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International Journal of Radiation Oncology � Biology � PhysicsS656
by more than three thousand-fold after LOFU treatment. HSPA6 and
HSPA7 had slight expression in the untreated groups but had robust up-
regulation after LOFU irrespective of cell types.
Conclusions: Our study provides evidence that ultrasound induced an
acute cellular stress response with up-regulation of protein folding genes in
PCa cells. We also identified two ubiquitously up-regulated and tightly
regulated heat shock proteins after LOFU. Our study demonstrated LOFU
robustly induces expression of HSPA6 and HSPA7. The promoters of
HSPA6 and HSPA7 have important implications for cancer gene therapy as
targeted switches. Future analysis will explore the potential use of LOFU
as an externally delivered controlled activation.
Author Disclosure: J. Tang: None. Y. Liu: None. Z. He: None. H. Zhang:
None. H. Gao: None. D.J. Leong: None. R.J. Majeska: None. C. Guha:
None. H.B. Sun: None.
3186Protein Arginine Methyltransferase-5 as a Novel Epigenetic Targetin Lung CancerM.X. Welliver,1 K. Shilo,1 S. Sharma,1 X. Wu,1 S. Sif,1 A. Chakravarti,1
C. Li,2 R. Baiocchi,1 and G.A. Otterson1; 1The Ohio State University
James Cancer Center, Columbus, OH, 2The Ohio State University College
of Pharmacy, Columbus, OH
Purpose/Objective(s): PRMT5 is an arginine methyltransferase that
regulates a host of cellular events and has an impact on cell growth and
transformation pathways by modulation of E-cadherin, CDKN2A and
cyclin E proteins. In this study, we investigated the role of PRMT5 in lung
cancer by studying its expression pattern and the effect of its inhibition.
Materials/Methods: We studied the expression of PRMT5 using immu-
nohistochemistry from resection specimens obtained with an IRB-
approved protocol. Immortalized lung cancer cells and normal bronchial
airway cells were employed for in vitro experiments. Western blot, cell
cycle analysis, MTT and clonogenic survival assays were performed using
standard techniques. A novel and specific inhibitor of PRMT5 (CPD5)
developed in house was applied to in vitro culture systems.
Results: All 9 lung cancer resection specimens (3 adenocarcinomas, 3
squamous cell carcinomas, 2 small cell lung carcinomas, and 1 large cell
neuroendocrine carcinoma) showed diffuse cytoplasmic and variable
nuclear PRMT5 expression. PRMT5 expression was also seen in reactive
type 2 pneumocytes and respiratory epithelium adjacent to the tumors but
not in normal alveolar parenchyma, fibroblasts or endothelial cells. Using
Western immunoblot, PRMT5 was highly expressed in lung cancer cell
lines (A549, H1299 and H520) compared with normal lung cells
(HPAEpiC and HBEpiC). The p53 null H1299 cell line showed the highest
PRMT5 expression, whereas A549 with WT p53 had 1/5 PRMT5
expression comparing to that in H1299. CPD5 can induce cell death in
lung cancer cell lines with IC50 approximately 50 mM at 24 hr. At this
concentration, the PRMT5 specific mark of histone H4R3 methylation was
inhibited, and increases in early apoptotic population (3.5% to 12.8%)
were seen in H719 cells. There is a modest decrease in clonogenic survival
when A549 cells were treated with 10 mM or 25 mM CPD5 prior to and
during radiation treatment suggesting that PRMT5 inhibition may enhance
radiation effect in this cell line. Cell cycle changes were observed in A549
and H1299 cells treated with CPD5 for 24 hr and 48 hr. At 24 hours, the
percentage of cells in G0/G1 was 57.1% and 66.4% in DMSO versus
CPD5 treated A549 cells, and 52.5% and 70.9% in DMSO versus CPD5
treated H1299 cells. Using Western blot, the expression of p21 was found
to be increased while cyclin E1 was decreased in A549 cells treated with
CPD5 by western blot.
