Related Experiment Video
Updated: Mar 13, 2026

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
Published on: March 16, 2018
Enhancing Therapeutic Efficacy of Cisplatin by Blocking DNA Damage Repair
Yuwei Cong1, Liangyan Wang2, Zigui Wang1
1State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, P. R. China; University of Chinese Academy of Sciences, Beijing 100049, P. R. China.
Abstract:
Self-repair of nuclear DNA damage is the most known reason that leads to drug resistance of cancer tissue and limited therapeutic efficacy of anticancer drugs. Inhibition of protein phosphatase 2A (PP2A) would block DNA damage-induced defense of cancer cells to suppress DNA repair for enhanced cancer treatment. Here, we combined a PP2A inhibitor LB (4-(3-carboxy-7-oxa-bicyclo[2.2.1]heptane-2-carbonyl) piperazine-1-carboxylic acid tert-butyl ester) and the DNA damage chemotherapeutic drug cisplatin through a simple physical superposition. The two drugs administrated at a ratio of 1:1 exhibited an optional synergistic antitumor efficacy in vitro and in vivo. LB was demonstrated to specifically activate the protein kinase B (Akt) and mitogen-activated protein kinases (MAPK) signaling pathways by PP2A inhibition to overcome cell cycle arrest caused by cisplatin-induced DNA damage.
Insights
Inhibiting protein phosphatase 2A (PP2A) with drug LB enhances cisplatin chemotherapy by blocking cancer cell DNA repair. This combination therapy shows synergistic antitumor effects, improving cancer treatment efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cancer cells resist chemotherapy partly due to DNA damage self-repair mechanisms.
- Protein phosphatase 2A (PP2A) plays a role in cancer cell defense against DNA damage.
- Inhibiting PP2A could potentially sensitize cancer cells to chemotherapy by suppressing DNA repair.
Purpose of the Study:
- To investigate the synergistic antitumor efficacy of combining a PP2A inhibitor (LB) with cisplatin.
- To elucidate the molecular mechanisms by which PP2A inhibition enhances cisplatin's anticancer effects.
- To evaluate the combination therapy's effectiveness both in vitro and in vivo.
Main Methods:
- Combination of PP2A inhibitor LB and cisplatin chemotherapy.
- Administration of drugs at a 1:1 ratio.
- In vitro and in vivo studies to assess antitumor efficacy.
- Analysis of Akt and MAPK signaling pathways.
Main Results:
- The combination of LB and cisplatin demonstrated synergistic antitumor efficacy.
- LB inhibited PP2A, leading to the activation of Akt and MAPK signaling pathways.
- This activation helped overcome cisplatin-induced cell cycle arrest.
- The combination therapy showed efficacy in both in vitro and in vivo models.
Conclusions:
- Combining PP2A inhibitor LB with cisplatin offers a promising strategy for enhanced cancer treatment.
- PP2A inhibition sensitizes cancer cells to DNA damage by modulating Akt and MAPK pathways.
- This approach effectively overcomes chemotherapy-induced resistance and cell cycle arrest.
Related Concept Videos
DNA Damage can Stall the Cell Cycle
DNA Damage Can Stall the Cell Cycle
Treatment Resistant Cancers
Overview of DNA Repair
Chemically...

