[HTML][HTML] Nutlin-3a: A Potential Therapeutic Opportunity for TP53 Wild-Type Ovarian Carcinomas

EK Crane, SY Kwan, DI Izaguirre, YTM Tsang… - PloS one, 2015 - journals.plos.org
EK Crane, SY Kwan, DI Izaguirre, YTM Tsang, LK Mullany, Z Zu, JAS Richards…
PloS one, 2015journals.plos.org
Epithelial ovarian cancer is a diverse molecular and clinical disease, yet standard treatment
is the same for all subtypes. TP53 mutations represent a node of divergence in epithelial
ovarian cancer histologic subtypes and may represent a therapeutic opportunity in subtypes
expressing wild type, including most low-grade ovarian serous carcinomas, ovarian clear
cell carcinomas and ovarian endometrioid carcinomas, which represent approximately 25%
of all epithelial ovarian cancer. We therefore sought to investigate Nutlin-3a—a therapeutic …
Epithelial ovarian cancer is a diverse molecular and clinical disease, yet standard treatment is the same for all subtypes. TP53 mutations represent a node of divergence in epithelial ovarian cancer histologic subtypes and may represent a therapeutic opportunity in subtypes expressing wild type, including most low-grade ovarian serous carcinomas, ovarian clear cell carcinomas and ovarian endometrioid carcinomas, which represent approximately 25% of all epithelial ovarian cancer. We therefore sought to investigate Nutlin-3a—a therapeutic which inhibits MDM2, activates wild-type p53, and induces apoptosis—as a therapeutic compound for TP53 wild-type ovarian carcinomas. Fifteen epithelial ovarian cancer cell lines of varying histologic subtypes were treated with Nutlin-3a with determination of IC50 values. Western Blot (WB) and quantitative real-time polymerase chain reaction (qRT-PCR) analyses quantified MDM2, p53, and p21 expression after Nutlin-3a treatment. DNA from 15 cell lines was then sequenced for TP53 mutations in exons 2-11 including intron-exon boundaries. Responses to Nutlin-3a were dependent upon TP53 mutation status. By qRT-PCR and WB, levels of MDM2 and p21 were upregulated in wild-type TP53 sensitive cell lines, and p21 induction was reduced or absent in mutant cell lines. Annexin V assays demonstrated apoptosis in sensitive cell lines treated with Nutlin-3a. Thus, Nutlin-3a could be a potential therapeutic agent for ovarian carcinomas expressing wild-type TP53 and warrants further investigation.
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