Modification of the DNA damage response by therapeutic CDK4/6 inhibition
Jeffry L Dean1, A Kathleen McClendon, Erik S Knudsen
1Kimmel Cancer Center, Philadelphia, Pennsylvania, USA.
Abstract:
The RB/E2F axis represents a critical node of cell signaling that integrates a diverse array of signaling pathways. Recent evidence has suggested a role for E2F-mediated gene transcription in DNA damage response and repair, as well as apoptosis signaling. Herein, we investigated how repression of E2F activity via CDK4/6 inhibition and RB activation impacts the response of triple negative breast cancer (TNBC) to frequently used therapeutic agents. In combination with taxanes and anthracyclines CDK4/6 inhibition and consequent cell cycle arrest prevented the induction of DNA damage and associated cell death in an RB-dependent manner; thereby demonstrating antagonism between the cytostatic influence of the CDK-inhibitor and cytotoxic agents. As many of these effects were secondary to cell cycle arrest, γ-irradiation (IR) was utilized to examine effects of CDK4/6 inhibition on direct DNA damage. Although E2F controls a number of genes involved in DNA repair (e.g. Rad51), CDK4/6 inhibition did not alter the overall rate of DNA repair, rather it significantly shifted the burden of this repair from homologous recombination (HR) to non-homologous end joining (NHEJ). Together, these data indicate that CDK4/6 inhibition can antagonize cytotoxic therapeutic strategies and increases utilization of error-prone DNA repair mechanisms that could contribute to disease progression.
Insights
CDK4/6 inhibition in triple-negative breast cancer (TNBC) antagonizes chemotherapy by causing cell cycle arrest. This arrest hinders DNA damage induction and shifts DNA repair from accurate homologous recombination to error-prone non-homologous end joining.
Area of Science:
- Molecular Biology
- Cancer Research
- Cell Signaling
Background:
- The RB/E2F pathway is crucial for cell signaling, integrating various pathways.
- E2F-mediated transcription plays a role in DNA damage response, repair, and apoptosis.
- Triple-negative breast cancer (TNBC) presents unique therapeutic challenges.
Purpose of the Study:
- To investigate the impact of CDK4/6 inhibition and RB activation on TNBC response to therapeutics.
- To understand how repressing E2F activity affects DNA damage and repair mechanisms in TNBC.
Main Methods:
- Utilized CDK4/6 inhibitors to induce RB activation and cell cycle arrest in TNBC models.
- Administered cytotoxic agents (taxanes, anthracyclines) in combination with CDK4/6 inhibitors.
- Employed gamma irradiation (IR) to assess direct DNA damage and repair pathway shifts.
Main Results:
- CDK4/6 inhibition antagonized cytotoxic agents by preventing DNA damage and cell death, dependent on RB.
- Cell cycle arrest induced by CDK4/6 inhibitors shifted DNA repair from homologous recombination (HR) to non-homologous end joining (NHEJ).
- The overall rate of DNA repair was not altered, but the mechanism shifted towards error-prone NHEJ.
Conclusions:
- CDK4/6 inhibition can antagonize conventional cytotoxic therapies in TNBC.
- This inhibition promotes the use of error-prone DNA repair pathways, potentially driving disease progression.
- Findings highlight the complex interplay between cell cycle control and DNA repair in cancer therapy.
More Related Videos
10:27Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
06:59Using Next Generation Sequencing to Identify Mutations Associated with Repair of a CAS9-induced Double Strand Break Near the CD4 Promoter
Published on: March 31, 2022
Related Concept Videos
Inhibition of Cdk Activity
Inhibition of CDK Activity
DNA Damage can Stall the Cell Cycle
DNA Damage Can Stall the Cell Cycle
M-Cdk Drives Transition Into Mitosis
Cyclin-dependent kinases, or Cdks, work in concert with cyclins to control cell cycle transitions. M-Cdk, a complex of Cdk1 bound to M cyclin, is a well-known example of this coordinated control that drives the transition from the G2 to the M phase.
M cyclin...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
