2022
DOI: 10.1126/sciadv.abn1229
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Translesion DNA synthesis mediates acquired resistance to olaparib plus temozolomide in small cell lung cancer

Abstract: In small cell lung cancer (SCLC), acquired resistance to DNA-damaging therapy is challenging to study because rebiopsy is rarely performed. We used patient-derived xenograft models, established before therapy and after progression, to dissect acquired resistance to olaparib plus temozolomide (OT), a promising experimental therapy for relapsed SCLC. These pairs of serial models reveal alterations in both cell cycle kinetics and DNA replication and demonstrate both inter- and intratumoral heterogeneity in mechan… Show more

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Cited by 17 publications
(7 citation statements)
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“…Interestingly, the levels of CDKN1A/p21 after DNA damage do not always increase as discussed previously regarding Translesion DNA Synthesis (TLS) [78,79]. TLS is a well-conserved process by which the cell can bypass DNA damage and continue the cell cycle, mediated by specialised polymerases; this process can result in tumour resistance to DNA-damaging reagents during cancer treatment [174][175][176].…”
Section: Discussion and Future Directionsmentioning
confidence: 90%
“…Interestingly, the levels of CDKN1A/p21 after DNA damage do not always increase as discussed previously regarding Translesion DNA Synthesis (TLS) [78,79]. TLS is a well-conserved process by which the cell can bypass DNA damage and continue the cell cycle, mediated by specialised polymerases; this process can result in tumour resistance to DNA-damaging reagents during cancer treatment [174][175][176].…”
Section: Discussion and Future Directionsmentioning
confidence: 90%
“…2G and ref. 47 ). Nearly all new mutations were C>T transitions characteristic of TMZ (SBS11 in COSMIC), which became so abundant that they supplanted the tobacco-induced C>A transversion signature (SBS4 in COSMIC; Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Studies have shown that Rad18-induced ubiquitination of PCNA as well as error-prone polymerases play multiple roles in tumorigenesis [182,183]. As biological processes that contribute to oncogenesis are often also involved in the cellular response to anti-cancer drugs, it is unsurprising that a number of studies [184,185] have also shown that altered expression of genes associated with low-fidelity DNA polymerases can also impact cellular sensitivity to cancer chemotherapeutic agents known to produce DPCs. The role of error-prone DNA polymerases is further explored in a number of recent review articles [186][187][188].…”
Section: Therapeutic Implicationsmentioning
confidence: 99%