Inhibition of NF-κB and DNA double-strand break repair by DMAPT sensitizes non-small-cell lung cancers to X-rays

Neil C Estabrook1, Helen Chin-Sinex, Anthony J Borgmann

  • 1Department of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN 46202, USA.

Insights

Dimethylaminoparthenolide (DMAPT), an NF-κB inhibitor, enhances X-ray cancer therapy by blocking DNA repair. This drug increases X-ray effectiveness in lung cancer cells, both in lab tests and in animal models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Radiotherapy

Background:

  • Nuclear factor-kappa B (NF-κB) is a key regulator of cellular responses to radiation.
  • Inhibiting NF-κB may sensitize cancer cells to radiation therapy.
  • Understanding the role of NF-κB in DNA repair is crucial for improving radiotherapy efficacy.

Purpose of the Study:

  • To investigate the efficacy of dimethylaminoparthenolide (DMAPT) in sensitizing human lung cancer cells to X-ray therapy.
  • To elucidate the mechanism by which DMAPT enhances X-ray-induced cell killing, focusing on NF-κB inhibition and DNA double-strand break (DSB) repair.
  • To evaluate the in vivo efficacy of DMAPT in combination with X-ray therapy.

Main Methods:

  • In vitro studies using human lung cancer cell lines treated with DMAPT and X-rays.
  • Assessment of NF-κB binding activity using electrophoretic mobility shift assays.
  • Analysis of DNA double-strand break (DSB) repair using neutral DNA comet assays.
  • In vivo studies using A549 tumor xenografts in nude mice.

Main Results:

  • DMAPT decreased cell viability and inhibited both constitutive and radiation-induced NF-κB activity.
  • DMAPT enhanced X-ray-induced cell killing in vitro, with dose modification factors of 1.8 and 1.4.
  • DMAPT inhibited split-dose recovery and altered the kinetics of X-ray-induced DNA DSB repair.
  • Knockdown of p65, an NF-κB family member, mimicked DMAPT's effects on radiosensitivity and DNA repair.
  • DMAPT treatment led to enhanced X-ray-induced tumor growth delay in vivo.

Conclusions:

  • DMAPT effectively sensitizes human lung cancer cells to X-ray therapy both in vitro and in vivo.
  • The mechanism involves the inhibition of NF-κB signaling and subsequent impairment of DNA double-strand break repair.
  • DMAPT represents a promising therapeutic agent for enhancing the efficacy of radiotherapy in non-small-cell lung cancer.

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