Sequential therapeutic targeting of ovarian Cancer harboring dysfunctional BRCA1

Abstract Background Poly (ADP-ribose) polymerase inhibitors (PARPi) have become the first targeted therapies available in the treatment of patients with high-grade serous ovarian cancer (HGSOC). We recently described a significant reduction in PARP1 protein levels in vitro and in vivo in patients tr...

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Main Authors: Tahira Baloch, Vanessa M. López-Ozuna, Qiong Wang, Emad Matanis, Roy Kessous, Liron Kogan, Amber Yasmeen, Walter H. Gotlieb
Format: Article
Language:English
Published: BMC 2019-01-01
Series:BMC Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12885-018-5250-4
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author Tahira Baloch
Vanessa M. López-Ozuna
Qiong Wang
Emad Matanis
Roy Kessous
Liron Kogan
Amber Yasmeen
Walter H. Gotlieb
author_facet Tahira Baloch
Vanessa M. López-Ozuna
Qiong Wang
Emad Matanis
Roy Kessous
Liron Kogan
Amber Yasmeen
Walter H. Gotlieb
author_sort Tahira Baloch
collection DOAJ
description Abstract Background Poly (ADP-ribose) polymerase inhibitors (PARPi) have become the first targeted therapies available in the treatment of patients with high-grade serous ovarian cancer (HGSOC). We recently described a significant reduction in PARP1 protein levels in vitro and in vivo in patients treated with standard carboplatinum-paclitaxel chemotherapy, raising the question whether the sequence of treatment used today with chemotherapy followed by PARPi is optimal. In this study, we aim to evaluate if the sequence of PARPi followed by chemotherapy could be more beneficial. Methods BRCA1-mutated (UWB1.287, SNU-251), epigenetically-silenced (OVCAR8), and wild-type (SKOV3, A2780PAR & A2780CR) ovarian cancer cell lines were exposed to clinically relevant doses of PARPi followed by different doses of standard chemotherapy and compared to the inverse treatment. The therapeutic efficacy was assessed using colony formation assays. Flow cytometry was used to evaluate cell apoptosis rate and the changes in cell cycle. Finally, apoptotic and cell cycle protein expression was immunodetected using western blot. Results Exposure to PARPi prior to standard chemotherapy sensitized BRCA1-mutated or epigenetically-silenced BRCA1 cell lines to lower doses of chemotherapy. Similar results were observed in BRCA1 wild-type and cell lines in which BRCA1 functionality was restored. Moreover, this treatment increased the apoptotic rate in these cell lines. Conclusion Pre-treatment with PARPi followed by standard chemotherapy in vitro is more efficient in growth inhibition and induction of apoptosis compared to the administration of standard chemotherapy followed by PARPi.
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spelling doaj.art-bf195635ae86487e97a9e04aa10741782022-12-22T01:24:42ZengBMCBMC Cancer1471-24072019-01-011911910.1186/s12885-018-5250-4Sequential therapeutic targeting of ovarian Cancer harboring dysfunctional BRCA1Tahira Baloch0Vanessa M. López-Ozuna1Qiong Wang2Emad Matanis3Roy Kessous4Liron Kogan5Amber Yasmeen6Walter H. Gotlieb7Segal Cancer Center, Lady Davis Institute of Medical Research, McGill UniversitySegal Cancer Center, Lady Davis Institute of Medical Research, McGill UniversitySegal Cancer Center, Lady Davis Institute of Medical Research, McGill UniversitySegal Cancer Center, Lady Davis Institute of Medical Research, McGill UniversityDivision of Gynecologic Oncology, Jewish General Hospital, McGill UniversityDivision of Gynecologic Oncology, Jewish General Hospital, McGill UniversityDivision of Gynecologic Oncology, Jewish General Hospital, McGill UniversityDivision of Gynecologic Oncology, Jewish General Hospital, McGill UniversityAbstract Background Poly (ADP-ribose) polymerase inhibitors (PARPi) have become the first targeted therapies available in the treatment of patients with high-grade serous ovarian cancer (HGSOC). We recently described a significant reduction in PARP1 protein levels in vitro and in vivo in patients treated with standard carboplatinum-paclitaxel chemotherapy, raising the question whether the sequence of treatment used today with chemotherapy followed by PARPi is optimal. In this study, we aim to evaluate if the sequence of PARPi followed by chemotherapy could be more beneficial. Methods BRCA1-mutated (UWB1.287, SNU-251), epigenetically-silenced (OVCAR8), and wild-type (SKOV3, A2780PAR & A2780CR) ovarian cancer cell lines were exposed to clinically relevant doses of PARPi followed by different doses of standard chemotherapy and compared to the inverse treatment. The therapeutic efficacy was assessed using colony formation assays. Flow cytometry was used to evaluate cell apoptosis rate and the changes in cell cycle. Finally, apoptotic and cell cycle protein expression was immunodetected using western blot. Results Exposure to PARPi prior to standard chemotherapy sensitized BRCA1-mutated or epigenetically-silenced BRCA1 cell lines to lower doses of chemotherapy. Similar results were observed in BRCA1 wild-type and cell lines in which BRCA1 functionality was restored. Moreover, this treatment increased the apoptotic rate in these cell lines. Conclusion Pre-treatment with PARPi followed by standard chemotherapy in vitro is more efficient in growth inhibition and induction of apoptosis compared to the administration of standard chemotherapy followed by PARPi.http://link.springer.com/article/10.1186/s12885-018-5250-4Ovarian CancerBRCA1/2PARP inhibitorChemoresistanceDNA repair pathwaySynthetic lethality
spellingShingle Tahira Baloch
Vanessa M. López-Ozuna
Qiong Wang
Emad Matanis
Roy Kessous
Liron Kogan
Amber Yasmeen
Walter H. Gotlieb
Sequential therapeutic targeting of ovarian Cancer harboring dysfunctional BRCA1
BMC Cancer
Ovarian Cancer
BRCA1/2
PARP inhibitor
Chemoresistance
DNA repair pathway
Synthetic lethality
title Sequential therapeutic targeting of ovarian Cancer harboring dysfunctional BRCA1
title_full Sequential therapeutic targeting of ovarian Cancer harboring dysfunctional BRCA1
title_fullStr Sequential therapeutic targeting of ovarian Cancer harboring dysfunctional BRCA1
title_full_unstemmed Sequential therapeutic targeting of ovarian Cancer harboring dysfunctional BRCA1
title_short Sequential therapeutic targeting of ovarian Cancer harboring dysfunctional BRCA1
title_sort sequential therapeutic targeting of ovarian cancer harboring dysfunctional brca1
topic Ovarian Cancer
BRCA1/2
PARP inhibitor
Chemoresistance
DNA repair pathway
Synthetic lethality
url http://link.springer.com/article/10.1186/s12885-018-5250-4
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