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Published on: October 17, 2025
p21 limits S phase DNA damage caused by the Wee1 inhibitor MK1775
Sissel Hauge1, Libor Macurek2, Randi G Syljuåsen1
1a Department of Radiation Biology , Institute for Cancer Research, Norwegian Radium Hospital, Oslo University Hospital , Oslo , Norway.
Abstract:
The Wee1 inhibitor MK1775 (AZD1775) is currently being tested in clinical trials for cancer treatment. Here, we show that the p53 target and CDK inhibitor p21 protects against MK1775-induced DNA damage during S-phase. Cancer and normal cells deficient for p21 (HCT116 p21-/-, RPE p21-/-, and U2OS transfected with p21 siRNA) showed higher induction of the DNA damage marker γH2AX in S-phase in response to MK1775 compared to the respective parental cells. Furthermore, upon MK1775 treatment the levels of phospho-DNA PKcs S2056 and phospho-RPA S4/S8 were higher in the p21 deficient cells, consistent with increased DNA breakage. Cell cycle analysis revealed that these effects were due to an S-phase function of p21, but MK1775-induced S-phase CDK activity was not altered as measured by CDK-dependent phosphorylations. In the p21 deficient cancer cells MK1775-induced cell death was also increased. Moreover, p21 deficiency sensitized to combined treatment of MK1775 and the CHK1-inhibitor AZD6772, and to the combination of MK1775 with ionizing radiation. These results show that p21 protects cancer cells against Wee1 inhibition and suggest that S-phase functions of p21 contribute to mediate such protection. As p21 can be epigenetically downregulated in human cancer, we propose that p21 levels may be considered during future applications of Wee1 inhibitors.
Insights
The protein p21 protects cancer cells from DNA damage caused by Wee1 inhibitors like MK1775. Loss of p21 increases DNA damage and cell death, suggesting p21 levels are important for Wee1 inhibitor cancer therapy.
Area of Science:
- Molecular Biology
- Cancer Research
- Cell Cycle Regulation
Background:
- Wee1 inhibitors, such as MK1775 (AZD1775), are under investigation for cancer treatment.
- The role of p21, a p53 target and CDK inhibitor, in response to Wee1 inhibition is not fully understood.
Purpose of the Study:
- To investigate the protective role of p21 against DNA damage induced by the Wee1 inhibitor MK1775.
- To elucidate the S-phase specific functions of p21 in response to Wee1 inhibition.
Main Methods:
- Utilized p21-deficient cancer and normal cell lines (HCT116 p21-/-, RPE p21-/-, and U2OS p21 siRNA).
- Assessed DNA damage markers (γH2AX, phospho-DNA PKcs, phospho-RPA) and cell cycle progression following MK1775 treatment.
- Evaluated cell death and sensitization to combination therapies (MK1775 with CHK1 inhibitor AZD6772 or ionizing radiation).
Main Results:
- p21-deficient cells exhibited increased γH2AX induction and DNA breakage markers upon MK1775 treatment during S-phase.
- p21 deficiency led to increased MK1775-induced cell death in cancer cells.
- p21 deficiency sensitized cells to combined treatments with MK1775 and AZD6772 or ionizing radiation.
Conclusions:
- p21 plays a protective role against Wee1 inhibitor-induced DNA damage, primarily through its S-phase functions.
- p21 deficiency enhances sensitivity to Wee1 inhibition, suggesting its potential as a predictive biomarker for Wee1 inhibitor therapy.
- Consideration of p21 expression levels may be crucial for optimizing the clinical application of Wee1 inhibitors.
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