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New therapeutic perspectives in CCDC6 deficient lung cancer cells

Non‐small cell lung cancer (NSCLC) is the main cause of cancer‐related death worldwide and new therapeutic strategies are urgently needed. In this study, we have characterized a panel of NSC lung cancer cell lines for the expression of coiled‐coil‐domain containing 6 (CCDC6), a tumor suppressor gene...

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Published in:International journal of cancer 2015-05, Vol.136 (9), p.2146-2157
Main Authors: Morra, Francesco, Luise, Chiara, Visconti, Roberta, Staibano, Stefania, Merolla, Francesco, Ilardi, Gennaro, Guggino, Gianluca, Paladino, Simona, Sarnataro, Daniela, Franco, Renato, Monaco, Roberto, Zitomarino, Federica, Pacelli, Roberto, Monaco, Guglielmo, Rocco, Gaetano, Cerrato, Aniello, Linardopoulos, Spiros, Muller, Mark T., Celetti, Angela
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container_issue 9
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container_title International journal of cancer
container_volume 136
creator Morra, Francesco
Luise, Chiara
Visconti, Roberta
Staibano, Stefania
Merolla, Francesco
Ilardi, Gennaro
Guggino, Gianluca
Paladino, Simona
Sarnataro, Daniela
Franco, Renato
Monaco, Roberto
Zitomarino, Federica
Pacelli, Roberto
Monaco, Guglielmo
Rocco, Gaetano
Cerrato, Aniello
Linardopoulos, Spiros
Muller, Mark T.
Celetti, Angela
description Non‐small cell lung cancer (NSCLC) is the main cause of cancer‐related death worldwide and new therapeutic strategies are urgently needed. In this study, we have characterized a panel of NSC lung cancer cell lines for the expression of coiled‐coil‐domain containing 6 (CCDC6), a tumor suppressor gene involved in apoptosis and DNA damage response. We show that low CCDC6 protein levels are associated with a weak response to DNA damage and a low number of Rad51 positive foci. Moreover, CCDC6 deficient lung cancer cells show defects in DNA repair via homologous recombination. In accordance with its role in the DNA damage response, CCDC6 attenuation confers resistance to cisplatinum, the current treatment of choice for NSCLC, but sensitizes the cells to olaparib, a small molecule inhibitor of the repair enzymes PARP1/2. Remarkably, the combination of the two drugs is more effective than each agent individually, as demonstrated by a combination index
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In this study, we have characterized a panel of NSC lung cancer cell lines for the expression of coiled‐coil‐domain containing 6 (CCDC6), a tumor suppressor gene involved in apoptosis and DNA damage response. We show that low CCDC6 protein levels are associated with a weak response to DNA damage and a low number of Rad51 positive foci. Moreover, CCDC6 deficient lung cancer cells show defects in DNA repair via homologous recombination. In accordance with its role in the DNA damage response, CCDC6 attenuation confers resistance to cisplatinum, the current treatment of choice for NSCLC, but sensitizes the cells to olaparib, a small molecule inhibitor of the repair enzymes PARP1/2. Remarkably, the combination of the two drugs is more effective than each agent individually, as demonstrated by a combination index &lt;1. Finally, CCDC6 is expressed at low levels in about 30% of the NSCL tumors we analyzed by TMA immunostaining. The weak CCDC6 protein staining is significatively correlated with the presence of lymph node metastasis (p ≤ 0.02) and negatively correlated to the disease free survival (p ≤ 0.01) and the overall survival (p ≤ 0.05). Collectively, the data indicate that CCDC6 levels provide valuable insight for OS. CCDC6 could represent a predictive biomarker of resistance to conventional single mode therapy and yield insight on tumor sensitivity to PARP inhibitors in NSCLC. What's new? Non‐small cell lung cancer (NSCLC) is a deadly disease, with fewer than 15% of patients still alive five years post‐diagnosis. But as this study suggests, predictive biomarkers could inform the development of much‐needed novel therapeutic strategies. Defective expression of the tumor suppressor coiled‐coil‐domain containing 6 (CCDC6) was correlated with patient survival and, in NSCLC cells, was associated with deficient homology‐directed repair (HDR), rendering the cells resistant to cisplatinum but sensitive to the PARP inhibitor olaparib. When given in combination, however, the two agents were synergistic. 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In this study, we have characterized a panel of NSC lung cancer cell lines for the expression of coiled‐coil‐domain containing 6 (CCDC6), a tumor suppressor gene involved in apoptosis and DNA damage response. We show that low CCDC6 protein levels are associated with a weak response to DNA damage and a low number of Rad51 positive foci. Moreover, CCDC6 deficient lung cancer cells show defects in DNA repair via homologous recombination. In accordance with its role in the DNA damage response, CCDC6 attenuation confers resistance to cisplatinum, the current treatment of choice for NSCLC, but sensitizes the cells to olaparib, a small molecule inhibitor of the repair enzymes PARP1/2. Remarkably, the combination of the two drugs is more effective than each agent individually, as demonstrated by a combination index &lt;1. Finally, CCDC6 is expressed at low levels in about 30% of the NSCL tumors we analyzed by TMA immunostaining. The