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Unraveling systemic responses to NQO1-activated IB-DNQ and Rucaparib single and dual agent therapy in triple-negative
Avery M Runnebohm1, H R Sagara Wijeratne1, Sarah A Peck Justice1,2
1Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN.
Abstract:
Triple negative breast cancer (TNBC) is a highly aggressive breast cancer that is unresponsive to hormonal therapies. One potential TNBC-specific therapeutic target is NQO1, as it is highly expressed in many TNBC patients and lowly expressed in non-cancer tissues. Here we use a derivative of DNQ, isobutyl-deoxynyboquinone (IB-DNQ) that is more potent and specific in killing TNBC cells than NQO1-activator β-lapachone while displaying strong NQO1-dependence. We evaluated the cellular signaling changes that occur following 4-hour treatment of TNBC cells with either single agent or combination IB-DNQ and / or PARP inhibitor (Rucaparib). Short treatments (4 hours) with IB-DNQ alone or combined with the PARP inhibitor Rucaparib revealed few changes in protein abundance but significant rapid alterations in protein phosphorylation and thermal stability, with clear synergy in the combination treatment. Key phosphorylated targets linked to RNA Polymerase II inhibition and DNA damage response were altered during our short time treatment. Thermal proteome profiling (TPP) identified novel, combination-specific changes in protein biophysical state suggesting new therapeutic vulnerabilities in TNBC cells. Our findings highlight how even brief treatments can uncover distinct biophysical protein changes via TPP, offering a resource for mechanistic studies of IB-DNQ mechanism of action and the development of NQO1-activated therapeutics for TNBC treatment.
Insights
This study reveals how NQO1-activated drugs and Rucaparib synergistically kill triple-negative breast cancer (TNBC) cells by targeting DNA repair and cell cycle pathways. Multi-omics analysis uncovered key protein changes driving this cell death mechanism.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Triple-negative breast cancer (TNBC) lacks common therapeutic targets, necessitating novel treatment strategies.
- NQO1 is a promising target due to its high expression in TNBC and low expression in normal tissues.
- Combining NQO1 bioactivatable drugs with PARP1 inhibitor Rucaparib shows synergistic cell death in TNBC.
Purpose of the Study:
- To elucidate the molecular mechanisms underlying the synergistic efficacy of NQO1 bioactivatable drugs and Rucaparib in TNBC.
- To investigate the impact of combination therapy on protein abundance, phosphorylation, and thermal stability.
Main Methods:
- Global proteomics, phosphoproteomics, and thermal proteome profiling were employed.
- Analysis focused on changes in protein expression, post-translational modifications, and protein stability.
- Biophysical analyses assessed alterations in protein complex associations and interactions.
Main Results:
- Combination treatment induced persistent DNA damage, evidenced by increased histone H2AX phosphorylation.
- Thermal proteome profiling indicated H2AX destabilization, potentially linked to phosphorylation.
- Kinase activity alterations in DNA repair and cell cycle pathways were predicted and observed.
- Biophysical analysis revealed changes in SWI/SNF complex and tubulin/p53 interactions.
Conclusions:
- The combination therapy targets DNA repair and cell cycle regulation, crucial cancer pathways.
- The synergistic effect is dependent on NQO1 upregulation, selectively impacting cancer cells.
- Multi-omics approaches are vital for understanding complex drug-induced cancer cell death mechanisms.
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