Targeting TOPK sensitises tumour cells to radiation-induced damage by enhancing replication stress

Katharine J Herbert1, Rathi Puliyadi1, Remko Prevo1

  • 1MRC Oxford Institute for Radiation Oncology, University of Oxford, Old Road Campus Research Building, Roosevelt Drive, Oxford, OX3 7DQ, UK.

Insights

T-LAK-originated protein kinase (TOPK) is overexpressed in cancers and is a promising target for new therapeutics. Inhibiting TOPK enhances radiation treatment efficacy for solid tumors by impacting DNA replication and repair pathways.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • T-LAK-originated protein kinase (TOPK) is overexpressed in various cancers but not in normal tissues, making it a potential therapeutic target.
  • TOPK-targeting agents are under development, showing promise for targeted cancer therapies.

Purpose of the Study:

  • To investigate the efficacy of a TOPK inhibitor (OTS964) in combination with radiation therapy for solid tumors.
  • To elucidate the role of TOPK in DNA replication, repair, and checkpoint signaling in cancer cells.

Main Methods:

  • Utilized lung cancer xenograft models (H460 and Calu-6) to assess the combined effects of TOPK inhibition and fractionated irradiation.
  • Performed in vitro experiments involving TOPK depletion to analyze its impact on replication fork dynamics under stress.
  • Investigated the interaction of TOPK with key checkpoint proteins like CHK1 and Cdc25c.

Main Results:

  • TOPK inhibition with OTS964 potentiated the efficacy of fractionated irradiation in lung cancer xenografts.
  • TOPK depletion led to increased replication fork stalling and collapse under replication stress and DNA damage.
  • TOPK knockdown impaired recovery from fork stalling and increased single-stranded DNA foci formation.
  • TOPK was found to directly interact with CHK1 and Cdc25c, crucial for checkpoint signaling.

Conclusions:

  • TOPK is a validated therapeutic target for solid tumors, particularly when combined with radiation therapy.
  • TOPK plays a critical role in maintaining cancer cell survival by facilitating checkpoint signaling during replication stress and DNA damage.
  • This study reveals a novel mechanism of TOPK action in DNA damage response, offering new avenues for cancer treatment strategies.

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