[HTML][HTML] Resistance to PARP inhibitors by SLFN11 inactivation can be overcome by ATR inhibition

J Murai, Y Feng, KY Guoying, Y Ru, SW Tang, Y Shen… - Oncotarget, 2016 - ncbi.nlm.nih.gov
J Murai, Y Feng, KY Guoying, Y Ru, SW Tang, Y Shen, Y Pommier
Oncotarget, 2016ncbi.nlm.nih.gov
Poly (ADP-ribose) polymerase inhibitors (PARPIs) kill cancer cells by trapping PARP1 and
PARP2. Talazoparib, the most potent PARPI inhibitor (PARPI), exhibits remarkable
selectivity among the NCI-60 cancer cell lines beyond BRCA inactivation. Our genomic
analyses reveal high correlation between response to talazoparib and Schlafen 11
(SLFN11) expression. Causality was established in four isogenic SLFN11-positive and-
negative cell lines and extended to olaparib. Response to the talazoparib-temozolomide …
Abstract
Poly (ADP-ribose) polymerase inhibitors (PARPIs) kill cancer cells by trapping PARP1 and PARP2. Talazoparib, the most potent PARPI inhibitor (PARPI), exhibits remarkable selectivity among the NCI-60 cancer cell lines beyond BRCA inactivation. Our genomic analyses reveal high correlation between response to talazoparib and Schlafen 11 (SLFN11) expression. Causality was established in four isogenic SLFN11-positive and-negative cell lines and extended to olaparib. Response to the talazoparib-temozolomide combination was also driven by SLFN11 and validated in 36 small cell lung cancer cell lines, and in xenograft models. Resistance in SLFN11-deficient cells was caused neither by impaired drug penetration nor by activation of homologous recombination. Rather, SLFN11 induced irreversible and lethal replication inhibition, which was independent of ATR-mediated S-phase checkpoint. The resistance to PARPIs by SLFN11 inactivation was overcome by ATR inhibition, mechanistically because SLFN11-deficient cells solely rely on ATR activation for their survival under PARPI treatment. Our study reveals that SLFN11 inactivation, which is common (~ 45%) in cancer cells, is a novel and dominant resistance determinant to PARPIs.
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