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High PARP-1 expression predicts poor survival in acute myeloid leukemia and PARP-1 inhibitor and SAHA-bendamustine hybrid inhibitor combination treatment synergistically enhances anti-tumor effects.


ABSTRACT:

Background

PARP-1 plays a critical role in DNA damage repair and contributes to progression of cancer. To explore the role of PARP-1 in acute myeloid leukemia (AML), we analyzed the expression of PARP-1 in AML and its relation to the clinical prognosis. Then, we investigated the efficacy and mechanism of PARP inhibitor BMN673 (Talazoparib) combined with NL101, a novel SAHA-bendamustine hybrid in vitro and in vivo.

Methods

The expression of PARP-1 in 339 cytogenetically normal AML (CN-AML) cases was evaluated using RT-PCR. According to the expression of PARP-1, the clinical characteristics and prognosis of the patients were grouped and compared. The combination effects of BMN673 and NL101 were studied in AML cells and B-NSG mice xenograft model of MV4-11.

Findings

We found patients in high PARP-1 expression group had higher levels of blast cells in bone marrow (P?=?.003) and white blood cells (WBC) in peripheral blood (P?=?.008), and were associated with a more frequent FLT3-ITD mutation (28.2% vs 17.3%, P?=?.031). The overall survival (OS) and event free survival (EFS) of the high expression group were significantly shorter than those in the low expression group (OS, P?=?.005 and EFS, P?=?.004). BMN673 combined with NL101 had a strong synergistic effect in treating AML. The combination significantly induced cell apoptosis and arrested cell cycle in G2/M phase. Mechanistically, BMN673 and NL101 combinatorial treatment promoted DNA damage. In vivo, the combination effectively delayed the development of AML and prolonged survival.

Interpretation

High PARP-1 expression predicts poor survival in CN-AML patients. The synergistic effects of PARP inhibitor BMN673 in combination with SAHA-bendamustine hybrid, NL101, provide a new therapeutic strategy against AML. FUND: National Natural Science Foundation of China and Zhejiang Provincial Key Innovation Team.

SUBMITTER: Li X 

PROVIDER: S-EPMC6306376 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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Publications

High PARP-1 expression predicts poor survival in acute myeloid leukemia and PARP-1 inhibitor and SAHA-bendamustine hybrid inhibitor combination treatment synergistically enhances anti-tumor effects.

Li Xia X   Li Chenying C   Jin Jingrui J   Wang Jinghan J   Huang Jiansong J   Ma Zhixin Z   Huang Xin X   He Xiao X   Zhou Yile Y   Xu Yu Y   Yu Mengxia M   Huang Shujuan S   Yan Xiao X   Li Fenglin F   Pan Jiajia J   Wang Yungui Y   Yu Yongping Y   Jin Jie J  

EBioMedicine 20181122


<h4>Background</h4>PARP-1 plays a critical role in DNA damage repair and contributes to progression of cancer. To explore the role of PARP-1 in acute myeloid leukemia (AML), we analyzed the expression of PARP-1 in AML and its relation to the clinical prognosis. Then, we investigated the efficacy and mechanism of PARP inhibitor BMN673 (Talazoparib) combined with NL101, a novel SAHA-bendamustine hybrid in vitro and in vivo.<h4>Methods</h4>The expression of PARP-1 in 339 cytogenetically normal AML  ...[more]

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