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VLX600 Disrupts Homologous Recombination and Synergizes with PARP Inhibitors and Cisplatin by Inhibiting Histone
Thomas L Ekstrom1, Nicholas M Pathoulas1, Amelia M Huehls1
1Division of Oncology Research, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota.
Abstract:
Tumors with defective homologous recombination (HR) DNA repair are more sensitive to chemotherapies that induce lesions repaired by HR as well as PARP inhibitors (PARPis). However, these therapies have limited activity in HR-proficient cells. Accordingly, agents that disrupt HR may be a means to augment the activities of these therapies in HR-proficient tumors. Here we show that VLX600, a small molecule that has been in a phase I clinical trial, disrupts HR and synergizes with PARPis and platinum compounds in ovarian cancer cells. We further found that VLX600 and other iron chelators disrupt HR, in part, by inhibiting iron-dependent histone lysine demethylases (KDM) family members, thus blocking recruitment of HR repair proteins, including RAD51, to double-strand DNA breaks. Collectively, these findings suggest that pharmacologically targeting KDM family members with VLX600 may be a potential novel strategy to therapeutically induce HR defects in ovarian cancers and correspondingly sensitize them to platinum agents and PARPis, two standard-of-care therapies for ovarian cancer.
Insights
VLX600 disrupts homologous recombination (HR) DNA repair, sensitizing ovarian cancer cells to standard therapies. This iron chelator targets histone lysine demethylases (KDMs), offering a novel strategy for HR-proficient tumors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Tumors with defective homologous recombination (HR) DNA repair are sensitive to platinum agents and PARP inhibitors (PARPis).
- HR-proficient tumors exhibit limited sensitivity to these therapies.
- Disrupting HR could enhance treatment efficacy in HR-proficient cancers.
Purpose of the Study:
- To investigate the efficacy of VLX600, a Phase I clinical trial agent, in disrupting HR.
- To determine if VLX600 synergizes with PARPis and platinum compounds in ovarian cancer.
- To elucidate the mechanism by which VLX600 disrupts HR.
Main Methods:
- Utilized ovarian cancer cell lines.
- Administered VLX600, PARPis, and platinum compounds.
- Assessed HR disruption and protein recruitment.
- Investigated the role of iron-dependent histone lysine demethylases (KDMs).
Main Results:
- VLX600 demonstrated HR disruption in ovarian cancer cells.
- VLX600 synergized with PARPis and platinum compounds.
- VLX600 inhibits iron-dependent KDMs, blocking HR repair protein (e.g., RAD51) recruitment to DNA breaks.
Conclusions:
- VLX600 induces HR defects, sensitizing HR-proficient ovarian cancers to platinum agents and PARPis.
- Pharmacological targeting of KDMs with VLX600 represents a potential therapeutic strategy.
- This approach may overcome resistance to standard-of-care therapies in ovarian cancer.
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