2016
DOI: 10.1016/j.ccell.2016.11.006
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Leveraging an NQO1 Bioactivatable Drug for Tumor-Selective Use of Poly(ADP-ribose) Polymerase Inhibitors

Abstract: Summary Therapeutic drugs that block DNA repair, including poly(ADP-ribose) polymerase (PARP) inhibitors, fail due to lack of tumor-selectivity. When PARP inhibitors and β-lapachone are combined, synergistic antitumor activity results from sustained NAD(P)H levels that refuel NQO1-dependent futile redox drug recycling. Significant oxygen consumption rate/reactive oxygen species cause dramatic DNA lesion increases that are not repaired due to PARP inhibition. In NQO1+ cancers, such as non-small cell lung, pancr… Show more

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Cited by 112 publications
(215 citation statements)
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“…14,15 A majority (>90%) of pancreatic tumors have over-expressed NQO1 levels, believed mainly due to mutant K-Ras driven transcription. 5,16 We assessed NQO1 mRNA levels in 462 pancreatic adenocarcinoma tissues versus associated normal tissue, where uniformly elevated NQO1 levels were noted, consistent with our prior data. 17 As also noted in non-small cell lung cancer, head, and neck, prostate, and breast cancers, 6,8,12,18 we also demonstrated a reciprocal loss of expression of catalase in pancreatic adenocarcinoma tumors, with elevated catalase and low NQO1 levels in associated normal tissue.…”
Section: Introductionsupporting
confidence: 73%
“…14,15 A majority (>90%) of pancreatic tumors have over-expressed NQO1 levels, believed mainly due to mutant K-Ras driven transcription. 5,16 We assessed NQO1 mRNA levels in 462 pancreatic adenocarcinoma tissues versus associated normal tissue, where uniformly elevated NQO1 levels were noted, consistent with our prior data. 17 As also noted in non-small cell lung cancer, head, and neck, prostate, and breast cancers, 6,8,12,18 we also demonstrated a reciprocal loss of expression of catalase in pancreatic adenocarcinoma tumors, with elevated catalase and low NQO1 levels in associated normal tissue.…”
Section: Introductionsupporting
confidence: 73%
“…In addition to the inhibitory effect of CA on cell proliferation, its effect on cell migration and invasion may represent an attractive therapeutic option for highly metastatic malignant melanomas. Combined treatment with β-lap and poly(ADP-ribose) polymerase (PARP) inhibitors has been shown to exert a synergistic therapeutic effect in several tumor types by causing non-repairable DNA damage in the presence of NQO1 activity (45). It is possible that CA treatment may be able to further augment the combined effect of β-lap and PARP.…”
Section: Discussionmentioning
confidence: 99%
“…In a recent study, a bioactivatable drug targeting NAD(P)H:quinone oxidoreductase 1 (NQO1), β-lapachone, was used in conjunction with a PARPi to specifically target NQO1-overexpressing tumor cells (Huang et al 2016b). The synergistic effect of PARP inhibition in combination with β-lapachone-induced DNA damage specifically promoted tumor cell death and showed efficacy even in cancers with wild-type BRCA1/2 (Huang et al 2016b).…”
Section: Parpis In the Clinicmentioning
confidence: 99%