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Blood, 15 June 2004, Vol. 103, No. 12, pp. 4659-4665.
Prepublished online as a Blood First Edition Paper on March 9, 2004; DOI 10.1182/blood-2003-07-2527.
Previous Article | Next Article 
Submitted July 29, 2003
Accepted February 19, 2004
A novel DNA-dependent protein kinase inhibitor NU7026 potentiates the cytotoxicity of topoisomerase II poisons used in the treatment of leukemia
Elaine Willmore, Sarah de Caux, Nicola J Sunter, Michael J Tilby, Graham H Jackson, Caroline A Austin, and Barbara W Durkacz*
School of Cell & Molecular Biosciences, University of Newcastle-upon-Tyne, Newcastle-upon-Tyne, United Kingdom
Northern Institute for Cancer Research, University of Newcastle-upon-Tyne, Newcastle-upon-Tyne, United Kingdom
Dept of Haematology, Royal Victoria Infirmary, Newcastle-upon-Tyne, United Kingdom
* Corresponding author; email: B.W.Durkacz{at}ncl.ac.uk.
We report for the first time the use of a selective small molecule inhibitor of DNA repair to potentiate topo II poisons, identifying DNA-PK as a potential target for leukemia therapy.Topoisomerase II (topo II) poisons form cleavable complexes that are processed to DNA double strand breaks (DSB). DNA-dependent protein kinase (DNA-PK) mediates non-homologous end joining (NHEJ). Inhibition of this DSB repair pathway may sensitize cells to topo II poisons. We investigated the effects of a novel DNA-PK inhibitor, NU7026, on the response to topo II poisons using K562 leukemia cells. NU7026 (10µM) potentiated the growth inhibition of idarubicin, daunorubicin, doxorubicin, etoposide, mAMSA and mitoxantrone with potentiation factors at 50% growth inhibition ranging from 19 for mAMSA to 2 for idarubicin (potentiation of etoposide was confirmed by clonogenic assay). In contrast, NU7026 did not potentiate camptothecin or araC. NU7026 did not affect the levels of etoposide-induced topo II or cleavable complexes. NU7026 alone had no effect on cell cycle distribution, but etoposide-induced accumulation in G2/M was increased by NU7026. A concentration-dependent increase in etoposide-induced DSB levels was enhanced by NU7026. Thus, NU7026 potentiates topo II poisons downstream of cleavable complex formation by a mechanism involving inhibition of NHEJ and G2/M checkpoint arrest.

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