Exploiting interconnected synthetic lethal interactions between PARP inhibition and cancer cell reversible senescence

Nat Commun. 2019 Jun 11;10(1):2556. doi: 10.1038/s41467-019-10460-1.

Abstract

Senescence is a tumor suppression mechanism defined by stable proliferation arrest. Here we demonstrate that the known synthetic lethal interaction between poly(ADP-ribose) polymerase 1 inhibitors (PARPi) and DNA repair triggers p53-independent ovarian cancer cell senescence defined by senescence-associated phenotypic hallmarks including DNA-SCARS, inflammatory secretome, Bcl-XL-mediated apoptosis resistance, and proliferation restriction via Chk2 and p21 (CDKN1A). The concept of senescence as irreversible remains controversial and here we show that PARPi-senescent cells re-initiate proliferation upon drug withdrawal, potentially explaining the requirement for sustained PARPi therapy in the clinic. Importantly, PARPi-induced senescence renders ovarian and breast cancer cells transiently susceptible to second-phase synthetic lethal approaches targeting the senescence state using senolytic drugs. The combination of PARPi and a senolytic is effective in preclinical models of ovarian and breast cancer suggesting that coupling these synthetic lethalities provides a rational approach to their clinical use and may together be more effective in limiting resistance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Agents / pharmacology
  • Apoptosis
  • Breast Neoplasms / drug therapy
  • Cell Line, Tumor
  • Cell Proliferation / drug effects*
  • Cellular Senescence*
  • DNA Repair*
  • Drug Resistance, Neoplasm
  • Female
  • Humans
  • Ovarian Neoplasms / drug therapy
  • Poly(ADP-ribose) Polymerase Inhibitors / pharmacology*
  • Synthetic Lethal Mutations*

Substances

  • Antineoplastic Agents
  • Poly(ADP-ribose) Polymerase Inhibitors