TOPBP1 as a potential predictive biomarker for enhanced combinatorial efficacy of olaparib and AZD6738 in PDAC

Abstract Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive and often lethal malignancy, requiring the development of enhanced therapeutic approaches. The DNA damage response (DDR) pathway is frequently altered during PDAC development, leading to an increased occurrence of DNA damage. DN...

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Main Authors: Xiao-Mei Tang, Min-Min Shi, Jia-Cheng Wang, Yi-Jin Gu, Yu-Ting Dai, Qin-Xin Yang, Jia Liu, Ling-Jie Ren, Xin-Yun Liu, Chun Yang, Fang-Fang Ma, Ji-Bing Liu, Hong Yu, Da Fu, Yun-Feng Wang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Cell & Bioscience
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Online Access:https://doi.org/10.1186/s13578-025-01350-9
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author Xiao-Mei Tang
Min-Min Shi
Jia-Cheng Wang
Yi-Jin Gu
Yu-Ting Dai
Qin-Xin Yang
Jia Liu
Ling-Jie Ren
Xin-Yun Liu
Chun Yang
Fang-Fang Ma
Ji-Bing Liu
Hong Yu
Da Fu
Yun-Feng Wang
author_facet Xiao-Mei Tang
Min-Min Shi
Jia-Cheng Wang
Yi-Jin Gu
Yu-Ting Dai
Qin-Xin Yang
Jia Liu
Ling-Jie Ren
Xin-Yun Liu
Chun Yang
Fang-Fang Ma
Ji-Bing Liu
Hong Yu
Da Fu
Yun-Feng Wang
author_sort Xiao-Mei Tang
collection DOAJ
description Abstract Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive and often lethal malignancy, requiring the development of enhanced therapeutic approaches. The DNA damage response (DDR) pathway is frequently altered during PDAC development, leading to an increased occurrence of DNA damage. DNA topoisomerase II-binding protein 1 (TOPBP1) plays a supportive role in regulating the DDR pathway, and its overexpression has been linked to the tumorigenesis of various cancers. This study investigated the biological role of TOPBP1 in PDAC pathogenesis and evaluated its clinical relevance in guiding treatment regimens. We examined the relationship between TOPBP1 expression, DDR pathway modulation, and therapeutic response in PDAC cell lines, primary cells, and subcutaneous mouse models. We found that elevated TOPBP1 expression was positively correlated with increased histologic grade and reduced patient survival in PDAC. TOPBP1 knockdown increased the sensitivity of PDAC cells to olaparib treatment and improved therapeutic efficacy in both PDAC cell lines and subcutaneous mouse models. Combination treatment with olaparib and AZD6738 effectively induced P53-dependent apoptosis via inhibiting the ATR pathway and enhancing signaling through the ATM pathway, which significantly reduced the viability of pancreatic cell lines. Notably, this combination therapy was more effective in PDAC cell lines exhibiting high TOPBP1 expression, indicating that TOPBP1 may serve as a useful predictive biomarker. In conclusion, TOPBP1 is a potential marker for optimizing the olaparib and AZD6738 combination therapy in PDAC. This study highlights the clinical significance of TOPBP1 in the treatment of PDAC and emphasizes the potential implications for a broader population of patients.
