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Published on: May 15, 2019
Poly (ADP-ribose) polymerase inhibitors selectively induce cytotoxicity in TCF3-HLF-positive leukemic cells
Jinhua Piao1, Shiori Takai1, Takahiro Kamiya2
1Department of Pediatrics and Developmental Biology, Graduate School of Medicine, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519, Japan.
Abstract:
Poly (ADP-ribose) polymerase (PARP) is an indispensable component of the DNA repair machinery. PARP inhibitors are used as cutting-edge treatments for patients with homologous recombination repair (HRR)-defective breast cancers harboring mutations in BRCA1 or BRCA2. Other tumors defective in HRR, including some hematological malignancies, are predicted to be good candidates for treatment with PARP inhibitors. Screening of leukemia-derived cell lines revealed that lymphoid lineage-derived leukemia cell lines, except for those derived from mature B cells and KMT2A (MLL)-rearranged B-cell precursors, were relatively sensitive to PARP inhibitors. By contrast, acute myelogenous leukemia cell lines, except for RUNX1-RUNXT1 (AML1-ETO)-positive lines, were relatively resistant. Intriguingly, TCF3 (E2A)-HLF-positive leukemia was sensitive to PARP inhibitors. TCF3-HLF expression suppressed HRR activity, suggesting that PARP inhibitor treatment induced synthetic lethality. Furthermore, TCF3-HLF expression decreased levels of MCPH1, which regulates the expression of BRCA1, resulting in attenuation of HRR activity. The PARP inhibitor olaparib was also effective in an in vivo xenograft model. Our results suggest a novel therapeutic approach for treating refractory leukemia, particularly the TCF3-HLF-positive subtype.
Insights
Poly (ADP-ribose) polymerase (PARP) inhibitors show promise for treating certain leukemias. TCF3-HLF-positive leukemia is sensitive due to suppressed DNA repair, suggesting a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Poly (ADP-ribose) polymerase (PARP) is crucial for DNA repair.
- PARP inhibitors are effective in BRCA-mutated breast cancers with homologous recombination repair (HRR) defects.
- HRR-defective hematological malignancies are potential candidates for PARP inhibitor therapy.
Purpose of the Study:
- To investigate the efficacy of PARP inhibitors in various leukemia subtypes.
- To identify specific leukemia genetic alterations associated with PARP inhibitor sensitivity.
- To explore the underlying mechanisms of PARP inhibitor action in leukemia.
Main Methods:
- Screening of leukemia-derived cell lines for PARP inhibitor sensitivity.
- Analysis of gene expression, including TCF3-HLF and MCPH1.
- Evaluation of homologous recombination repair (HRR) activity.
- In vivo xenograft studies with PARP inhibitor olaparib.
Main Results:
- Lymphoid leukemia cell lines (excluding mature B cells and KMT2A-rearranged precursors) showed sensitivity.
- Acute myelogenous leukemia cell lines (excluding RUNX1-RUNXT1-positive) were generally resistant.
- TCF3-HLF-positive leukemia exhibited sensitivity, linked to suppressed HRR activity and decreased MCPH1 levels.
- Olaparib demonstrated efficacy in an in vivo xenograft model.
Conclusions:
- PARP inhibitors represent a potential therapeutic strategy for refractory leukemias.
- TCF3-HLF-positive leukemia is a promising subtype for PARP inhibitor treatment due to induced synthetic lethality.
- Decreased MCPH1 levels and subsequent HRR attenuation mediate PARP inhibitor sensitivity in TCF3-HLF-positive leukemia.
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