weak CCDC6 protein staining is significatively correlated with the presence of lymph node metastasis (p ≤ 0.02) and negatively correlated to the disease free survival (p ≤ 0.01) and the overall survival (p ≤ 0.05). Collectively, the data indicate that CCDC6 levels provide valuable insight for OS. CCDC6 could represent a predictive biomarker of resistance to conventional single mode therapy and yield insight on tumor sensitivity to PARP inhibitors in NSCLC. What's new? Non‐small cell lung cancer (NSCLC) is a deadly disease, with fewer than 15% of patients still alive five years post‐diagnosis. But as this study suggests, predictive biomarkers could inform the development of much‐needed novel therapeutic strategies. Defective expression of the tumor suppressor coiled‐coil‐domain containing 6 (CCDC6) was correlated with patient survival and, in NSCLC cells, was associated with deficient homology‐directed repair (HDR), rendering the cells resistant to cisplatinum but sensitive to the PARP inhibitor olaparib. When given in combination, however, the two agents were synergistic. 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Medical Complete (Alumni)</collection><jtitle>International journal of cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morra, Francesco</au><au>Luise, Chiara</au><au>Visconti, Roberta</au><au>Staibano, Stefania</au><au>Merolla, Francesco</au><au>Ilardi, Gennaro</au><au>Guggino, Gianluca</au><au>Paladino, Simona</au><au>Sarnataro, Daniela</au><au>Franco, Renato</au><au>Monaco, Roberto</au><au>Zitomarino, Federica</au><au>Pacelli, Roberto</au><au>Monaco, Guglielmo</au><au>Rocco, Gaetano</au><au>Cerrato, Aniello</au><au>Linardopoulos, Spiros</au><au>Muller, Mark T.</au><au>Celetti, Angela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>New therapeutic perspectives in CCDC6 deficient lung cancer cells</atitle><jtitle>International journal of cancer</jtitle><addtitle>Int J Cancer</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>136</volume><issue>9</issue><spage>2146</spage><epage>2157</epage><pages>2146-2157</pages><issn>0020-7136</issn><eissn>1097-0215</eissn><abstract>Non‐small cell lung cancer (NSCLC) is the main cause of cancer‐related death worldwide and new therapeutic strategies are urgently needed. In this study, we have characterized a panel of NSC lung cancer cell lines for the expression of coiled‐coil‐domain containing 6 (CCDC6), a tumor suppressor gene involved in apoptosis and DNA damage response. We show that low CCDC6 protein levels are associated with a weak response to DNA damage and a low number of Rad51 positive foci. Moreover, CCDC6 deficient lung cancer cells show defects in DNA repair via homologous recombination. In accordance with its role in the DNA damage response, CCDC6 attenuation confers resistance to cisplatinum, the current treatment of choice for NSCLC, but sensitizes the cells to olaparib, a small molecule inhibitor of the repair enzymes PARP1/2. Remarkably, the combination of the two drugs is more effective than each agent individually, as demonstrated by a combination index &lt;1. Finally, CCDC6 is expressed at low levels in about 30% of the NSCL tumors we analyzed by TMA immunostaining. The weak CCDC6 protein staining is significatively correlated with the presence of lymph node metastasis (p ≤ 0.02) and negatively correlated to the disease free survival (p ≤ 0.01) and the overall survival (p ≤ 0.05). Collectively, the data indicate that CCDC6 levels provide valuable insight for OS. CCDC6 could represent a predictive biomarker of resistance to conventional single mode therapy and yield insight on tumor sensitivity to PARP inhibitors in NSCLC. What's new? Non‐small cell lung cancer (NSCLC) is a deadly disease, with fewer than 15% of patients still alive five years post‐diagnosis. But as this study suggests, predictive biomarkers could inform the development of much‐needed novel therapeutic strategies. Defective expression of the tumor suppressor coiled‐coil‐domain containing 6 (CCDC6) was correlated with patient survival and, in NSCLC cells, was associated with deficient homology‐directed repair (HDR), rendering the cells resistant to cisplatinum but sensitive to the PARP inhibitor olaparib. When given in combination, however, the two agents were synergistic. Thus, CCDC6 levels may offer valuable insight for therapeutic decisions in NSCLC.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>25302833</pmid><doi>10.1002/ijc.29263</doi><tpages>12</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Antineoplastic Agents - pharmacology
Apoptosis - drug effects
Apoptosis - genetics
Cancer
Cancer therapies
candidate biomarker
Carcinoma, Non-Small-Cell Lung - drug therapy
Carcinoma, Non-Small-Cell Lung - genetics
CCDC6
Cell Line, Tumor
Cisplatin - pharmacology
Cytoskeletal Proteins - deficiency
Cytoskeletal Proteins - genetics
Deoxyribonucleic acid
Disease-Free Survival
DNA
DNA damage
DNA Damage - drug effects
DNA Damage - genetics
DNA damage and homologous‐directed repair
DNA repair
DNA Repair - drug effects
DNA Repair - genetics
Female
Humans
Lung cancer
Lung Neoplasms - drug therapy
Lung Neoplasms - genetics
Lymphatic Metastasis - genetics
Male
Medical research
Middle Aged
NSCLC
Phthalazines
Piperazines
Rad51 Recombinase - genetics
resistance to platinum salts and PARP‐1 inhibitor sensitivity
title New therapeutic perspectives in CCDC6 deficient lung cancer cells
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