Olaparib Combined with an ATR or Chk1 Inhibitor as a Treatment Strategy for Acquired Olaparib-Resistant <i>BRCA1</i> Mutant Ovarian Cells

Objective: Despite the promise of PARP inhibitors (PARPi) for treating <i>BRCA1/2</i> mutated ovarian cancer (OC), drug resistance invariably develops. We hypothesized rationale drug combinations, targeting key molecules in DNA repair pathways and the cell cycle may be synergistic and ov...

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Main Authors: Brian T. Burgess, Abigail M. Anderson, J. Robert McCorkle, Jianrong Wu, Frederick R. Ueland, Jill M. Kolesar
Format: Article
Language:English
Published: MDPI AG 2020-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/2/121
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author Brian T. Burgess
Abigail M. Anderson
J. Robert McCorkle
Jianrong Wu
Frederick R. Ueland
Jill M. Kolesar
author_facet Brian T. Burgess
Abigail M. Anderson
J. Robert McCorkle
Jianrong Wu
Frederick R. Ueland
Jill M. Kolesar
author_sort Brian T. Burgess
collection DOAJ
description Objective: Despite the promise of PARP inhibitors (PARPi) for treating <i>BRCA1/2</i> mutated ovarian cancer (OC), drug resistance invariably develops. We hypothesized rationale drug combinations, targeting key molecules in DNA repair pathways and the cell cycle may be synergistic and overcome acquired PARPi resistance. Methods: Drug sensitivity to PARPi alone and in combination with inhibitors of key DNA repair and cell cycle proteins, including ATR (VE-821), Chk1 (MK-8776), Wee1 (MK-1775), RAD51 (RI-1) was assessed in PARPi-sensitive (UWB1) and -resistant (UWB1-R) <i>gBRCA1</i> mutant OC cell lines using a cell proliferation assay. The Bliss synergy model was used to estimate the two-drug combination effect and pharmacologic synergy (Bliss score &#8805; 0) or antagonistic (Bliss score &#8805; 0) response of the PARPi in combination with the inhibitors. Results: IC<sub>50</sub> for olaparib alone was 1.6 &#177; 0.9 &#181;M compared to 3.4 &#177; 0.6 &#181;M (<i>p</i> = 0.05) for UWB1 and UWB1-R cells, respectively. UWB1-R demonstrated increased sensitivity to ATRi (<i>p</i> = 0.04) compared to UWB1. Olaparib (0.3&#8722;1.25 &#181;M) and ATRi (0.8&#8722;2.5 &#181;M) were synergistic with Bliss scores of 17.2 &#177; 0.2, 11.9 &#177; 0.6 for UWB1 and UWB1-R cells, respectively. Olaparib (0.3&#8722;1.25 &#181;M) and Chk1i(0.05&#8722;1.25 &#181;M) were synergistic with Bliss scores of 8.3 &#177; 1.6, 5.7 &#177; 2.9 for UWB1 and UWB1-R cells, respectively. Conclusions: Combining an ATRi or Chk1i with olaparib is synergistic in both PARPi-sensitive and -resistant <i>BRCA1</i> mutated OC cell models, and are rationale combinations for further clinical development.
