Abstract AIMS Glioblastoma (GBM) is the most aggressive form of brain cancer, and therapy hasn’t changed for almost 20 years. We have previously shown that GBM tumours lack expression of argininosuccinate synthase 1 (ASS1), a key enzyme involved in arginine biosynthesis, due to promoter methylation. This renders them sensitive to systemic arginine depletion using agents such as pegylated arginine deiminase (ADI), allowing us to circumvent the issue of blood-brain-barrier (BBB) penetration. Furthermore, ADI appears to synergise with the DNA damaging agent temozolomide (TMZ), which is routinely used to treat patients with GBM. Here, we aimed to explore whether ADI can synergise with radiotherapy, and determine the mechanisms by which ADI is able to sensitise cells to DNA damaging agents. METHOD Primary GBM cell lines were treated with ADI in combination with radiation and underwent analysis using an RNA microarray, Qiagen DNA repair RT2 array, qPCR, western blotting, and proliferation assays in both 2D (SRB) and 3D (spheroid, CCK8) format. We performed orthotopic injection of primary GBM cells into the striatum of athymic nude mice, and randomised them to ADI, radiation, or the combination, plus controls. Tissue was analysed using IHC staining. RESULTS In ASS1 methylated primary GBM, treatment with ADI led to a significant change in the expression of ~500 genes with a fold change >2. Gene set enrichment analysis indicated that these genes were predominantly involved in cell cycle regulation, which is closely linked to the DNA damage and repair machinery. In another ASS1 methylated primary GBM cell line, an RT2 array revealed specific downregulation of genes involved in DNA repair. qPCR and western blot validation of these changes showed a significant decrease in the expression and protein levels of PARP1 and LIG1 with ADI treatment. CONCLUSION Arginine deprivation using ADI leads to a downregulation of PARP1 in GBM cells, sensitising them to radiotherapy.
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