Low-Dose and Long-Term Olaparib Treatment Sensitizes MDA-MB-231 and SUM1315 Triple-Negative Breast Cancers Spheroids

Clémence Dubois1,2, Fanny Martin3, Chervin Hassel4

  • 1Université Clermont Auvergne, Centre Jean Perrin, INSERM, U1240, Imagerie Moléculaire et Stratégies Théranostiques, F-63000 Clermont Ferrand, France.

Insights

Low-dose Olaparib combined with fractionated irradiation significantly enhances treatment efficacy for aggressive Triple-Negative Breast Cancer (TNBC) models. This combination therapy shows potentiation potential for TNBC patients, suggesting new treatment strategies.

Area of Science:

  • Oncology
  • Cancer Biology
  • Radiotherapy
  • Pharmacology

Background:

  • Triple-Negative Breast Cancer (TNBC) is an aggressive and heterogeneous subtype requiring improved therapeutic strategies.
  • Poly-ADP-Ribose Polymerase (PARP) inhibitors, such as Olaparib, are being evaluated to enhance TNBC treatment outcomes.
  • The combination of PARP inhibitors with radiotherapy is a promising approach for managing aggressive cancers.

Purpose of the Study:

  • To investigate the efficacy of Olaparib combined with fractionated irradiation on aggressive TNBC cell lines.
  • To evaluate the synergistic effects of Olaparib and irradiation on both 2D cell cultures and 3D tumor-like spheroid models.
  • To compare the sensitivity of different TNBC models (MDA-MB-231 and SUM1315) to the combined treatment.

Main Methods:

  • Modeling the efficacy of Olaparib (5 and 50 µM) combined with fractionated irradiation (5 × 2 Gy) on MDA-MB-231 (BRCAness) and SUM1315 (BRCA1-mutated) TNBC cell lines.
  • Assessment of clonogenicity in 2D cell cultures and metabolic activity in 3D tumor-like spheroid models over 10 days of co-treatment.
  • Characterization of TNBC cell line phenotypes, including proliferation profiles and AURKA expression.

Main Results:

  • A 95-fold higher clonogenicity drop was observed with 5 µM Olaparib and 10 Gy irradiation compared to Olaparib alone in 2D cultures.
  • The combination of 5 µM Olaparib and 10 Gy irradiation led to significant metabolic activity decrease (1.2 for SUM1315, 3.3 for MDA-MB-231) in spheroid models.
  • MDA-MB-231 cells, with higher proliferation and AURKA expression, showed greater sensitivity to the co-treatment than SUM1315 cells.

Conclusions:

  • Low-dose Olaparib combined with fractionated irradiation demonstrates potentiation of anti-cancer effects in aggressive TNBC models.
  • The combination therapy is effective in both 2D cultures and 3D tumor-like spheroid models, suggesting clinical relevance.
  • These findings suggest that long-term, low-dose Olaparib combined with fractionated irradiation could be a promising strategy for TNBC treatment.