1. Fludarabine-mediated suppression of the excision repair enzyme ERCC1 contributes to the cytotoxic synergy with the DNA minor groove crosslinking agent SJG-136 (NSC 694501) in chronic lymphocytic leukaemia cells
- Author
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Christopher Fegan, David E. Thurston, John A. Hartley, C Thurieau, Helen Lowe, Patrick Delavault, and Chris Pepper
- Subjects
Male ,Cancer Research ,DNA Repair ,Transcription, Genetic ,DNA repair ,Chronic lymphocytic leukemia ,synergy ,Antineoplastic Agents ,Biology ,DNA crosslinking ,SJG-136 ,DNA Crosslinking ,Antineoplastic Combined Chemotherapy Protocols ,DNA Interstrand Crosslinking ,Tumor Cells, Cultured ,medicine ,Humans ,Pyrroles ,Benzodiazepinones ,PBD dimer ,apoptosis ,Drug Synergism ,Genetics and Genomics ,DNA ,Middle Aged ,Endonucleases ,medicine.disease ,Leukemia, Lymphocytic, Chronic, B-Cell ,Fludarabine ,DNA-Binding Proteins ,Comet assay ,Cross-Linking Reagents ,Oncology ,Immunology ,Cancer research ,Female ,ERCC1 ,Vidarabine ,chronic lymphocytic leukaemia ,medicine.drug ,Nucleotide excision repair - Abstract
In this study, we set out to establish whether fludarabine could enhance the DNA interstrand crosslinking capacity of SJG-136 in primary human chronic lymphocytic leukaemia (CLL) cells and thereby offer a rationale for its clinical use in combination with SJG-136. SJG-136 rapidly induced DNA crosslinking in primary CLL cells which was concentration-dependent. Further, the level of crosslinking correlated with sensitivity to SJG-136-induced apoptosis (P=0.001) and higher levels of crosslinking were induced by the combination of SJG-136 and fludarabine (P=0.002). All of the samples tested (n=40) demonstrated synergy between SJG-136 and fludarabine (mean combination index (CI)=0.54+/-0.2) and this was even retained in samples derived from patients with fludarabine resistance (mean CI=0.62+/-0.3). Transcription of the excision repair enzyme, ERCC1, was consistently increased (20/20) in response to SJG-136 (P0.0001). In contrast, fludarabine suppressed ERCC1 transcription (P=0.04) and inhibited SJG-136-induced ERCC1 transcription when used in combination (P=0.001). Importantly, the ability of fludarabine to suppress ERCC1 transcription correlated with the degree of synergy observed between SJG-136 and fludarabine (r(2)=0.28; P=0.017) offering a mechanistic rationale for the synergistic interaction. The data presented here provides a clear indication that this combination of drugs may have clinical utility as salvage therapy in drug-resistant CLL.
- Published
- 2007
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