2017
DOI: 10.18632/oncotarget.23386
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Combination of a hypomethylating agent and inhibitors of PARP and HDAC traps PARP1 and DNMT1 to chromatin, acetylates DNA repair proteins, down-regulates NuRD and induces apoptosis in human leukemia and lymphoma cells

Abstract: Combination of drugs that target different aspects of aberrant cellular processes is an efficacious treatment for hematological malignancies. Hypomethylating agents (HMAs) and inhibitors of poly(ADP-ribose) polymerases (PARPis) and histone deacetylases (HDACis) are clinically active anti-tumor drugs. We hypothesized that their combination would be synergistically cytotoxic to leukemia and lymphoma cells. Exposure of AML and lymphoma cell lines to the combination of the PARPi niraparib (Npb), the HMA decitabine… Show more

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Cited by 41 publications
(34 citation statements)
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“…Combined therapies have shown synergistic effects in peripheral T-cell lymphoma, resulting in the enhanced induction of lymphoma cell apoptosis [ 136 , 137 ]. Benigno C. Valdez et al reported that the combination of a hypomethylating agent, decitabine (DAC), a PARP inhibitor and an HDAC synergistically inhibited cell proliferation and induced apoptosis in human leukaemia and lymphoma cells [ 138 ]. A phase I study investigated oral 5-azacytidine (AZA) and romidepsin (ROMI) in patients with PTCL and showed that combination epigenetic modifying drug therapy exhibited marked activity in patients with PTCL [ 139 ].…”
Section: Dna Methylationmentioning
confidence: 99%
“…Combined therapies have shown synergistic effects in peripheral T-cell lymphoma, resulting in the enhanced induction of lymphoma cell apoptosis [ 136 , 137 ]. Benigno C. Valdez et al reported that the combination of a hypomethylating agent, decitabine (DAC), a PARP inhibitor and an HDAC synergistically inhibited cell proliferation and induced apoptosis in human leukaemia and lymphoma cells [ 138 ]. A phase I study investigated oral 5-azacytidine (AZA) and romidepsin (ROMI) in patients with PTCL and showed that combination epigenetic modifying drug therapy exhibited marked activity in patients with PTCL [ 139 ].…”
Section: Dna Methylationmentioning
confidence: 99%
“…HDACi enhances Ku70 acetylation, abolishes DNA repair, increases the levels of DNA damage protein H2AX phosphorylation (γ-H2AX) [128,129,130,131,132], and leads to cell cycle arrest and apoptosis [111,133,134]. MS-275 dramatically elevates Ku70 acetylation and Bax activation in medulloblastoma cells [106].…”
Section: Ku70 Acetylation By Hdaci Treatmentmentioning
confidence: 99%
“…This PARP acetylation was associated with increased binding and subsequent trapping to DSBs with the use of PARP inhibitors and a resultant increase in cell death [43]. Additionally, it has been shown that the triple combination of HDAC, PARP, and DNMT inhibitors produced enhanced synergy in leukemia cells, furthering the use of PARP inhibitors in this disease [44].…”
Section: Combining Parp Inhibitors With Other Agents To Enhance Parp mentioning
confidence: 99%