PMID- 29061656 OWN - NLM STAT- MEDLINE DCOM- 20171220 LR - 20190127 IS - 1521-0103 (Electronic) IS - 0022-3565 (Linking) VI - 364 IP - 1 DP - 2018 Jan TI - Synergistic Antiproliferative Activity of the RAD51 Inhibitor IBR2 with Inhibitors of Receptor Tyrosine Kinases and Microtubule Protein. PG - 46-54 LID - 10.1124/jpet.117.241661 [doi] AB - Although cancer cell genetic instability contributes to characteristics that mediate tumorigenicity, it also contributes to the tumor-selective toxicity of some chemotherapy drugs. This synthetic lethality can be enhanced by inhibitors of DNA repair. To exploit this potential Achilles heel, we tested the ability of a RAD51 inhibitor to potentiate the cytotoxicity of chemotherapy drugs. 2-(Benzylsulfonyl)-1-(1H-indol-3-yl)-1,2-dihydroisoquinoline (IBR2) inhibits RAD51-mediated DNA double-strand break repair but also enhances cytotoxicity of the Bcr-Abl inhibitor imatinib. The potential for synergy between IBR2 and more drugs was examined in vitro across a spectrum of cancer cell lines from various tissues. Cells were exposed to IBR2 simultaneously with inhibitors of receptor tyrosine kinases, DNA-damaging agents, or microtubule disruptors. IBR2, at concentrations that inhibited proliferation between 0% and 75%, enhanced toxicity by up to 80% of imatinib and regorafenib (targets RAF and kit); epidermal growth factor receptor inhibitors erlotinib, gefitinib, afatinib, and osimertinib; and vincristine, an inhibitor of microtubule function. However, IBR2 antagonized the action of olaparib, cisplatin, melphalan, and irinotecan. A vincristine-resistant squamous cell line was not cross resistant to imatinib, but IBR2 and another RAD51 inhibitor (B02) enhanced imatinib toxicity in this cell line, its HN-5a parent, and the colon cancer line HT-29 by up to 60% and much better than verapamil, a P-glycoprotein inhibitor (P < 0.05). Given the disparate agents the functions of which are enhanced by IBR2, the mechanisms of enhancement may be multimodal. Whether RAD51 is common to these mechanisms remains to be elucidated, but it provides the potential for selectivity to tumor cells. CI - Copyright (c) 2017 by The American Society for Pharmacology and Experimental Therapeutics. FAU - Ferguson, Peter J AU - Ferguson PJ AD - London Regional Cancer Program and Lawson Health Research Institute, London, Ontario, Canada (P.J.F., M.D.V., J.K.); and Departments of Microbiology and Immunology (J.K.), Pathology (J.K.), Physiology and Pharmacology (J.K.), and Oncology (P.J.F., M.D.V., J.K.), University of Western Ontario, London, Ontario, Canada peter.ferguson@uwo.ca. FAU - Vincent, Mark D AU - Vincent MD AD - London Regional Cancer Program and Lawson Health Research Institute, London, Ontario, Canada (P.J.F., M.D.V., J.K.); and Departments of Microbiology and Immunology (J.K.), Pathology (J.K.), Physiology and Pharmacology (J.K.), and Oncology (P.J.F., M.D.V., J.K.), University of Western Ontario, London, Ontario, Canada. FAU - Koropatnick, James AU - Koropatnick J AD - London Regional Cancer Program and Lawson Health Research Institute, London, Ontario, Canada (P.J.F., M.D.V., J.K.); and Departments of Microbiology and Immunology (J.K.), Pathology (J.K.), Physiology and Pharmacology (J.K.), and Oncology (P.J.F., M.D.V., J.K.), University of Western Ontario, London, Ontario, Canada. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171023 PL - United States TA - J Pharmacol Exp Ther JT - The Journal of pharmacology and experimental therapeutics JID - 0376362 RN - 0 ((R)-1-(1H-indol-3-yl)-2-phenylmethanesulfonyl-1,2,3,4-tetrahydroisoquinoline) RN - 0 (Antineoplastic Agents) RN - 0 (Indoles) RN - 0 (Microtubule Proteins) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Tetrahydroisoquinolines) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 2.7.7.- (RAD51 protein, human) RN - EC 2.7.7.- (Rad51 Recombinase) SB - IM MH - A549 Cells MH - Antineoplastic Agents/administration & dosage MH - Cell Proliferation/*drug effects/physiology MH - Dose-Response Relationship, Drug MH - Drug Synergism MH - HEK293 Cells MH - HT29 Cells MH - Humans MH - Indoles/*administration & dosage MH - K562 Cells MH - MCF-7 Cells MH - Microtubule Proteins/*antagonists & inhibitors/metabolism MH - Protein Kinase Inhibitors/*administration & dosage MH - Rad51 Recombinase/*antagonists & inhibitors/metabolism MH - Receptor Protein-Tyrosine Kinases/*antagonists & inhibitors/metabolism MH - Tetrahydroisoquinolines/*administration & dosage EDAT- 2017/10/25 06:00 MHDA- 2017/12/21 06:00 CRDT- 2017/10/25 06:00 PHST- 2017/03/24 00:00 [received] PHST- 2017/10/20 00:00 [accepted] PHST- 2017/10/25 06:00 [pubmed] PHST- 2017/12/21 06:00 [medline] PHST- 2017/10/25 06:00 [entrez] AID - jpet.117.241661 [pii] AID - 10.1124/jpet.117.241661 [doi] PST - ppublish SO - J Pharmacol Exp Ther. 2018 Jan;364(1):46-54. doi: 10.1124/jpet.117.241661. Epub 2017 Oct 23.