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spelling doaj.art-719bebe97d414206880c0a4241d77a682022-12-22T01:57:55ZengMDPI AGDiagnostics2075-44182020-02-0110212110.3390/diagnostics10020121diagnostics10020121Olaparib Combined with an ATR or Chk1 Inhibitor as a Treatment Strategy for Acquired Olaparib-Resistant <i>BRCA1</i> Mutant Ovarian CellsBrian T. Burgess0Abigail M. Anderson1J. Robert McCorkle2Jianrong Wu3Frederick R. Ueland4Jill M. Kolesar5Division of Gynecologic Oncology, Department of OB/GYN, University of Kentucky, Whitney-Hendrickson Building, 800 Rose Street, Lexington, KY 40536, USAMarkey Cancer Center, University of Kentucky, 789 South Limestone Street, 526 Todd Building, Lexington, KY 40536, USAMarkey Cancer Center, University of Kentucky, 789 South Limestone Street, 526 Todd Building, Lexington, KY 40536, USABiostatistics and Bioinformatics Shared Resource Facility, University of Kentucky, 800 Rose Street, Roach Building CC433, Lexington, KY 40536, USADivision of Gynecologic Oncology, Department of OB/GYN, University of Kentucky, Whitney-Hendrickson Building, 800 Rose Street, Lexington, KY 40536, USAMarkey Cancer Center, University of Kentucky, 789 South Limestone Street, 526 Todd Building, Lexington, KY 40536, USAObjective: Despite the promise of PARP inhibitors (PARPi) for treating <i>BRCA1/2</i> mutated ovarian cancer (OC), drug resistance invariably develops. We hypothesized rationale drug combinations, targeting key molecules in DNA repair pathways and the cell cycle may be synergistic and overcome acquired PARPi resistance. Methods: Drug sensitivity to PARPi alone and in combination with inhibitors of key DNA repair and cell cycle proteins, including ATR (VE-821), Chk1 (MK-8776), Wee1 (MK-1775), RAD51 (RI-1) was assessed in PARPi-sensitive (UWB1) and -resistant (UWB1-R) <i>gBRCA1</i> mutant OC cell lines using a cell proliferation assay. The Bliss synergy model was used to estimate the two-drug combination effect and pharmacologic synergy (Bliss score &#8805; 0) or antagonistic (Bliss score &#8805; 0) response of the PARPi in combination with the inhibitors. Results: IC<sub>50</sub> for olaparib alone was 1.6 &#177; 0.9 &#181;M compared to 3.4 &#177; 0.6 &#181;M (<i>p</i> = 0.05) for UWB1 and UWB1-R cells, respectively. UWB1-R demonstrated increased sensitivity to ATRi (<i>p</i> = 0.04) compared to UWB1. Olaparib (0.3&#8722;1.25 &#181;M) and ATRi (0.8&#8722;2.5 &#181;M) were synergistic with Bliss scores of 17.2 &#177; 0.2, 11.9 &#177; 0.6 for UWB1 and UWB1-R cells, respectively. Olaparib (0.3&#8722;1.25 &#181;M) and Chk1i(0.05&#8722;1.25 &#181;M) were synergistic with Bliss scores of 8.3 &#177; 1.6, 5.7 &#177; 2.9 for UWB1 and UWB1-R cells, respectively. Conclusions: Combining an ATRi or Chk1i with olaparib is synergistic in both PARPi-sensitive and -resistant <i>BRCA1</i> mutated OC cell models, and are rationale combinations for further clinical development.https://www.mdpi.com/2075-4418/10/2/121olaparibparpatrchk1resistancebrca1ovarian cancerinhibitoruwb1.289uwb1.289 + brca
spellingShingle Brian T. Burgess
Abigail M. Anderson
J. Robert McCorkle
Jianrong Wu
Frederick R. Ueland
Jill M. Kolesar
Olaparib Combined with an ATR or Chk1 Inhibitor as a Treatment Strategy for Acquired Olaparib-Resistant <i>BRCA1</i> Mutant Ovarian Cells
Diagnostics
olaparib
parp
atr
chk1
resistance
brca1
ovarian cancer
inhibitor
uwb1.289
uwb1.289 + brca
title Olaparib Combined with an ATR or Chk1 Inhibitor as a Treatment Strategy for Acquired Olaparib-Resistant <i>BRCA1</i> Mutant Ovarian Cells
title_full Olaparib Combined with an ATR or Chk1 Inhibitor as a Treatment Strategy for Acquired Olaparib-Resistant <i>BRCA1</i> Mutant Ovarian Cells
title_fullStr Olaparib Combined with an ATR or Chk1 Inhibitor as a Treatment Strategy for Acquired Olaparib-Resistant <i>BRCA1</i> Mutant Ovarian Cells
title_full_unstemmed Olaparib Combined with an ATR or Chk1 Inhibitor as a Treatment Strategy for Acquired Olaparib-Resistant <i>BRCA1</i> Mutant Ovarian Cells
title_short Olaparib Combined with an ATR or Chk1 Inhibitor as a Treatment Strategy for Acquired Olaparib-Resistant <i>BRCA1</i> Mutant Ovarian Cells
title_sort olaparib combined with an atr or chk1 inhibitor as a treatment strategy for acquired olaparib resistant i brca1 i mutant ovarian cells
topic olaparib
parp
atr
chk1
resistance
brca1
ovarian cancer
inhibitor
uwb1.289
uwb1.289 + brca
url https://www.mdpi.com/2075-4418/10/2/121
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