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Publication : A first-in-class Polymerase Theta Inhibitor selectively targets Homologous-Recombination-Deficient Tumors.

First Author  Zhou J Year  2021
Journal  Nat Cancer Volume  2
Issue  6 Pages  598-610
PubMed ID  34179826 Mgi Jnum  J:307136
Mgi Id  MGI:6718682 Doi  10.1038/s43018-021-00203-x
Citation  Zhou J, et al. (2021) A first-in-class Polymerase Theta Inhibitor selectively targets Homologous-Recombination-Deficient Tumors. Nat Cancer 2(6):598-610
abstractText  DNA polymerase theta (POLtheta) is synthetic lethal with Homologous Recombination (HR) deficiency and thus a candidate target for HR-deficient cancers. Through high-throughput small molecule screens we identified the antibiotic Novobiocin (NVB) as a specific POLtheta inhibitor that selectively kills HR-deficient tumor cells in vitro and in vivo. NVB directly binds to the POLtheta ATPase domain, inhibits its ATPase activity, and phenocopies POLtheta depletion. NVB kills HR-deficient breast and ovarian tumors in GEMM, xenograft and PDX models. Increased POLtheta levels predict NVB sensitivity, and BRCA-deficient tumor cells with acquired resistance to PARP inhibitors (PARPi) are sensitive to NVB in vitro and in vivo. Mechanistically, NVB-mediated cell death in PARPi-resistant cells arises from increased double-strand break end resection, leading to accumulation of single-strand DNA intermediates and non-functional RAD51 foci. Our results demonstrate that NVB may be useful alone or in combination with PARPi in treating HR-deficient tumors, including those with acquired PARPi resistance. (151/150).
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