Conclusions: PRMT5 is expressed in lung cancer cells compared to
normal lung parenchyma and its level may be inversely related to
endogenous WT p53. The PRMT5 inhibitor, CPD5 inhibits proliferation
and induces cell death by cell cycle inhibition and apoptosis.
Author Disclosure: M.X. Welliver: None. K. Shilo: None. S. Sharma:
None. X. Wu: None. S. Sif: None. A. Chakravarti: None. C. Li: None.
R. Baiocchi: None. G.A. Otterson: None.
3187Evaluation of Novel DNA Polymerase Beta Inhibitors as PotentialRadiosensitizers of Prostate Cancer CellsM. Hedayati,1 D. Arian,2 H. Zhou,1 Z. Bilis,1 K. Chen,1 M. Greenberg,2
and T. DeWeese1; 1Department of Radiation Oncology and Molecular
Radiation Sciences, School of Medicine, Johns Hopkins University,
Baltimore, MD, 2Department of Chemistry, Johns Hopkins University,
Baltimore, MD
Purpose/Objective(s): DNA polymerase beta (Pol b) is an essential
enzyme that plays a critical role in the repair of the DNA base damage and
single stranded breaks (SSBs) commonly produced by ionizing radiation
(IR). If left unrepaired clusters of such lesions can result in double strand
breaks (DSBs), the major cause of cell death due to IR. Inhibitors of poly
ADP ribose polymerases (PARP) another key family of proteins involved
in the repair of SSBs have become important drugs in treatment of many
cancers when combined with DNA damaging agents such as radiation or
alkylating agents. Recently, it was reported that an oxidized abasic lesion
produced by several antitumor antibiotics that damage DNA can irre-
versibly inhibit Pol b in vitro. This finding led us to design several novel
irreversible inhibitors of Pol b. Here, we report the effectiveness of one
such inhibitor in potentiating the cytotoxicity of a prostate cancer (PCa)
cell line treated either with IR or methylmethane sulfonate (MMS).
Materials/Methods: A leading candidate identified by screening a library
of potential compounds for inhibiting the enzymatic activity of Pol b in
vitro was further developed into a prodrug (DA2114). DU145 PCa cells
were treated with a range of DA2114 concentrations to obtain an inhibitory
concentration at which 50% of the cells were able to survive (IC50).
Survival was determined by clonogenic assay. DA2114 was added to the
cells prior to treatment with either IR or MMS and remained present
throughout the assay.
Results: Treatment of DU145 cells with Pol b inhibitor DA2114 resulted
in IC50 of 15.2 � 2.0 mM. We then used DA2114 (at near IC50) and treated
cells in combination with either IR or MMS. The resulting survival fraction
(sf) after treatment with 250 mM MMS alone was 0.35 � 0.01 (compared
to untreated, p < 0.0001). In the presence of 15 mM DA2114 the
normalized sf was reduced to 0.21 � 0.03 after treatment with 250 mMMMS (compared to the expected sf of 0.35, p < 0.05). IR treatment alone
at 2 Gy and 4 Gy resulted in sfs of 0.75 � 0.11 and 0.52 � 0.15 respec-
tively. In the presence of 20 mM DA2114, the resulting normalized sfs
remained statistically unchanged after 2 Gy and 4 Gy treatments (0.84 �0.15 and 0.49 � 0.14 respectively, p > 0.2).
Conclusions: We show that a novel irreversible inhibitor of Pol b designed
on in vitro inhibition of Pol b enzymatic activity is effective in the treat-
ment of DU145 PCa cells. Furthermore, we report that this inhibitor
significantly potentiates the effect of the alkylating agent, MMS, but not IR
treatments. These results are important in understanding the repair of IR
lesions and suggest that evaluation of these novel inhibitors in conjunction
with alkylating agents and PARP inhibitors should be pursued.
