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Reverse Transcriptase Inhibition Disrupts Repeat Element Life Cycle in Colorectal Cancer.


ABSTRACT: Altered RNA expression of repetitive sequences and retrotransposition are frequently seen in colorectal cancer, implicating a functional importance of repeat activity in cancer progression. We show the nucleoside reverse transcriptase inhibitor 3TC targets activities of these repeat elements in colorectal cancer preclinical models with a preferential effect in p53-mutant cell lines linked with direct binding of p53 to repeat elements. We translate these findings to a human phase II trial of single-agent 3TC treatment in metastatic colorectal cancer with demonstration of clinical benefit in 9 of 32 patients. Analysis of 3TC effects on colorectal cancer tumorspheres demonstrates accumulation of immunogenic RNA:DNA hybrids linked with induction of interferon response genes and DNA damage response. Epigenetic and DNA-damaging agents induce repeat RNAs and have enhanced cytotoxicity with 3TC. These findings identify a vulnerability in colorectal cancer by targeting the viral mimicry of repeat elements.

Significance

Colorectal cancers express abundant repeat elements that have a viral-like life cycle that can be therapeutically targeted with nucleoside reverse transcriptase inhibitors (NRTI) commonly used for viral diseases. NRTIs induce DNA damage and interferon response that provide a new anticancer therapeutic strategy. This article is highlighted in the In This Issue feature, p. 1397.

SUBMITTER: Rajurkar M 

PROVIDER: S-EPMC9167735 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Reverse Transcriptase Inhibition Disrupts Repeat Element Life Cycle in Colorectal Cancer.

Rajurkar Mihir M   Parikh Aparna R AR   Solovyov Alexander A   You Eunae E   Kulkarni Anupriya S AS   Chu Chong C   Xu Katherine H KH   Jaicks Christopher C   Taylor Martin S MS   Wu Connie C   Alexander Katherine A KA   Good Charly R CR   Szabolcs Annamaria A   Gerstberger Stefanie S   Tran Antuan V AV   Xu Nova N   Ebright Richard Y RY   Van Seventer Emily E EE   Vo Kevin D KD   Tai Eric C EC   Lu Chenyue C   Joseph-Chazan Jasmin J   Raabe Michael J MJ   Nieman Linda T LT   Desai Niyati N   Arora Kshitij S KS   Ligorio Matteo M   Thapar Vishal V   Cohen Limor L   Garden Padric M PM   Senussi Yasmeen Y   Zheng Hui H   Allen Jill N JN   Blaszkowsky Lawrence S LS   Clark Jeffrey W JW   Goyal Lipika L   Wo Jennifer Y JY   Ryan David P DP   Corcoran Ryan B RB   Deshpande Vikram V   Rivera Miguel N MN   Aryee Martin J MJ   Hong Theodore S TS   Berger Shelley L SL   Walt David R DR   Burns Kathleen H KH   Park Peter J PJ   Greenbaum Benjamin D BD   Ting David T DT  

Cancer discovery 20220601 6


Altered RNA expression of repetitive sequences and retrotransposition are frequently seen in colorectal cancer, implicating a functional importance of repeat activity in cancer progression. We show the nucleoside reverse transcriptase inhibitor 3TC targets activities of these repeat elements in colorectal cancer preclinical models with a preferential effect in p53-mutant cell lines linked with direct binding of p53 to repeat elements. We translate these findings to a human phase II trial of sing  ...[more]

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