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Updated: May 24, 2026

Generation of Microtumors Using 3D Human Biogel Culture System and Patient-derived Glioblastoma Cells for Kinomic Profiling and Drug Response Testing
Published on: June 9, 2016
Dynamic inhibition of ATM kinase provides a strategy for glioblastoma multiforme radiosensitization and growth
Sarah E Golding1, Elizabeth Rosenberg, Bret R Adams
1Department of Radiation Oncology, Virginia Commonwealth University, Richmond, VA, USA.
Abstract:
Glioblastoma multiforme (GBM) is notoriously resistant to treatment. Therefore, new treatment strategies are urgently needed. ATM elicits the DNA damage response (DDR), which confers cellular radioresistance; thus, targeting the DDR with an ATM inhibitior (ATMi) is very attractive. Herein, we show that dynamic ATM kinase inhibition in the nanomolar range results in potent radiosensitization of human glioma cells, inhibits growth and does not conflict with temozolomide (TMZ) treatment. The second generation ATMi analog KU-60019 provided quick, reversible and complete inhibition of the DDR at sub-micromolar concentrations in human glioblastoma cells. KU-60019 inhibited the phosphorylation of the major DNA damage effectors p53, H2AX and KAP1 as well as AKT. Colony-forming radiosurvival showed that continuous exposure to nanomolar concentrations of KU-60019 effectively radiosensitized glioblastoma cell lines. When cells were co-treated with KU-60019 and TMZ, a slight increase in radiation-induced cell killing was noted, although TMZ alone was unable to radiosensitize these cells. In addition, without radiation, KU-60019 with or without TMZ reduced glioma cell growth but had no significant effect on the survival of human embryonic stem cell (hESC)-derived astrocytes. Altogether, transient inhibition of the ATM kinase provides a promising strategy for radiosensitizing GBM in combination with standard treatment. In addition, without radiation, KU-60019 limits growth of glioma cells in co-culture with human astrocytes that seem unaffected by the same treatment. Thus, inter-fraction growth inhibition could perhaps be achieved in vivo with minor adverse effects to the brain.
Insights
Targeting ATM kinase with KU-60019 radiosensitizes glioblastoma cells and inhibits growth, showing promise for combination therapy with temozolomide and radiation, with minimal impact on normal brain cells.
Area of Science:
- Oncology
- Molecular Biology
- Radiotherapy
Background:
- Glioblastoma multiforme (GBM) exhibits resistance to current treatments.
- The DNA damage response (DDR) pathway, mediated by ATM kinase, contributes to radioresistance in cancer cells.
Purpose of the Study:
- To investigate the efficacy of ATM kinase inhibition using KU-60019 as a radiosensitizing strategy for glioblastoma.
- To evaluate the combination effects of KU-60019 with temozolomide (TMZ) and radiation therapy.
Main Methods:
- Utilized a second-generation ATM inhibitor (KU-60019) to target ATM kinase in human glioblastoma cells.
- Assessed inhibition of DDR signaling pathways (p53, H2AX, KAP1, AKT phosphorylation).
- Performed colony-forming radiosurvival assays and co-treatment studies with KU-60019, TMZ, and radiation.
Main Results:
- KU-60019 achieved rapid, reversible, and complete DDR inhibition at sub-micromolar concentrations.
- Nanomolar concentrations of KU-60019 effectively radiosensitized glioblastoma cell lines.
- Co-treatment with KU-60019 and TMZ showed a modest increase in radiation-induced cell killing.
- KU-60019 alone or with TMZ reduced glioma cell growth without significantly affecting normal astrocytes.
Conclusions:
- Transient ATM kinase inhibition is a promising strategy for enhancing glioblastoma radiosensitization in combination therapies.
- KU-60019 demonstrates potential for limiting glioma cell growth with minimal toxicity to surrounding brain tissue, suggesting therapeutic applications beyond radiosensitization.
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