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 language | English |
|---|---|
| Pages (from-to) | 829-840 |
| Number of pages | 12 |
| Journal | Cell Reports |
| Volume | 9 |
| Issue number | 3 |
| DOIs | |
| State | Published - 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.
| Funders | Funder number |
|---|---|
| Markey Cancer Center's Cancer Center Support | CA21765 |
| 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