PMID- 29844863 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 9 IP - 35 DP - 2018 May 8 TI - PAM-OBG: A monoamine oxidase B specific prodrug that inhibits MGMT and generates DNA interstrand crosslinks, potentiating temozolomide and chemoradiation therapy in intracranial glioblastoma. PG - 23923-23943 LID - 10.18632/oncotarget.25246 [doi] AB - Via extensive analyses of genetic databases, we have characterized the DNA-repair capacity of glioblastoma with respect to patient survival. In addition to elevation of O(6)-methylguanine DNA methyltransferase (MGMT), down-regulation of three DNA repair pathways; canonical mismatch repair (MMR), Non-Homologous End-Joining (NHEJ), and Homologous Recombination (HR) are correlated with poor patient outcome. We have designed and tested both in vitro and in vivo, a monoamine oxidase B (MAOB) specific prodrug, PAM-OBG, that is converted by glioma MAOB into the MGMT inhibitor O(6)-benzylguanine (O(6)BG) and the DNA crosslinking agent acrolein. In cultured glioma cells, we show that PAM-OBG is converted to O(6)BG, inhibiting MGMT and sensitizing cells to DNA alkylating agents such as BCNU, CCNU, and Temozolomide (TMZ). In addition, we demonstrate that the acrolein generated is highly toxic in glioma treated with an inhibitor of Nucleotide Excision Repair (NER). In mouse intracranial models of primary human glioma, we show that PAM-OBG increases survival of mice treated with either BCNU or CCNU by a factor of six and that in a chemoradiation model utilizing six rounds of TMZ/2Gy radiation, pre-treatment with PAM-OBG more than doubled survival time. FAU - Sharpe, Martyn A AU - Sharpe MA AD - Department of Neurosurgery, Kenneth R. Peak Brain and Pituitary Tumor Center, Houston Methodist Hospital, TX 77030, Houston, USA. FAU - Raghavan, Sudhir AU - Raghavan S AD - Department of Neurosurgery, Kenneth R. Peak Brain and Pituitary Tumor Center, Houston Methodist Hospital, TX 77030, Houston, USA. FAU - Baskin, David S AU - Baskin DS AD - Department of Neurosurgery, Kenneth R. Peak Brain and Pituitary Tumor Center, Houston Methodist Hospital, TX 77030, Houston, USA. LA - eng PT - Journal Article DEP - 20180508 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5963626 OTO - NOTNLM OT - MAOB OT - MGMT OT - chemotherapy OT - drug OT - glioblastoma COIS- CONFLICTS OF INTEREST The authors declare no conflicts of interest. EDAT- 2018/05/31 06:00 MHDA- 2018/05/31 06:01 PMCR- 2018/05/08 CRDT- 2018/05/31 06:00 PHST- 2018/02/07 00:00 [received] PHST- 2018/04/08 00:00 [accepted] PHST- 2018/05/31 06:00 [entrez] PHST- 2018/05/31 06:00 [pubmed] PHST- 2018/05/31 06:01 [medline] PHST- 2018/05/08 00:00 [pmc-release] AID - 25246 [pii] AID - 10.18632/oncotarget.25246 [doi] PST - epublish SO - Oncotarget. 2018 May 8;9(35):23923-23943. doi: 10.18632/oncotarget.25246. eCollection 2018 May 8.