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PARP inhibition restores extrinsic apoptotic sensitivity in glioblastoma
Georg Karpel-Massler1, Fresia Pareja1, Pascaline Aimé1
1Department of Pathology & Cell Biology, Columbia University Medical Center, New York, New York, United States of America.
Background:
Resistance to apoptosis is a paramount issue in the treatment of Glioblastoma (GBM). We show that targeting PARP by the small molecule inhibitors, Olaparib (AZD-2281) or PJ34, reduces proliferation and lowers the apoptotic threshold of GBM cells in vitro and in vivo.
Methods:
The sensitizing effects of PARP inhibition on TRAIL-mediated apoptosis and potential toxicity were analyzed using viability assays and flow cytometry in established GBM cell lines, low-passage neurospheres and astrocytes in vitro. Molecular analyses included western blots and gene silencing. In vivo, effects on tumor growth were examined in a murine subcutaneous xenograft model.
Results:
The combination treatment of PARP inhibitors and TRAIL led to an increased cell death with activation of caspases and inhibition of formation of neurospheres when compared to single-agent treatment. Mechanistically, pharmacological PARP inhibition elicited a nuclear stress response with up-regulation of down-stream DNA-stress response proteins, e.g., CCAAT enhancer binding protein (C/EBP) homology protein (CHOP). Furthermore, Olaparib and PJ34 increased protein levels of DR5 in a concentration and time-dependent manner. In turn, siRNA-mediated suppression of DR5 mitigated the effects of TRAIL/PARP inhibitor-mediated apoptosis. In addition, suppression of PARP-1 levels enhanced TRAIL-mediated apoptosis in malignant glioma cells. Treatment of human astrocytes with the combination of TRAIL/PARP inhibitors did not cause toxicity. Finally, the combination treatment of TRAIL and PJ34 significantly reduced tumor growth in vivo when compared to treatment with each agent alone.
Conclusions:
PARP inhibition represents a promising avenue to overcome apoptotic resistance in GBM.
Insights
Targeting poly (ADP-ribose) polymerase (PARP) with inhibitors like Olaparib sensitizes glioblastoma cells to TRAIL-induced apoptosis. This combination therapy reduces tumor growth and overcomes resistance, offering a promising treatment strategy for glioblastoma.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Glioblastoma (GBM) exhibits resistance to apoptosis, a major challenge in treatment.
- Targeting poly (ADP-ribose) polymerase (PARP) with small molecule inhibitors like Olaparib or PJ34 reduces GBM cell proliferation and sensitizes them to apoptosis.
Purpose of the Study:
- To investigate the sensitizing effects of PARP inhibition on TRAIL-mediated apoptosis in glioblastoma.
- To evaluate the efficacy and toxicity of combining PARP inhibitors with TRAIL in glioblastoma models.
Main Methods:
- Viability assays, flow cytometry, western blots, and gene silencing were used in GBM cell lines, neurospheres, and astrocytes.
- In vivo studies utilized a murine subcutaneous xenograft model to assess tumor growth inhibition.
Main Results:
- Combination treatment of PARP inhibitors and TRAIL significantly increased glioblastoma cell death and inhibited neurosphere formation.
- PARP inhibition induced a nuclear stress response, up-regulated DR5 protein levels, and enhanced TRAIL-mediated apoptosis.
- Combination therapy showed no toxicity in human astrocytes and significantly reduced tumor growth in vivo.
Conclusions:
- PARP inhibition is a promising strategy to overcome apoptotic resistance in glioblastoma.
- Combining PARP inhibitors with TRAIL offers a potential therapeutic approach for glioblastoma treatment.
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