PMID- 20588277 OWN - NLM STAT- MEDLINE DCOM- 20100805 LR - 20211020 IS - 1532-1827 (Electronic) IS - 0007-0920 (Print) IS - 0007-0920 (Linking) VI - 103 IP - 2 DP - 2010 Jul 13 TI - Nutlin-3, the small-molecule inhibitor of MDM2, promotes senescence and radiosensitises laryngeal carcinoma cells harbouring wild-type p53. PG - 186-95 LID - 10.1038/sj.bjc.6605739 [doi] AB - BACKGROUND: Primary radiotherapy (RT) is a mainstay of treatment for laryngeal squamous cell carcinoma (LSCC). Although the cure rates for early (T1) vocal cord tumours are high, RT proves ineffective in up to a third of T3 carcinomas. Moreover, RT is associated with debilitating early- and late-treatment-related toxicity, thus finding means to de-escalate therapy, while retaining/augmenting therapeutic effectiveness, is highly desirable. p53 is a key mediator of radiation responses; we therefore investigated whether Nutlin-3, a small-molecule inhibitor of MDM2 (mouse double minute 2; an essential negative regulator of p53), might radiosensitise LSCC cells. METHODS: We performed clonogenic assays to measure radiosensitivity in a panel of LSCC cell lines (for which we determined p53 mutational status) in the presence and absence of Nutlin-3. RESULTS: LSCC cells harbouring wild-type p53 were significantly radiosensitised by Nutlin-3 (P<0.0001; log-rank scale), and displayed increased cell cycle arrest and significantly increased senescence (P<0.001) in the absence of increased apoptosis; thus, our data suggest that senescence may mediate this increased radiosensitivity. CONCLUSION: This is the first study showing Nutlin-3 as an effective radiosensitiser in LSCC cells that retain wild-type p53. The clinical application of Nutlin-3 might improve local recurrence rates or allow treatment de-escalation in these patients. FAU - Arya, A K AU - Arya AK AD - Division of Surgery and Oncology, School of Cancer Studies, University of Liverpool, 5th Floor. UCD Building, Daulby Street, Liverpool L69 3GA, UK. FAU - El-Fert, A AU - El-Fert A FAU - Devling, T AU - Devling T FAU - Eccles, R M AU - Eccles RM FAU - Aslam, M A AU - Aslam MA FAU - Rubbi, C P AU - Rubbi CP FAU - Vlatkovic, N AU - Vlatkovic N FAU - Fenwick, J AU - Fenwick J FAU - Lloyd, B H AU - Lloyd BH FAU - Sibson, D R AU - Sibson DR FAU - Jones, T M AU - Jones TM FAU - Boyd, M T AU - Boyd MT LA - eng GR - 8313/CRUK_/Cancer Research UK/United Kingdom PT - Journal Article DEP - 20100629 PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 0 (Imidazoles) RN - 0 (Piperazines) RN - 0 (Radiation-Sensitizing Agents) RN - 53IA0V845C (nutlin 3) RN - EC 2.3.2.27 (MDM2 protein, human) RN - EC 2.3.2.27 (Proto-Oncogene Proteins c-mdm2) SB - IM MH - Animals MH - Carcinoma, Squamous Cell/*drug therapy/genetics/radiotherapy MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Cellular Senescence/*drug effects MH - *Genes, p53 MH - Imidazoles/*analysis/*pharmacology MH - Laryngeal Neoplasms/*drug therapy/genetics/radiotherapy MH - Piperazines/*analysis/*pharmacology MH - Proto-Oncogene Proteins c-mdm2/*antagonists & inhibitors MH - Radiation Tolerance/*drug effects MH - Radiation-Sensitizing Agents/*pharmacology PMC - PMC2906734 EDAT- 2010/07/01 06:00 MHDA- 2010/08/06 06:00 PMCR- 2011/07/13 CRDT- 2010/07/01 06:00 PHST- 2010/07/01 06:00 [entrez] PHST- 2010/07/01 06:00 [pubmed] PHST- 2010/08/06 06:00 [medline] PHST- 2011/07/13 00:00 [pmc-release] AID - 6605739 [pii] AID - 10.1038/sj.bjc.6605739 [doi] PST - ppublish SO - Br J Cancer. 2010 Jul 13;103(2):186-95. doi: 10.1038/sj.bjc.6605739. Epub 2010 Jun 29.