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The AsiDNA™ decoy mimicking DSBs protects the normal tissue from radiation toxicity through a
Anouk Sesink1,2, Margaux Becerra1,2, Jia-Ling Ruan3
1Institut Curie, Université PSL, CNRS UMR3347, INSERM U1021, 91405 Orsay, France.
Abstract:
AsiDNA™, a cholesterol-coupled oligonucleotide mimicking double-stranded DNA breaks, was developed to sensitize tumour cells to radio- and chemotherapy. This drug acts as a decoy hijacking the DNA damage response. Previous studies have demonstrated that standalone AsiDNA™ administration is well tolerated with no additional adverse effects when combined with chemo- and/or radiotherapy. The lack of normal tissue complication encouraged further examination into the role of AsiDNA™ in normal cells. This research demonstrates the radioprotective properties of AsiDNA™. In vitro, AsiDNA™ induces a DNA-PK/p53/p21-dependent G1/S arrest in normal epithelial cells and fibroblasts that is absent in p53 deficient and proficient tumour cells. This cell cycle arrest improved survival after irradiation only in p53 proficient normal cells. Combined administration of AsiDNA™ with conventional radiotherapy in mouse models of late and early radiation toxicity resulted in decreased onset of lung fibrosis and increased intestinal crypt survival. Similar results were observed following FLASH radiotherapy in standalone or combined with AsiDNA™. Mechanisms comparable to those identified in vitro were detected both in vivo, in the intestine and ex vivo, in precision cut lung slices. Collectively, the results suggest that AsiDNA™ can partially protect healthy tissues from radiation toxicity by triggering a G1/S arrest in normal cells.
Insights
AsiDNA™ protects normal cells from radiation damage by inducing a cell cycle arrest, improving survival after radiotherapy. This novel drug shows radioprotective effects in both preclinical models and normal cells.
Area of Science:
- Oncology
- Radiation Biology
- Molecular Biology
Background:
- AsiDNA™ is a DNA damage response decoy designed to enhance cancer treatment efficacy.
- Previous studies confirmed AsiDNA™'s safety and tolerability when combined with radio- and chemotherapy.
- The potential radioprotective role of AsiDNA™ in normal tissues warranted further investigation.
Purpose of the Study:
- To investigate the radioprotective effects of AsiDNA™ in normal cells and tissues.
- To elucidate the molecular mechanisms underlying AsiDNA™-mediated radioprotection.
- To evaluate AsiDNA™'s efficacy in preclinical models of radiation toxicity.
Main Methods:
- In vitro studies using normal epithelial cells and fibroblasts to assess AsiDNA™'s effect on cell cycle and survival post-irradiation.
- In vivo studies in mouse models evaluating AsiDNA™'s impact on radiation-induced lung fibrosis and intestinal crypt survival.
- Ex vivo analysis using precision cut lung slices to confirm mechanistic findings.
Main Results:
- AsiDNA™ induced a p53/p21-dependent G1/S cell cycle arrest in normal cells, enhancing their survival after irradiation.
- This effect was absent in tumor cells, preserving AsiDNA™'s radiosensitizing properties.
- In vivo studies demonstrated reduced lung fibrosis and increased intestinal crypt survival in mice treated with AsiDNA™ and radiotherapy.
- Similar protective effects were observed with FLASH radiotherapy, with or without AsiDNA™.
Conclusions:
- AsiDNA™ exhibits significant radioprotective properties in normal tissues.
- The mechanism involves a p53-dependent G1/S arrest in healthy cells, distinct from its action in tumor cells.
- AsiDNA™ holds promise for mitigating radiation toxicity in patients undergoing radiotherapy.
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