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Published on: December 4, 2016
A novel epigenetic modulating agent sensitizes pancreatic cells to a chemotherapy agent
Manjusha Thakar1, Yue Hu1, Michael Morreale1
1Department of Surgical Oncology, Johns Hopkins University, Baltimore, MD, United States of America.
Abstract:
Pancreatic ductal adenocarcinoma (PDAC) is expected to be the second leading cause of cancer mortality by 2030. PDAC remains resistant to the majority of systemic chemotherapies. In this paper, we explore if epigenetic sensitization can improve chemotherapy response in PDAC. Multiple PDAC cell lines were tested with serial concentrations of the epigenetic modulators 5-azacitidine (Aza) and guadecitabine (SGI-110). Guadecitabine was effective at inhibiting the expression of DNA Methyltransferase 1 (DNMT1) and in decreasing cell viability at nanomolar concentrations. We also report that guadecitabine has increased efficacy following a delay period or as we reference, a 'rest period'. Sensitization with guadecitabine improved response to the chemotherapeutic agent-Irinotecan- as measured by decreased cell viability and accompanied by an increase in caspase activity. Additional studies are needed to understand the mechanism of action.
Insights
Epigenetic drug guadecitabine shows promise in enhancing pancreatic cancer chemotherapy. This DNA Methyltransferase 1 inhibitor improved response to Irinotecan, offering a potential new strategy for pancreatic ductal adenocarcinoma treatment.
Area of Science:
- Oncology
- Epigenetics
- Cancer Research
Background:
- Pancreatic ductal adenocarcinoma (PDAC) is a leading cause of cancer mortality with limited treatment options.
- PDAC exhibits resistance to conventional systemic chemotherapies.
Purpose of the Study:
- To investigate the potential of epigenetic sensitization to improve chemotherapy response in PDAC.
- To evaluate the efficacy of guadecitabine, an epigenetic modulator, in PDAC cell lines.
Main Methods:
- PDAC cell lines were treated with varying concentrations of 5-azacitidine and guadecitabine.
- Inhibition of DNA Methyltransferase 1 (DNMT1) expression and cell viability were assessed.
- Guadecitabine's efficacy was evaluated with and without a delay period.
- Sensitization with guadecitabine was tested in combination with the chemotherapeutic agent Irinotecan.
Main Results:
- Guadecitabine effectively inhibited DNMT1 expression and reduced cell viability at nanomolar concentrations.
- A delay period enhanced the efficacy of guadecitabine.
- Guadecitabine-mediated sensitization significantly improved the response to Irinotecan, indicated by decreased cell viability and increased caspase activity.
Conclusions:
- Epigenetic modulation with guadecitabine shows potential for overcoming chemotherapy resistance in PDAC.
- Guadecitabine, particularly after a rest period, sensitizes PDAC cells to Irinotecan.
- Further research is warranted to elucidate the precise mechanisms of action.
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