Poly(ADP-ribose) polymerase inhibitor CEP-8983 synergizes with bendamustine in chronic lymphocytic leukemia cells in vitro

Abstract DNA repair aberrations and associated chromosomal instability is a feature of chronic lymphocytic leukemia (CLL). To evaluate if DNA repair insufficiencies are related to methylation changes, we examined the methylation of nine promoter regions of DNA repair proteins by bisulfide sequencing...

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Veröffentlicht in:Leukemia research 2014-03, Vol.38 (3), p.411-417
Hauptverfasser: Dilley, Robert L, Poh, Weijie, Gladstone, Douglas E, Herman, James G, Showel, Margaret M, Karp, Judith E, McDevitt, Michael A, Pratz, Keith W
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container_end_page 417
container_issue 3
container_start_page 411
container_title Leukemia research
container_volume 38
creator Dilley, Robert L
Poh, Weijie
Gladstone, Douglas E
Herman, James G
Showel, Margaret M
Karp, Judith E
McDevitt, Michael A
Pratz, Keith W
description Abstract DNA repair aberrations and associated chromosomal instability is a feature of chronic lymphocytic leukemia (CLL). To evaluate if DNA repair insufficiencies are related to methylation changes, we examined the methylation of nine promoter regions of DNA repair proteins by bisulfide sequencing in 26 CLL primary samples and performed quantitative PCR on a subset of samples to examine BRCA1 expression. We also investigated if changes in cytogenetic or expression level of DNA repair proteins led to changes in sensitivity to a novel PARP inhibitor, CEP-8983, alone and in combination with bendamustine. No changes in promoter methylation were identified in BRCA1, BRCA2, FANC-C, FANC-F, FANC-L, ATM, MGMT, hMLH1 and H2AX except for two cases of minor BRCA1 hypermethylation. CLL samples appeared to have reduced BRCA1 mRNA expression uniformly in comparison to non-malignant lymphocytes irrespective of promoter hypermethylation. CEP-8983 displayed single agent cytotoxicity and the combination with bendamustine demonstrated synergistic cytotoxicity in the majority of CLL samples. These results were consistent across cytogenetic subgroups, including 17p deleted and previously treated patients. Our results provide rationale for further exploration of the combination of a PARP inhibitor and DNA damaging agents as a novel therapeutic strategy in CLL.
doi_str_mv 10.1016/j.leukres.2013.12.019
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To evaluate if DNA repair insufficiencies are related to methylation changes, we examined the methylation of nine promoter regions of DNA repair proteins by bisulfide sequencing in 26 CLL primary samples and performed quantitative PCR on a subset of samples to examine BRCA1 expression. We also investigated if changes in cytogenetic or expression level of DNA repair proteins led to changes in sensitivity to a novel PARP inhibitor, CEP-8983, alone and in combination with bendamustine. No changes in promoter methylation were identified in BRCA1, BRCA2, FANC-C, FANC-F, FANC-L, ATM, MGMT, hMLH1 and H2AX except for two cases of minor BRCA1 hypermethylation. CLL samples appeared to have reduced BRCA1 mRNA expression uniformly in comparison to non-malignant lymphocytes irrespective of promoter hypermethylation. CEP-8983 displayed single agent cytotoxicity and the combination with bendamustine demonstrated synergistic cytotoxicity in the majority of CLL samples. 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To evaluate if DNA repair insufficiencies are related to methylation changes, we examined the methylation of nine promoter regions of DNA repair proteins by bisulfide sequencing in 26 CLL primary samples and performed quantitative PCR on a subset of samples to examine BRCA1 expression. We also investigated if changes in cytogenetic or expression level of DNA repair proteins led to changes in sensitivity to a novel PARP inhibitor, CEP-8983, alone and in combination with bendamustine. No changes in promoter methylation were identified in BRCA1, BRCA2, FANC-C, FANC-F, FANC-L, ATM, MGMT, hMLH1 and H2AX except for two cases of minor BRCA1 hypermethylation. CLL samples appeared to have reduced BRCA1 mRNA expression uniformly in comparison to non-malignant lymphocytes irrespective of promoter hypermethylation. CEP-8983 displayed single agent cytotoxicity and the combination with bendamustine demonstrated synergistic cytotoxicity in the majority of CLL samples. 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subjects Antineoplastic Agents, Alkylating - pharmacology
B-Lymphocytes - drug effects
B-Lymphocytes - metabolism
B-Lymphocytes - pathology
Bendamustine
Bendamustine Hydrochloride
BRCA1 Protein - genetics
BRCA1 Protein - metabolism
Carbazoles - pharmacology
CEP-8983
Chronic lymphocytic leukemia (CLL)
DNA Damage
DNA Methylation - drug effects
DNA Repair - drug effects
DNA Repair Enzymes - genetics
DNA Repair Enzymes - metabolism
DNA, Neoplasm - antagonists & inhibitors
DNA, Neoplasm - genetics
DNA, Neoplasm - metabolism
Drug Synergism
Enzyme Inhibitors - pharmacology
Gene Expression Regulation, Leukemic - drug effects
Hematology, Oncology and Palliative Medicine
Humans
Leukemia, Lymphocytic, Chronic, B-Cell - genetics
Leukemia, Lymphocytic, Chronic, B-Cell - metabolism
Leukemia, Lymphocytic, Chronic, B-Cell - pathology
Nitrogen Mustard Compounds - pharmacology
Phthalimides - pharmacology
Poly(ADP-ribose) polymerase (PARP)
Poly(ADP-ribose) Polymerase Inhibitors
Poly(ADP-ribose) Polymerases - genetics
Poly(ADP-ribose) Polymerases - metabolism
Promoter Regions, Genetic - drug effects
Sequence Analysis, DNA
Signal Transduction
title Poly(ADP-ribose) polymerase inhibitor CEP-8983 synergizes with bendamustine in chronic lymphocytic leukemia cells in vitro
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