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  • Pleiotropic Impact of DNA-P...
    Dylgjeri, Emanuela; McNair, Christopher; Goodwin, Jonathan F; Raymon, Heather K; McCue, Peter A; Shafi, Ayesha A; Leiby, Benjamin E; de Leeuw, Renée; Kothari, Vishal; McCann, Jennifer J; Mandigo, Amy C; Chand, Saswati N; Schiewer, Matthew J; Brand, Lucas J; Vasilevskaya, Irina; Gordon, Nicolas; Laufer, Talya S; Gomella, Leonard G; Lallas, Costas D; Trabulsi, Edouard J; Feng, Felix Y; Filvaroff, Ellen H; Hege, Kristin; Rathkopf, Dana; Knudsen, Karen E

    Clinical cancer research, 09/2019, Letnik: 25, Številka: 18
    Journal Article

    DNA-dependent protein kinase catalytic subunit (DNA-PK) is a pleiotropic kinase involved in DNA repair and transcriptional regulation. DNA-PK is deregulated in selected cancer types and is strongly associated with poor outcome. The underlying mechanisms by which DNA-PK promotes aggressive tumor phenotypes are not well understood. Here, unbiased molecular investigation in clinically relevant tumor models reveals novel functions of DNA-PK in cancer. DNA-PK function was modulated using both genetic and pharmacologic methods in a series of models, xenografts, and patient-derived explants (PDE), and the impact on the downstream signaling and cellular cancer phenotypes was discerned. Data obtained were used to develop novel strategies for combinatorial targeting of DNA-PK and hormone signaling pathways. Key findings reveal that (i) DNA-PK regulates tumor cell proliferation; (ii) pharmacologic targeting of DNA-PK suppresses tumor growth both , and ; (iii) DNA-PK transcriptionally regulates the known DNA-PK-mediated functions as well as novel cancer-related pathways that promote tumor growth; (iv) dual targeting of DNA-PK/TOR kinase (TORK) transcriptionally upregulates androgen signaling, which can be mitigated using the androgen receptor (AR) antagonist enzalutamide; (v) cotargeting AR and DNA-PK/TORK leads to the expansion of antitumor effects, uncovering the modulation of novel, highly relevant protumorigenic cancer pathways; and (viii) cotargeting DNA-PK/TORK and AR has cooperative growth inhibitory effects and . These findings uncovered novel DNA-PK transcriptional regulatory functions and led to the development of a combinatorial therapeutic strategy for patients with advanced prostate cancer, currently being tested in the clinical setting.