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spelling doaj-art-635ab80f70404509b01d47de7912976f2025-02-09T12:56:21ZengBMCCell & Bioscience2045-37012025-02-0115111810.1186/s13578-025-01350-9TOPBP1 as a potential predictive biomarker for enhanced combinatorial efficacy of olaparib and AZD6738 in PDACXiao-Mei Tang0Min-Min Shi1Jia-Cheng Wang2Yi-Jin Gu3Yu-Ting Dai4Qin-Xin Yang5Jia Liu6Ling-Jie Ren7Xin-Yun Liu8Chun Yang9Fang-Fang Ma10Ji-Bing Liu11Hong Yu12Da Fu13Yun-Feng Wang14Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of MedicineDepartment of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of MedicineShanghai Pinghe SchoolDepartment of Pathology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineState Key Laboratory of Oncogenes and Related Genes, Institute of Translational Medicine, Shanghai Jiaotong UniversityDepartment of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of MedicineDepartment of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of MedicineDepartment of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of MedicineDepartment of Pathology, The Affiliated Taizhou Peoples Hospital of Nanjing Medical UniversityDepartment of Anesthesiology, The Affiliated Taizhou People’s Hospital of Nanjing Medical UniversityDepartment of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of MedicineInstitute of Oncology, Affiliated Tumor Hospital of Nantong UniversityDepartment of Pathology, The Affiliated Taizhou Peoples Hospital of Nanjing Medical UniversityDepartment of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of MedicineDepartment of General Surgery, Pudong New Area People’s HospitalAbstract Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive and often lethal malignancy, requiring the development of enhanced therapeutic approaches. The DNA damage response (DDR) pathway is frequently altered during PDAC development, leading to an increased occurrence of DNA damage. DNA topoisomerase II-binding protein 1 (TOPBP1) plays a supportive role in regulating the DDR pathway, and its overexpression has been linked to the tumorigenesis of various cancers. This study investigated the biological role of TOPBP1 in PDAC pathogenesis and evaluated its clinical relevance in guiding treatment regimens. We examined the relationship between TOPBP1 expression, DDR pathway modulation, and therapeutic response in PDAC cell lines, primary cells, and subcutaneous mouse models. We found that elevated TOPBP1 expression was positively correlated with increased histologic grade and reduced patient survival in PDAC. TOPBP1 knockdown increased the sensitivity of PDAC cells to olaparib treatment and improved therapeutic efficacy in both PDAC cell lines and subcutaneous mouse models. Combination treatment with olaparib and AZD6738 effectively induced P53-dependent apoptosis via inhibiting the ATR pathway and enhancing signaling through the ATM pathway, which significantly reduced the viability of pancreatic cell lines. Notably, this combination therapy was more effective in PDAC cell lines exhibiting high TOPBP1 expression, indicating that TOPBP1 may serve as a useful predictive biomarker. In conclusion, TOPBP1 is a potential marker for optimizing the olaparib and AZD6738 combination therapy in PDAC. This study highlights the clinical significance of TOPBP1 in the treatment of PDAC and emphasizes the potential implications for a broader population of patients.https://doi.org/10.1186/s13578-025-01350-9PDACTOPBP1OlaparibAZD6738
spellingShingle Xiao-Mei Tang
Min-Min Shi
Jia-Cheng Wang
Yi-Jin Gu
Yu-Ting Dai
Qin-Xin Yang
Jia Liu
Ling-Jie Ren
Xin-Yun Liu
Chun Yang
Fang-Fang Ma
Ji-Bing Liu
Hong Yu
Da Fu
Yun-Feng Wang
TOPBP1 as a potential predictive biomarker for enhanced combinatorial efficacy of olaparib and AZD6738 in PDAC
Cell & Bioscience
PDAC
TOPBP1
Olaparib
AZD6738
title TOPBP1 as a potential predictive biomarker for enhanced combinatorial efficacy of olaparib and AZD6738 in PDAC
title_full TOPBP1 as a potential predictive biomarker for enhanced combinatorial efficacy of olaparib and AZD6738 in PDAC
title_fullStr TOPBP1 as a potential predictive biomarker for enhanced combinatorial efficacy of olaparib and AZD6738 in PDAC
title_full_unstemmed TOPBP1 as a potential predictive biomarker for enhanced combinatorial efficacy of olaparib and AZD6738 in PDAC
title_short TOPBP1 as a potential predictive biomarker for enhanced combinatorial efficacy of olaparib and AZD6738 in PDAC
title_sort topbp1 as a potential predictive biomarker for enhanced combinatorial efficacy of olaparib and azd6738 in pdac
topic PDAC
TOPBP1
Olaparib
AZD6738
url https://doi.org/10.1186/s13578-025-01350-9
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