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Prostate cancer radiosensitization through poly(ADP-Ribose) polymerase-1 hyperactivation
Journal article   Open access   Peer reviewed

Prostate cancer radiosensitization through poly(ADP-Ribose) polymerase-1 hyperactivation

Ying Dong, Erik A Bey, Long-Shan Li, Wareef Kabbani, Jingsheng Yan, Xian-Jin Xie, Jer-Tsong Hsieh, Jinming Gao and David A Boothman
Cancer research (Chicago, Ill.), Vol.70(20), pp.8088-8096
10/15/2010
DOI: 10.1158/0008-5472.CAN-10-1418
PMCID: PMC2955807
PMID: 20940411
url
https://doi.org/10.1158/0008-5472.CAN-10-1418View
Published (Version of record) Open Access

Abstract

The clinical experimental agent, β-lapachone (β-lap; Arq 501), can act as a potent radiosensitizer in vitro through an unknown mechanism. In this study, we analyzed the mechanism to determine whether β-lap may warrant clinical evaluation as a radiosensitizer. β-Lap killed prostate cancer cells by NAD(P)H:quinone oxidoreductase 1 (NQO1) metabolic bioactivation, triggering a massive induction of reactive oxygen species, irreversible DNA single-strand breaks (SSB), poly(ADP-ribose) polymerase-1 (PARP-1) hyperactivation, NAD(+)/ATP depletion, and μ-calpain-induced programmed necrosis. In combination with ionizing radiation (IR), β-lap radiosensitized NQO1(+) prostate cancer cells under conditions where nontoxic doses of either agent alone achieved threshold levels of SSBs required for hyperactivation of PARP-1. Combination therapy significantly elevated SSB level, γ-H2AX foci formation, and poly(ADP-ribosylation) of PARP-1, which were associated with ATP loss and induction of μ-calpain-induced programmed cell death. Radiosensitization by β-lap was blocked by the NQO1 inhibitor dicoumarol or the PARP-1 inhibitor DPQ. In a mouse xenograft model of prostate cancer, β-lap synergized with IR to promote antitumor efficacy. NQO1 levels were elevated in ∼60% of human prostate tumors evaluated relative to adjacent normal tissue, where β-lap might be efficacious alone or in combination with radiation. Our findings offer a rationale for the clinical utilization of β-lap (Arq 501) as a radiosensitizer in prostate cancers that overexpress NQO1, offering a potentially synergistic targeting strategy to exploit PARP-1 hyperactivation.
Glutathione - metabolism Humans Male Radiation-Sensitizing Agents - therapeutic use Prostatic Neoplasms - genetics Cell Death Dicumarol - pharmacology Colony-Forming Units Assay Prostatic Neoplasms - drug therapy In Situ Nick-End Labeling Prostatic Neoplasms - pathology Enzyme Inhibitors - pharmacology Naphthoquinones - therapeutic use Comet Assay Regression Analysis Poly(ADP-ribose) Polymerases - metabolism Animals Poly(ADP-ribose) Polymerases - genetics Mice, Nude Prostatic Neoplasms - enzymology Poly(ADP-ribose) Polymerases - radiation effects Mice DNA Damage DNA, Neoplasm - genetics Enzyme Activation Poly (ADP-Ribose) Polymerase-1 Apoptosis

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