Assessment of PARP1 recruitment and activation at telomeres.
- Inhibition of PARP1 using selective inhibitors and small interfering RNAs (siRNAs).
- Evaluation of DNA damage, chromosome abnormalities, and tumor cell growth inhibition in vitro and in vivo (xenografts).
- Combination therapy with a topoisomerase 1 (TOPO1) inhibitor.
Main Results:
- RHPS4-induced telomere uncapping recruits and activates PARP1, leading to ADP-ribose polymer formation.
- PARP1 knockdown prevents repair of RHPS4-induced telomere breaks, causing chromosome abnormalities and inhibiting tumor growth.
- Combination therapy with a TOPO1 inhibitor resulted in complete tumor regression, increased survival, and cure in mice.
- Treatment demonstrated efficacy even when initiated late in tumor progression.
Conclusions:
- Uncapped telomeres trigger a PARP1-dependent DNA damage response.
- PARP1 inhibition is a viable strategy to enhance telomere-based cancer therapy.
- A multi-component approach combining G-quadruplex ligands, PARP inhibitors, and TOPO1 inhibitors shows significant therapeutic potential.
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