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Targeting BRCA1/2 deficient ovarian cancer with CNDAC-based drug combinations.


ABSTRACT: PURPOSE:The mechanism of action of CNDAC (2'-C-cyano-2'-deoxy-1-?-D-arabino-pentofuranosyl-cytosine) is unique among deoxycytidine analogs because upon incorporation into DNA it causes a single strand break which is converted to a double strand break after DNA replication. This lesion requires homologous recombination (HR) for repair. CNDAC, as the parent nucleoside, DFP10917, and as an oral prodrug, sapacitabine, are undergoing clinical trials for hematological malignancies and solid tumors. The purpose of this study is to investigate the potential of CNDAC for the therapy of ovarian cancer (OC). METHODS:Drug sensitivity was evaluated using a clonogenic survival assay. Drug combination effects were quantified by median effect analysis. RESULTS:OC cells lacking function of the key HR genes, BRCA1 or BRCA2, were more sensitive to CNDAC than corresponding HR proficient cells. The sensitization was associated with greater levels of DNA damage in response to CNDAC at clinically achievable concentrations, manifested as chromosomal aberrations. Three classes of CNDAC-based drug combinations were investigated. First, the PARP1 inhibitors, rucaparib and talazoparib, were selectively synergistic with CNDAC in BRCA1/2 deficient OC cells (combination index?

SUBMITTER: Liu X 

PROVIDER: S-EPMC5777892 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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Targeting BRCA1/2 deficient ovarian cancer with CNDAC-based drug combinations.

Liu Xiaojun X   Jiang Yingjun Y   Nowak Billie B   Qiang Bethany B   Cheng Nancy N   Chen Yuling Y   Plunkett William W  

Cancer chemotherapy and pharmacology 20171130 2


<h4>Purpose</h4>The mechanism of action of CNDAC (2'-C-cyano-2'-deoxy-1-β-D-arabino-pentofuranosyl-cytosine) is unique among deoxycytidine analogs because upon incorporation into DNA it causes a single strand break which is converted to a double strand break after DNA replication. This lesion requires homologous recombination (HR) for repair. CNDAC, as the parent nucleoside, DFP10917, and as an oral prodrug, sapacitabine, are undergoing clinical trials for hematological malignancies and solid tu  ...[more]

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