Abstract PR13:Inhibition of RNA polymerase I transcription activates targeted DNA damage response and enhances the efficacy of PARP inhibitors in high-grade ovarian cancer

Elaine Sanij, Kate Hannan, Jiachen Xuan, Shunfei Yan, Jessica Ahern, Anna S Trigos, Natalie Brajanovski, Jinbae Son, Keefe Chan, Olga Kondrashova, Elizabeth Lieschke, Matthew Wakefield, Sarah Ellis, Gretchen Poortinga, C Cullinane, Kum Kum Khanna, Linda Mileshkin, Grant McArthur, John Soong, Els M BernsRoss Hannan, Clare L. Scott, Karen E. Sheppard, Richard B Pearson

    Research output: Contribution to journalArticlepeer-review

    Abstract

    PARP inhibitors (PARPi) have revolutionized disease management of patients with homologous recombination (HR) DNA repair-deficient high-grade serous ovarian cancer (HGSOC). However, acquired resistance to PARPi is a major challenge in the clinic. The specific inhibitor of RNA polymerase I (Pol I) transcription of ribosomal RNA genes (rDNA) has demonstrated single-agent antitumor activity in p53 wild-type and p53-mutant hematologic malignancies (first-in-human trial, dose escalation study of CX-5461 at Peter MacCallum Cancer Centre) (Khot et al., Cancer Discov 2019). CX-5461 has also been reported to exhibit synthetic lethality with BRCA1/2 deficiency through stabilization of G-quadruplex DNA (GQ) structures. Here, we investigate the efficacy of CX-5461 in treating HGSOC.
    Original languageEnglish
    JournalClinical Cancer Research
    Volume26
    Issue number13_Supplement
    DOIs
    Publication statusPublished - 2020

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