Combinatorial targeting of Hippo-STRIPAK and PARP elicits synthetic lethality in gastrointestinal cancers

Liwei An1, Zhifa Cao2, Pingping Nie2

  • 1Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Tongji University Cancer Center, Tongji University School of Medicine, Shanghai, China.

Insights

The Hippo-STRIPAK complex regulates DNA repair and genomic stability. Inhibiting STRIPAK resensitizes cancer cells to therapies like PARP inhibitors, offering a new synthetic lethality approach.

Area of Science:

  • Cell Biology
  • Molecular Oncology
  • DNA Repair Mechanisms

Background:

  • Striatin-interacting phosphatase and kinase (STRIPAK) complexes integrate extracellular signals.
  • STRIPAK was previously identified as crucial for Hippo tumor suppressor pathway loss in cancer.
  • Genomic instability is a hallmark of cancer, driven by impaired DNA repair.

Purpose of the Study:

  • To investigate the role of the Hippo-STRIPAK complex in DNA double-stranded break (DSB) repair and genomic stability.
  • To elucidate the molecular mechanisms by which STRIPAK influences DNA repair.
  • To explore the therapeutic potential of targeting STRIPAK in cancer treatment.

Main Methods:

  • Investigated the phosphorylation of ZMYND8 by MST1/2 in response to genotoxic stress.
  • Utilized the cyclic GMP-AMP synthase/stimulator of IFN genes (cGAS/STING) pathway to understand DNA damage signaling.
  • Employed peptide inhibitors to target STRIPAK assembly in cellular and animal models.
  • Assessed cancer cell resistance and resensitization to radio-, chemo-, and PARP inhibition therapies.

Main Results:

  • The Hippo-STRIPAK complex directly regulates DNA DSB repair and maintains genomic stability.
  • Mammalian STE20-like protein kinases 1 and 2 (MST1/2), independent of classical Hippo signaling, phosphorylate ZMYND8, suppressing nuclear DNA repair.
  • The cGAS/STING pathway relays DNA damage signals to STRIPAK assembly via TBK1-induced stabilization of the SIKE1-SLMAP arm.
  • STRIPAK-mediated MST1/2 inactivation enhances cancer cell DSB repair, conferring resistance to various therapies, including PARP inhibition.
  • Peptide inhibitors targeting STRIPAK assembly restored MST1/2 activity, suppressed DNA repair, and resensitized cancer cells to PARP inhibitors in preclinical models.

Conclusions:

  • STRIPAK plays a previously unrecognized role in modulating DNA DSB repair.
  • Targeting STRIPAK assembly presents a novel therapeutic strategy for enhancing cancer treatment efficacy.
  • Co-targeting STRIPAK and PARP inhibitors offers a promising synthetic lethality approach for a new class of anticancer therapy.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.9K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.1K
Cancer-Critical Genes II: Tumor Suppressor Genes01:05

Cancer-Critical Genes II: Tumor Suppressor Genes

Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
8.3K