Abstract 4886: PARP-1 and γ-GCS inhibitors enhance platinum sensitivity in ovarian cancer

Background: Ovarian cancer is the most important cause of gynaecological cancer-related mortality globally. Approximately 80% of patients are diagnosed with advanced stage (FIGO stage III-IV) of ovarian cancer. The standard treatment approach for advanced EOC is primary debulking surgery followed by adjuvant chemotherapy using taxanes plus platinum. Resistance to platinum based chemo remains a key reason for treatment failure in advanced epithelial ovarian cancer (EOC). Therapeutic efficacy of Poly [ADP-ribose] polymerase 1 (PARP1) and Gamma-glutamyl cysteine Synthetase (γ-GCS)inhibitors in ovarian cancer remains undefined, either as a single agent or in combination with cisplatin. Material and Methods: We determined the combined effect of PJ34 (PARP1 inhibitor) and BSO (Buthionine-sulfoximine- (γ-GCS inhibitor) with cisplatin in ovarian cancer cell lines (OVSAHO, KURAMOCHI, and IGROV1) by MTT assay. PARP1 and GCS levels were analyzed by western blotting. We employed flow cytometry for cell cycle analysis as well as for apoptosis studies. Analysis was done using Graph Pad Prism-6. Results were considered to be statistically significant when p value was < 0.05. Results and Conclusion: Combination of cisplatin with PJ34 and BSO augmented cisplatin toxicity in vitro by decreasing cell proliferation and enhancing cell cycle block and cell death when compared with either single agent. A significant cell death (p=