Related Experiment Video
Updated: Sep 19, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
ATM and ATR inhibition increases radiosensitivity and cGAS-STING activation in prostate cancer
Nina van Campen1, Vera E Mekers1, Maaike W Looman1
1Radiotherapy and OncoImmunology laboratory, department of Radiation Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.
Abstract:
Despite the availability of multiple effective therapies for localized prostate cancer, many patients still progress to incurable metastasized castration resistant prostate cancer (mCRPC). About 23 % of mCRPC patients carry alterations in DNA damage response (DDR) genes, including the protein kinases Ataxia telangiectasia mutated (ATM). DDR gene mutations have been shown to increase radiosensitivity and responses to immunotherapy. Here, we aimed to investigate the effect of inhibiting ATM and Ataxia telangiectasia and Rad3 related (ATR) on the radiosensitivity and subsequent activation of the cGAS-STING pathway in three prostate cancer cell lines. The data demonstrate that ATM and ATR inhibition leads to increased radiosensitivity in the PC3 and DU145 cell lines and that simultaneous inhibition of ATM and ATR results in enhanced cell death after irradiation. Furthermore, ATM blockade or combined ATM and ATR inhibition, but not ATR inhibition alone, significantly enhances radiation-induced cGAMP levels and a gene expression signature induced by the cytokine type I interferon. This work highlights the promising effects of ATM and ATR inhibition in combination with radiotherapy in prostate cancer and offers opportunities for exploring the use of radiotherapy and immunotherapy combinations in mCRPC.
Insights
Inhibiting ATM and ATR kinases increases prostate cancer cell sensitivity to radiation, enhancing cell death and activating immune pathways. This combination therapy shows promise for treating metastatic castration-resistant prostate cancer.
Area of Science:
- Oncology
- Cancer Biology
- Radiotherapy Research
Background:
- Metastatic castration-resistant prostate cancer (mCRPC) remains incurable despite available therapies.
- Approximately 23% of mCRPC patients harbor DNA damage response (DDR) gene alterations.
- DDR gene mutations can sensitize cancer cells to radiation and immunotherapy.
Purpose of the Study:
- To investigate the impact of inhibiting ATM and ATR kinases on prostate cancer cell radiosensitivity.
- To assess the effect of ATM and ATR inhibition on the cGAS-STING pathway activation post-irradiation.
- To explore combination strategies for mCRPC treatment.
Main Methods:
- Utilized three prostate cancer cell lines (PC3, DU145).
- Administered ATM and ATR inhibitors, alone and in combination, with irradiation.
- Measured cell death, radiosensitivity, cGAMP levels, and type I interferon gene expression.
Main Results:
- ATM and ATR inhibition increased radiosensitivity in PC3 and DU145 cell lines.
- Combined ATM and ATR inhibition significantly enhanced radiation-induced cell death.
- ATM inhibition (alone or combined with ATR inhibition) boosted radiation-induced cGAMP levels and type I interferon signaling.
Conclusions:
- ATM and ATR inhibition enhances prostate cancer cell radiosensitivity and promotes cell death.
- Combined ATM and ATR inhibition with radiotherapy activates the cGAS-STING pathway and type I interferon response.
- This approach holds promise for improving radiotherapy and immunotherapy combinations in mCRPC treatment.
Related Concept Videos
GPCRs Regulate Adenylyl Cylase Activity
G-Protein Gated Ion Channels
Sensory...
DNA Damage can Stall the Cell Cycle
Antihypertensive Drugs: Angiotensin II Receptor Blockers
GPCR Desensitization
Inhibition of Cdk Activity

