Cell Reports (Nov 2014)

Targeting the DNA Repair Pathway in Ewing Sarcoma

  • Elizabeth Stewart,
  • Ross Goshorn,
  • Cori Bradley,
  • Lyra M. Griffiths,
  • Claudia Benavente,
  • Nathaniel R. Twarog,
  • Gregory M. Miller,
  • William Caufield,
  • Burgess B. Freeman III,
  • Armita Bahrami,
  • Alberto Pappo,
  • Jianrong Wu,
  • Amos Loh,
  • Åsa Karlström,
  • Chris Calabrese,
  • Brittney Gordon,
  • Lyudmila Tsurkan,
  • M. Jason Hatfield,
  • Philip M. Potter,
  • Scott E. Snyder,
  • Suresh Thiagarajan,
  • Abbas Shirinifard,
  • Andras Sablauer,
  • Anang A. Shelat,
  • Michael A. Dyer

DOI
https://doi.org/10.1016/j.celrep.2014.09.028
Journal volume & issue
Vol. 9, no. 3
pp. 829 – 840

Abstract

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Ewing sarcoma (EWS) is a tumor of the bone and soft tissue that primarily affects adolescents and young adults. With current therapies, 70% of patients with localized disease survive, but patients with metastatic or recurrent disease have a poor outcome. We found that EWS cell lines are defective in DNA break repair and are sensitive to PARP inhibitors (PARPis). PARPi-induced cytotoxicity in EWS cells was 10- to 1,000-fold higher after administration of the DNA-damaging agents irinotecan or temozolomide. We developed an orthotopic EWS mouse model and performed pharmacokinetic and pharmacodynamic studies using three different PARPis that are in clinical development for pediatric cancer. Irinotecan administered on a low-dose, protracted schedule previously optimized for pediatric patients was an effective DNA-damaging agent when combined with PARPis; it was also better tolerated than combinations with temozolomide. Combining PARPis with irinotecan and temozolomide gave complete and durable responses in more than 80% of the mice.