Targeting the DNA repair pathway in Ewing sarcoma

Elizabeth Stewart, Ross Goshorn, Cori Bradley, Lyra M. Griffiths, Claudia Benavente, Nathaniel R. Twarog, Gregory M. Miller, William Caufield, Burgess B. Freeman, Armita Bahrami, Alberto Pappo, Jianrong Wu, Amos Loh, Åsa Karlström, Chris Calabrese, Brittney Gordon, Lyudmila Tsurkan, M. Jason Hatfield, Philip M. Potter, Scott E. SnyderSuresh Thiagarajan, Abbas Shirinifard, Andras Sablauer, Anang A. Shelat, Michael A. Dyer

Research output: Contribution to journalArticlepeer-review

145 Scopus citations

Abstract

Ewing sarcoma (EWS) is a tumor of the bone and soft tissue that primarily affects adolescents and young adults. With current therapies, 70% of patients with localized disease survive, but patients with metastatic or recurrent disease have a poor outcome. We found that EWS cell lines are defective in DNA break repair and are sensitive to PARP inhibitors (PARPis). PARPi-induced cytotoxicity in EWS cells was 10- to 1,000-fold higher after administration of the DNAdamaging agents irinotecan or temozolomide. We developed an orthotopic EWS mouse model and performed pharmacokinetic and pharmacodynamic studies using three different PARPis that are in clinical development for pediatric cancer. Irinotecan administered on a low-dose, protracted schedule previously optimized for pediatric patients was an effective DNA-damaging agent when combined with PARPis; it was also better tolerated than combinations with temozolomide. Combining PARPis with irinotecan and temozolomide gave complete and durable responses in more than 80% of the mice.

Original languageEnglish
Pages (from-to)829-840
Number of pages12
JournalCell Reports
Volume9
Issue number3
DOIs
StatePublished - 2014

Bibliographical note

Publisher Copyright:
© 2014 The Authors.

Funding

We thank Jieun Kim for assistance with PET-CT and MRI, Angela McArthur for editing the manuscript, Fred Krafcik for help with cell screening, and David Finkelstein for assistance with bioinformatics analysis. This work was supported, in part, by a grant from Abbvie. It was also supported by a grant from Cancer Center Support (CA21765) from the NCI, grants to M.A.D. from the NIH (EY014867 and EY018599 and CA168875), and the American Lebanese Syrian Associated Charities (ALSAC). M.A.D. was also supported by a grant from Alex’s Lemonade Stand Foundation for Childhood Cancer and HHMI. Finally, we thank John and Andra Tully and the Tully Family Foundation for generous support of Pediatric Solid Tumor Research at St. Jude Children’s Research Hospital.

FundersFunder number
Markey Cancer Center's Cancer Center SupportCA21765
National Institutes of Health (NIH)CA168875, EY014867
Howard Hughes Medical Institute
National Eye Institute (NEI)R01EY018599
National Childhood Cancer Registry – National Cancer Institute
Alex's Lemonade Stand Foundation for Childhood Cancer
AbbVie
American Lebanese Syrian Associated Charities

    ASJC Scopus subject areas

    • General Biochemistry, Genetics and Molecular Biology

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