2020
DOI: 10.1007/s42764-020-00011-0
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ATM-deficient lung, prostate and pancreatic cancer cells are acutely sensitive to the combination of olaparib and the ATR inhibitor AZD6738

Abstract: The Ataxia Telangiectasia Mutated (ATM) protein kinase is mutated in several human cancers, presenting potential opportunities for targeted cancer therapy. We previously reported that the poly-ADP-ribose polymerase (PARP) inhibitor olaparib induces transient G2 arrest but not cell death in ATM-deficient lung cancer cells, while the combination of olaparib with the ATM-and Rad3-related (ATR) inhibitor VE-821 induced cell death. Here, we show that combination of olaparib plus the clinically relevant ATR inhibito… Show more

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Cited by 11 publications
(5 citation statements)
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“…A study reported the effectiveness of AZD6738 in inducing cell death in olaparib-treated ATM-deficient cancer cells while exerting a low effect on ATM-proficient control cells. They suggested that the co-administration of PARP and ATR inhibitors may be useful for the treatment of cancer types that show deficiency in ATM [ 153 ].…”
Section: Other Promising Inhibitors Of Pancreatic Cancermentioning
confidence: 99%
“…A study reported the effectiveness of AZD6738 in inducing cell death in olaparib-treated ATM-deficient cancer cells while exerting a low effect on ATM-proficient control cells. They suggested that the co-administration of PARP and ATR inhibitors may be useful for the treatment of cancer types that show deficiency in ATM [ 153 ].…”
Section: Other Promising Inhibitors Of Pancreatic Cancermentioning
confidence: 99%
“…The combination of PARP inhibitors with some targeted agents is also a potential strategy. In research on ATM alterations, preclinical data showed that olaparib induced reversible G 2 arrest but was not cytotoxic in ATM-deficient cell lines [77,78]. Clinical data also showed that few patients with ATM alterations were sensitive to PARP inhibitors [13,28].…”
Section: Targeted Agentsmentioning
confidence: 99%
“…It is necessary to explore other therapies in patients with ATM alterations [79]. Preclinical studies found that the combination of olaparib and an ATR inhibitor could induce cell death in ATM-deficient cells [77,78]. This was considered to be mediated by the ablation of G 2 arrest induced by ATR inhibitors.…”
Section: Targeted Agentsmentioning
confidence: 99%
“…Response rates to PARPis in ATM-deficient tumor cell lines were seen in chronic lymphocytic leukemia [28], gastric cancer [63], and mantle cell lymphoma [64]. However, other studies revealed ATM deficiency may not be enough to fully sensitize these cells to PARP inhibition; experiments showed olaparib given alone to ATM-deficient cancer cells induced only a cytostatic state, while there are emerging data suggesting that olaparib combined with an ATR (ATM-and RAD3-related) inhibitor provides an additional cytotoxic effect [65,66]. A study using prostate cancer cell lines agreed that ATM loss may not respond to PARPis, but they did respond well to an ATR inhibitor [67].…”
Section: Looking Into the Future: Potential Biomarkers Of Response To Parp Inhibitors Cautious Optimism And Ongoing Clinical Trialsmentioning
confidence: 99%