iScience (Jun 2021)

CHK1 inhibitor sensitizes resistant colorectal cancer stem cells to nortopsentin

  • Simone Di Franco,
  • Barbara Parrino,
  • Miriam Gaggianesi,
  • Vincenzo Davide Pantina,
  • Paola Bianca,
  • Annalisa Nicotra,
  • Laura Rosa Mangiapane,
  • Melania Lo Iacono,
  • Gloria Ganduscio,
  • Veronica Veschi,
  • Ornella Roberta Brancato,
  • Antonino Glaviano,
  • Alice Turdo,
  • Irene Pillitteri,
  • Lorenzo Colarossi,
  • Stella Cascioferro,
  • Daniela Carbone,
  • Camilla Pecoraro,
  • Micol Eleonora Fiori,
  • Ruggero De Maria,
  • Matilde Todaro,
  • Isabella Screpanti,
  • Girolamo Cirrincione,
  • Patrizia Diana,
  • Giorgio Stassi

Journal volume & issue
Vol. 24, no. 6
p. 102664

Abstract

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Summary: Limited therapeutic options are available for advanced colorectal cancer (CRC). Herein, we report that exposure to a neo-synthetic bis(indolyl)thiazole alkaloid analog, nortopsentin 234 (NORA234), leads to an initial reduction of proliferative and clonogenic potential of CRC sphere cells (CR-CSphCs), followed by an adaptive response selecting the CR-CSphC-resistant compartment. Cells spared by the treatment with NORA234 express high levels of CD44v6, associated with a constitutive activation of Wnt pathway. In CR-CSphC-based organoids, NORA234 causes a genotoxic stress paralleled by G2-M cell cycle arrest and activation of CHK1, driving the DNA damage repair of CR-CSphCs, regardless of the mutational background, microsatellite stability, and consensus molecular subtype. Synergistic combination of NORA234 and CHK1 (rabusertib) targeting is synthetic lethal inducing death of both CD44v6-negative and CD44v6-positive CRC stem cell fractions, aside from Wnt pathway activity. These data could provide a rational basis to develop an effective strategy for the treatment of patients with CRC.

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