DNA double-strand breaks (
DSB) are the most cytotoxic lesions induced by
topoisomerase II poisons. Nonhomologous end joining (NHEJ) is a major pathway for
DSB repair and requires
DNA-dependent protein kinase (
DNA-PK) activity.
DNA-PK catalytic subunit (
DNA-
PKcs) is structurally similar to
PI-3K, which promotes cell survival and proliferation and is upregulated in many
cancers.
KU-0060648 is a dual inhibitor of
DNA-PK and
PI-3K in vitro.
KU-0060648 was investigated in a panel of human breast and
colon cancer cells. The compound inhibited cellular
DNA-PK autophosphorylation with IC(50) values of 0.019 μmol/L (MCF7 cells) and 0.17 μmol/L (SW620 cells), and PI-3K-mediated AKT phosphorylation with IC(50) values of 0.039 μmol/L (MCF7 cells) and more than 10 μmol/L (SW620 cells). Five-day exposure to 1 μmol/L
KU-0060648 inhibited cell proliferation by more than 95% in MCF7 cells but only by 55% in SW620 cells. In clonogenic survival assays,
KU-0060648 increased the cytotoxicity of
etoposide and
doxorubicin across the panel of
DNA-
PKcs-proficient cells, but not in
DNA-
PKcs-deficient cells, thus confirming that enhanced cytotoxicity was due to
DNA-PK inhibition. In mice bearing SW620 and MCF7 xenografts, concentrations of
KU-0060648 that were sufficient for in vitro growth inhibition and chemosensitization were maintained within the
tumor for at least 4 hours at nontoxic doses.
KU-0060648 alone delayed the growth of MCF7 xenografts and increased
etoposide-induced
tumor growth delay in both in SW620 and MCF7 xenografts by up to 4.5-fold, without exacerbating
etoposide toxicity to unacceptable levels. The proof-of-principle in vitro and in vivo chemosensitization with
KU-0060648 justifies further evaluation of dual
DNA-PK and
PI-3K inhibitors.