PMID- 29088817 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 43 DP - 2017 Sep 26 TI - CC-115, a dual inhibitor of mTOR kinase and DNA-PK, blocks DNA damage repair pathways and selectively inhibits ATM-deficient cell growth in vitro. PG - 74688-74702 LID - 10.18632/oncotarget.20342 [doi] AB - CC-115, a selective dual inhibitor of the mammalian target of rapamycin (mTOR) kinase and DNA-dependent protein kinase (DNA-PK), is undergoing Phase 1 clinical studies. Here we report the characterization of DNA-PK inhibitory activity of CC-115 in cancer cell lines. CC-115 inhibits auto-phosphorylation of the catalytic subunit of DNA-PK (DNA-PKcs) at the S2056 site (pDNA-PK S2056), leading to blockade of DNA-PK-mediated non-homologous end joining (NHEJ). CC-115 also indirectly reduces the phosphorylation of ataxia-telangiectasia mutated kinase (ATM) at S1981 and its substrates as well as homologous recombination (HR). The mTOR kinase and DNA-PK inhibitory activity of CC-115 leads to not only potent anti-tumor activity against a large panel of hematopoietic and solid cancer cell lines but also strong induction of apoptosis in a subset of cancer lines. Mechanistically, CC-115 prevents NHEJ by inhibiting the dissociation of DNA-PKcs, X-ray repair cross-complementing protein 4 (XRCC4), and DNA ligase IV from DNA ends. CC-115 inhibits colony formation of ATM-deficient cells more potently than ATM-proficient cells, indicating that inhibition of DNA-PK is synthetically lethal with the loss of functional ATM. In conclusion, CC-115 inhibits both mTOR signaling and NHEJ and HR by direct inhibition of DNA-PK. The mechanistic data not only provide selection of potential pharmacodynamic (PD) markers but also support CC-115 clinical development in patients with ATM-deficient tumors. FAU - Tsuji, Toshiya AU - Tsuji T AD - Oncology Research, Celgene Corporation, San Diego, CA 92121, USA. FAU - Sapinoso, Lisa M AU - Sapinoso LM AD - Oncology Research, Celgene Corporation, San Diego, CA 92121, USA. FAU - Tran, Tam AU - Tran T AD - Oncology Research, Celgene Corporation, San Diego, CA 92121, USA. FAU - Gaffney, Bonny AU - Gaffney B AD - Oncology Research, Celgene Corporation, San Diego, CA 92121, USA. FAU - Wong, Lilly AU - Wong L AD - Oncology Research, Celgene Corporation, San Diego, CA 92121, USA. FAU - Sankar, Sabita AU - Sankar S AD - Oncology Research, Celgene Corporation, San Diego, CA 92121, USA. FAU - Raymon, Heather K AU - Raymon HK AD - Pharmacology, Celgene Corporation, San Diego, CA 92121, USA. FAU - Mortensen, Deborah S AU - Mortensen DS AD - Medicinal Chemistry, Celgene Corporation, San Diego, CA 92121, USA. FAU - Xu, Shuichan AU - Xu S AD - Oncology Research, Celgene Corporation, San Diego, CA 92121, USA. LA - eng PT - Journal Article DEP - 20170818 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5650372 OTO - NOTNLM OT - ATM OT - DNA damage repair OT - DNA-PK OT - mTOR kinase COIS- CONFLICTS OF INTEREST All authors are currently employees of Celgene, except S. Sankar, who was an employee of Celgene at the time of her contribution to this work. EDAT- 2017/11/02 06:00 MHDA- 2017/11/02 06:01 PMCR- 2017/09/26 CRDT- 2017/11/02 06:00 PHST- 2017/02/17 00:00 [received] PHST- 2017/07/25 00:00 [accepted] PHST- 2017/11/02 06:00 [entrez] PHST- 2017/11/02 06:00 [pubmed] PHST- 2017/11/02 06:01 [medline] PHST- 2017/09/26 00:00 [pmc-release] AID - 20342 [pii] AID - 10.18632/oncotarget.20342 [doi] PST - epublish SO - Oncotarget. 2017 Aug 18;8(43):74688-74702. doi: 10.18632/oncotarget.20342. eCollection 2017 Sep 26.