Modification of the DNA damage response by therapeutic CDK4/6 inhibition

J Biol Chem. 2012 Aug 17;287(34):29075-87. doi: 10.1074/jbc.M112.365494. Epub 2012 Jun 25.

Abstract

The RB/E2F axis represents a critical node of cell signaling that integrates a diverse array of signaling pathways. Recent evidence has suggested a role for E2F-mediated gene transcription in DNA damage response and repair, as well as apoptosis signaling. Herein, we investigated how repression of E2F activity via CDK4/6 inhibition and RB activation impacts the response of triple negative breast cancer (TNBC) to frequently used therapeutic agents. In combination with taxanes and anthracyclines CDK4/6 inhibition and consequent cell cycle arrest prevented the induction of DNA damage and associated cell death in an RB-dependent manner; thereby demonstrating antagonism between the cytostatic influence of the CDK-inhibitor and cytotoxic agents. As many of these effects were secondary to cell cycle arrest, γ-irradiation (IR) was utilized to examine effects of CDK4/6 inhibition on direct DNA damage. Although E2F controls a number of genes involved in DNA repair (e.g. Rad51), CDK4/6 inhibition did not alter the overall rate of DNA repair, rather it significantly shifted the burden of this repair from homologous recombination (HR) to non-homologous end joining (NHEJ). Together, these data indicate that CDK4/6 inhibition can antagonize cytotoxic therapeutic strategies and increases utilization of error-prone DNA repair mechanisms that could contribute to disease progression.

MeSH terms

  • Animals
  • Breast Neoplasms / genetics
  • Breast Neoplasms / metabolism*
  • Breast Neoplasms / therapy*
  • Cell Line, Tumor
  • Cyclin-Dependent Kinase 4 / antagonists & inhibitors*
  • Cyclin-Dependent Kinase 4 / genetics
  • Cyclin-Dependent Kinase 4 / metabolism
  • Cyclin-Dependent Kinase 6 / antagonists & inhibitors*
  • Cyclin-Dependent Kinase 6 / genetics
  • Cyclin-Dependent Kinase 6 / metabolism
  • DNA Damage*
  • DNA Repair / drug effects*
  • DNA Repair / radiation effects
  • DNA, Neoplasm / genetics
  • DNA, Neoplasm / metabolism*
  • E2F Transcription Factors / genetics
  • E2F Transcription Factors / metabolism
  • Female
  • Gamma Rays
  • Humans
  • Mice
  • Mice, Nude
  • Retinoblastoma Protein / genetics
  • Retinoblastoma Protein / metabolism
  • Taxoids / pharmacology*

Substances

  • DNA, Neoplasm
  • E2F Transcription Factors
  • Retinoblastoma Protein
  • Taxoids
  • CDK4 protein, human
  • CDK6 protein, human
  • Cyclin-Dependent Kinase 4
  • Cyclin-Dependent Kinase 6