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Published on: January 12, 2020
Low PPP2R2A expression promotes sensitivity to CHK1 inhibition in high-grade serous ovarian cancer
Zhaojun Qiu1, Deepika Sigh1, Yujie Liu1
1Department of Radiation Oncology, The James Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio-43210, United States.
Abstract:
Rationale: High-grade serous ovarian cancer (HGSOC), the most lethal epithelial ovarian cancer subtype, faces persistent challenges despite advances in the therapeutic use of PARP inhibitors. Thus, innovative strategies are urgently needed to improve survival rates for this deadly disease. Checkpoint kinase 1 (CHK1) is pivotal in regulating cell survival during oncogene-induced replication stress (RS). While CHK1 inhibitors (CHK1i's) show promise as monotherapy for ovarian cancer, a crucial biomarker for effective stratification in clinical trials is lacking, hindering efficacy improvement and toxicity reduction. PP2A B55α, encoded by PPP2R2A, is a regulatory subunit of the serine/threonine protein phosphatase 2 (PP2A) that influences CHK1 sensitivity in non-small cell lung cancer (NSCLC). Given the complexity of PP2A B55α function in different types of cancer, here we sought to identify whether PPP2R2A deficiency enhances the sensitivity of HGSOC to CHK1 inhibition. Methods: To determine whether PPP2R2A deficiency affects the sensitivity of HGSOC to CHK1 inhibition, we treated PPP2R2A knockdown (KD) HGSOC cells or HGSOC cells with naturally low PPP2R2A expression with a CHK1 inhibitor, then assessed cell growth in in vitro and in vivo assays. Additionally, we investigated the mechanisms contributing to the increased RS and the enhanced sensitivity to the CHK1 inhibitor in PPP2R2A-KD or deficient cells using various molecular biology assays, including western blotting, immunofluorescence, and DNA fiber assays. Results: Our study suggests that PPP2R2A-KD elevates c-Myc-induced RS via upregulation of replication initiation, rendering HGSOC cells reliant on CHK1 for survival, including those resistant to PARP inhibitors. Conclusion: Combined, these results identify PPP2R2A/PP2A B55α as a potential predictive biomarker for CHK1i sensitivity in HGSOC, as well as suggesting it as a therapeutic target to overcome PARP resistance.
Insights
Deficiency in PPP2R2A enhances sensitivity to CHK1 inhibitors in high-grade serous ovarian cancer (HGSOC). This finding identifies PPP2R2A as a predictive biomarker and therapeutic target for HGSOC, potentially overcoming PARP inhibitor resistance.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- High-grade serous ovarian cancer (HGSOC) remains a lethal disease with limited treatment options, despite PARP inhibitors.
- Checkpoint kinase 1 (CHK1) inhibitors show promise for ovarian cancer, but a predictive biomarker is needed to optimize efficacy and reduce toxicity.
- The role of PP2A B55α (encoded by PPP2R2A) in CHK1 inhibitor sensitivity varies across cancer types.
Purpose of the Study:
- To investigate whether PPP2R2A deficiency enhances the sensitivity of HGSOC to CHK1 inhibition.
- To identify potential predictive biomarkers for CHK1 inhibitor therapy in HGSOC.
- To explore therapeutic strategies to overcome PARP inhibitor resistance in HGSOC.
Main Methods:
- HGSOC cells with PPP2R2A knockdown or naturally low PPP2R2A expression were treated with a CHK1 inhibitor.
- Cell growth was assessed using in vitro and in vivo assays.
- Mechanisms of enhanced sensitivity, including replication stress (RS), were investigated using molecular biology techniques like western blotting, immunofluorescence, and DNA fiber assays.
Main Results:
- PPP2R2A knockdown elevated c-Myc-induced replication stress (RS) by upregulating replication initiation.
- HGSOC cells with PPP2R2A deficiency became reliant on CHK1 for survival.
- This enhanced sensitivity was observed even in HGSOC cells resistant to PARP inhibitors.
Conclusions:
- PPP2R2A/PP2A B55α is identified as a potential predictive biomarker for CHK1 inhibitor sensitivity in HGSOC.
- PPP2R2A/PP2A B55α represents a potential therapeutic target to improve HGSOC treatment outcomes.
- Targeting PPP2R2A may offer a strategy to overcome resistance to PARP inhibitors in HGSOC.
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