Exposure to genotoxic agents, such as ionizing radiation (IR) produces DNA damage leading to DNA double-strand breaks (DSBs); IR toxicity is augmented when the DNA repair is impaired. We reported that radiosensitization by a PARP inhibitor (PARPi) was highly prominent in prostate cancer (PCa) cells expressing the TMPRSS2-ERG gene fusion protein. Here, we show that TMPRSS2-ERG blocks non-homologous end-joining (NHEJ) DNA repair by inhibiting DNA-PKcs. VCaP cells, which harbor TMPRSS2-ERG and PC3 cells that stably express it displayed γH2AX and 53BP1 foci constitutively, indicating persistent DNA damage that was absent if TMPRSS2-ERG was depleted by siRNA in VCaP cells. The extent of DNA damage was enhanced and associated with TMPRSS2-ERG’s ability to inhibit DNA-PKcs function, as indicated by its own phosphorylation (Thr2609, Ser2056) and that of its substrate, Ser1778-53BP1. DNA-PKcs deficiency caused by TMPRSS2-ERG destabilized critical NHEJ components on chromatin. Thus, XRCC4 was not recruited to chromatin, with retention of other NHEJ core factors being reduced. DNA-PKcs autophosphorylation was restored to the level of parental cells when TMPRSS2-ERG was depleted by siRNA. Following IR, TMPRSS2-ERG-expressing PC3 cells had elevated Rad51 foci and homologous recombination (HR) activity, indicating that HR compensated for defective NHEJ in these cells, hence addressing why TMPRSS2-ERG alone did not lead to radiosensitization. However, the presence of TMPRSS2-ERG, by inhibiting NHEJ DNA repair, enhanced PARPi-mediated radiosensitization. IR in combination with PARPi resulted in enhanced DNA damage in TMPRSS2-ERG-expressing cells. Thus, by inhibiting NHEJ, TMPRSS2-ERG provides a synthetic lethal interaction with PARPi in PCa patients expressing TMPRSS2-ERG.
<p>TMPRSS2/ERG expression reduces S964 MDC-1 but not S25 53BP1 IRIFs. Confocal immunostaining for phosphorylation of S25-53BP1 (A) and S964-MDC1 (B) in PC3 and TMPRSS2-ERG-expressing cells at the indicated times after IR. Right panel indicates the quantified foci/nucleus. Error bars represent SD (n=3).</p>
<p>TMPRSS2/ERG expression reduces S964 MDC-1 but not S25 53BP1 IRIFs. Confocal immunostaining for phosphorylation of S25-53BP1 (A) and S964-MDC1 (B) in PC3 and TMPRSS2-ERG-expressing cells at the indicated times after IR. Right panel indicates the quantified foci/nucleus. Error bars represent SD (n=3).</p>
<p>The proportion of cells in the different phases of the cell cycle at 24 and 48 h following IR, administered alone or in combination with PARPi, determined by flow cytometry.</p>
<p>TMPRSS2/ERG inhibits Ser2056 DNA-PKcs phosphorylation. Confocal immunostaining for phospho-DNA-PKcs Ser2056 at indicated times following IR in PC3 with or without expression of the TMPRSS2-ERG fusion.</p>
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