Transcriptomics

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CDK7 inhibitor, Q901 synergizes with topoisomerase 1 inhibition by disrupting MYC/E2F-driven transcription program


ABSTRACT: Cyclin-dependent kinase 7 (CDK7) functions as both a cell cycle regulator through activation of CDKs 1, 2, 4, and 6, and as a critical component of transcription factor II H (TFIIH) mediating RNA Polymerase II transcription. This study investigates the transcriptional impact of Q901, a highly selective CDK7 inhibitor in clinical development. Our findings demonstrate that Q901 primarily disrupts oncogenic transcription programs driven by MYC and E2F, evidenced by dramatic stabilization of CDK7 binding and reduced occupancy of MYC, E2F, and RNA Pol II at promoter-proximal regions. This leads to downregulation of genes involved in DNA damage repair and cell cycle control pathways. Further investigation revealed a novel therapeutic mechanism to overcome topoisomerase I (TOP1) inhibitor resistance. While cancer cells typically evade TOP1 inhibitors when elongating RNA Pol II encounters TOP1-DNA protein crosslinks (TOP1-DPCs), triggering repair mechanisms, Q901 prevents RNA Pol II transition from initiation to elongation as well as DNA repair pathway, thereby stabilizing TOP1-DPCs. In vivo studies demonstrated synergistic tumor growth inhibition when combining Q901 with TOP1 inhibitor-based antibody-drug conjugates (TOP1i-ADCs), including trastuzumab deruxtecan and sacituzumab govitecan. These results collectively demonstrate that a combination of Q901 and TOP1i-ADC could be a promising therapeutic approach for cancers with limited response to TOP1i-ADC therapy.

ORGANISM(S): Homo sapiens

PROVIDER: GSE292860 | GEO | 2026/02/12

REPOSITORIES: GEO

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