Abstract

BackgroundThe global incidence of melanoma has been increasing faster than any other form of cancer. New therapies offer exciting prospects for improved survival, but the development of resistance is a major problem and there remains a need for additional effective melanoma therapy. Platinum compounds, such as cisplatin, are the most effective chemotherapeutics for a number of major cancers, but are ineffective on metastatic melanoma. They cause monofunctional adducts and intrastrand crosslinks that are repaired by nucleotide excision repair, as well as the more toxic interstrand crosslinks that are repaired by a combination of nuclease activity and homologous recombination.MethodsWe investigated the mechanism of melanoma resistance to cisplatin using a panel of melanoma and control cell lines. Cisplatin-induced changes in levels of the key homologous recombination protein RAD51 and compensatory changes in translesion synthesis DNA polymerases were identified by western blotting and qRT-PCR. Flow cytometry, immunofluorescence and western blotting were used to compare the cell cycle and DNA damage response and the induction of apoptosis in cisplatin-treated melanoma and control cells. Ectopic expression of a tagged form of RAD51 and siRNA knockdown of translesion synthesis DNA polymerase zeta were used to investigate the mechanism that allowed cisplatin-treated melanoma cells to continue to replicate.ResultsWe have identified and characterised a novel DNA damage response mechanism in melanoma. Instead of increasing levels of RAD51 on encountering cisplatin-induced interstrand crosslinks during replication, melanoma cells shut down RAD51 synthesis and instead boost levels of translesion synthesis DNA polymerase zeta to allow replication to proceed. This response also resulted in synthetic lethality to the PARP inhibitor olaparib.ConclusionsThis unusual DNA damage response may be a more appropriate strategy for an aggressive and rapidly growing tumour like melanoma that enables it to better survive chemotherapy, but also results in increased sensitivity of cultured melanoma cells to the PARP inhibitor olaparib.

Highlights

  • The global incidence of melanoma has been increasing faster than any other form of cancer

  • Decreased RAD51 levels in A375 melanoma cells after cisplatin treatment When A375 human melanoma cells were treated with 6 μM cisplatin for 48 h, an increase in the level of three nucleotide excision repair (NER) proteins, ERCC1, Xeroderma pigmentosum complementation group F (XPF) and Xeroderma pigmentosum complementation group A (XPA), was seen

  • When the same samples were probed for RAD51, we observed a dramatic and unexpected decrease in the level of this key HR protein that is needed for the removal of cisplatin-induced interstrand crosslinks (ICLs) by homologous recombination repair (HRR) (Fig. 1a)

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Summary

Introduction

The global incidence of melanoma has been increasing faster than any other form of cancer. New therapies offer exciting prospects for improved survival, but the development of resistance is a major problem and there remains a need for additional effective melanoma therapy. Platinum compounds, such as cisplatin, are the most effective chemotherapeutics for a number of major cancers, but are ineffective on metastatic melanoma. Over the last 30 years the global incidence of melanoma has increased faster than any other form of cancer. The new BRAF inhibitors, combination therapies and immunotherapies offer exciting prospects for improved survival, but not all patients respond and the development of resistance is a major problem [4, 5], there remains a need for additional effective melanoma therapy

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