Abstract
Malignant mesothelioma (MM) is a very aggressive asbestos-related cancer, for which no therapy proves to be effective. We have recently shown that the oncolytic adenovirus dl922-947 had antitumor effects in MM cell lines and murine xenografts. Previous studies demonstrated that dl922-947-induced host cell cycle checkpoint deregulation and consequent DNA lesions associated with the virus efficacy. However, the cellular DNA damage response (DDR) can counteract this virus action. Therefore, we assessed whether AZD1775, an inhibitor of the G2/M DNA damage checkpoint kinase WEE1, could enhance MM cell sensitivity to dl922-947. Through cell viability assays, we found that AZD1775 synergized with dl922-947 selectively in MM cell lines and increased dl922-947-induced cell death, which showed hallmarks of apoptosis (annexinV-positivity, caspase-dependency, BCL-XL decrease, chromatin condensation). Predictably, dl922-947 and/or AZD1775 activated the DDR, as indicated by increased levels of three main DDR players: phosphorylated histone H2AX (γ-H2AX), phospho-replication protein A (RPA)32, phospho-checkpoint kinase 1 (CHK1). Dl922-947 also increased inactive Tyr-15-phosphorylated cyclin-dependent kinase 1 (CDK1), a key WEE1 substrate, which is indicative of G2/M checkpoint activation. This increase in phospho-CDK1 was effectively suppressed by AZD1775, thus suggesting that this compound could, indeed, abrogate the dl922-947-induced DNA damage checkpoint in MM cells. Overall, our data suggest that the dl922-947-AZD1775 combination could be a feasible strategy against MM.
Highlights
Malignant mesothelioma (MM) is a very aggressive asbestos-related cancer that arises from the mesothelium lining the body cavities
We evaluated the activation of the apoptosis marker caspase-3 in NCI-H28 and MSTO-211H cells treated as above, by Western blotting analysis; we observed that dl922-947, both alone and in combination with AZD1775, induced an increase in the active cleaved caspase-3 levels and a concurrent slight decrease in the full-length protein (Figure 2B)
Considering that MM is a good candidate for innovative virotherapy-based approaches because the pleural location provides direct access for the intra-tumoral injection of the virus [11], we have recently analyzed the effects of the oncolytic adenovirus dl922-947 in MM cells
Summary
Malignant mesothelioma (MM) is a very aggressive asbestos-related cancer that arises from the mesothelium lining the body cavities. The most common MM type develops in the pleura, the serous membrane covering the lungs and the chest cavity. The prognosis for patients with MM of the pleura is very poor, with a median survival of approximately 1 year from diagnosis [4]. No current therapeutic strategy is curative: surgery is often challenging and associated with morbidity and mortality [4,5,6] and the only approved first-line chemotherapeutic treatment, consisting of a combination of cisplatin and pemetrexed, has shown limited effects [4,7]. There is a great need to identify new targets for the development of effective therapeutic strategies
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