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Published on: May 20, 2015
Androgen Receptor Inhibitor Enhances the Antitumor Effect of PARP Inhibitor in Breast Cancer Cells by Modulating DNA
Ahrum Min1,2, Hyemin Jang1, Seongyeong Kim1
1Cancer Research Institute, Seoul National University, Seoul, Korea.
Abstract:
The androgen receptor (AR) is expressed in 60%-70% of breast cancers regardless of estrogen receptor status, and has been proposed as a therapeutic target in breast cancers that retain AR. In this study, the authors aimed to investigate a new treatment strategy using a novel AR inhibitor AZD3514 in breast cancer. AZD3514 alone had a minimal antiproliferative effect on most breast cancer cell lines irrespective of AR expression level, but it downregulated the expressions of DNA damage response (DDR) molecules, including ATM and chk2, which resulted in the accumulation of damaged DNA in some breast cancer cells. Furthermore, AZD3514 enhanced cellular sensitivity to a PARP inhibitor olaparib by blocking the DDR pathway in breast cancer cells. Furthermore, the downregulation of NKX3.1 expression in MDA-MB-468 cells by AZD3514 occurred in parallel with the suppression of ATM-chk2 axis activation, and the suppression of NKX3.1 by AZD3514 was found to result from AZD3514-induced TOPORS upregulation and a resultant increase in NKX3.1 degradation. The study shows posttranslational regulation of NKX3.1 via TOPORS upregulation by AZD3514-induced ATM inactivation-increased olaparib sensitivity in AR-positive and TOPORS-expressing breast cancer cells, and suggests the antitumor effect of AZD3514/olaparib cotreatment is caused by compromised DDR activity in breast cancer cell lines and in a xenograft model. These results provide a rationale for future clinical trials of olaparib/AR inhibitor combination treatment in breast cancer.
Insights
A novel androgen receptor (AR) inhibitor, AZD3514, enhances breast cancer cell sensitivity to olaparib by downregulating DNA damage response (DDR) pathways. This combination therapy shows promise for treating AR-positive breast cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Androgen receptor (AR) is a therapeutic target in 60-70% of breast cancers.
- Novel AR inhibitors are needed to treat AR-expressing breast cancers.
Purpose of the Study:
- Investigate the efficacy of a novel AR inhibitor, AZD3514, in breast cancer.
- Determine AZD3514's effect on DNA damage response (DDR) pathways.
- Evaluate AZD3514 in combination with olaparib.
Main Methods:
- Treatment of breast cancer cell lines with AZD3514 and olaparib.
- Analysis of DNA damage response (DDR) molecule expression (ATM, chk2).
- Assessment of NKX3.1 expression and degradation.
- Xenograft model studies.
Main Results:
- AZD3514 alone had minimal antiproliferative effect but downregulated DDR molecules (ATM, chk2).
- AZD3514 enhanced sensitivity to olaparib by blocking DDR.
- AZD3514 induced NKX3.1 degradation via TOPORS upregulation.
- Combined AZD3514/olaparib showed antitumor effects by compromising DDR.
Conclusions:
- AZD3514 combined with olaparib demonstrates a rationale for clinical trials in AR-positive and TOPORS-expressing breast cancers.
- Targeting AR and DDR pathways offers a novel therapeutic strategy for breast cancer.
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