Author Disclosure: M. Hedayati: None. D. Arian: None. H. Zhou: None. Z.
Bilis: None. K. Chen: None. M. Greenberg: None. T. DeWeese: None.
3188Investigation of Low-Dose Fractionated Radiation Therapy asa Chemopotentiator in Advanced/Metastatic GastrointestinalCarcinomaF. Carrier, D. Nguyen, E. Chang, and N. Sharma; University of Maryland,
Baltimore, Baltimore, MD
Purpose/Objective(s): Whole abdominal radiation therapy (WART) has
been used in cases of GI cancer with disseminated intra-abdominal disease.
However, the main shortcoming of WART is the inability to combine it
with full-dose chemotherapy, due to the increased toxicity to normal tissue.
Recent findings have suggested the possibility of a novel treatment para-
digm allowing the use of full dose systemic chemotherapy safely in
combination with Low Dose Fractionated radiation therapy (LDFRT).
Volume 87 � Number 2S � Supplement 2013 Poster Viewing Abstracts S657
Traditionally, the cell survival curve suggested that fractionated radiation
doses of greater than 120 cGy were required to overcome the initial
shoulder where low doses of radiation produced negligible effects on cell
survival. However, preliminary data have shown a low-dose hyper-radio-
sensitivity (HRS) phenomenon in which cells die from hypersensitivity to
15 cGy of radiation. The primary goal of this study is to identify various
biomarkers and cellular pathways that are responsive to low-dose radiation
and determine their contribution to chemopotentiation.
Materials/Methods: Treatment includes a combination of LDFRT and
modified Docetaxel, Cisplatin, 5-fluorouracil (mDCF). Metastatic gastric
carcinoma 5822 and gastric adenocarcinoma 1739 cells were treated with
three consecutive daily doses of radiation and 5-FU and docetaxel on day
1, 5-FU on day 2 and 5-FU and cisplatin on day 3. RNAwas extracted 24 h
later or cells were analyzed by clonogenic survival assay 10 days later.
Results: Our data indicate that three consecutive daily fractions of 15 cGy
are sufficient to induce HRS in gastric cancer cells and potentiate mDCF.
RT-PCR analysis of cellular pathways suggest that the combination of
mDCF with LDFRT induces HRS in gastric cancer cells by down regu-
lating the DNA repair machinery (ATM, p53, BRCA1, MDM2) and up
regulating the production of hydrogen peroxide (DUOX2).
Conclusions: LDFRT can potentiate mDCF through mechanisms different
than the conventional DNA damage response and could be considered for
WART in combination treatments for patients with advanced and meta-
static GI cancers.
Author Disclosure: F. Carrier: None. D. Nguyen: None. E. Chang: None.
N. Sharma: None.
3189Pim Kinase Inhibitor AZD1208 for Treatment of c-MYC-DrivenProstate CancerA.N. Kirschner,1 E.K. Keeton,2 D. Huszar,2 and S.A. Abdulkadir1;1Vanderbilt University, Nashville, TN, 2AstraZeneca R&D, Waltham, MA
Purpose/Objective(s): High grade prostate cancers often overexpress
PIM1 kinase and c-MYC. PIM1 and c-MYC are thought to synergize in
a manner dependent on PIM1 kinase activity to induce prostate cancer in
humans, based on studies in mice. Radiation and hypoxia are known to
increase PIM1, thereby reducing the efficacy of treatment. Targeted
therapy specific for PIM1 kinase is a novel method for inhibiting prostate
cancer growth and enhancing its treatment. In mice, deficiency of Pim
kinases is well tolerated, suggesting that Pim kinase inhibition is an
appealing therapeutic approach for prostate cancer.
Materials/Methods: In a c-MYC/Pim1-transduced prostate cancer tissue
recombination mouse model and in an aggressive mouse prostate cancer
Myc-CaP xenograft model, we examine the effect of a daily oral PIM
kinase inhibitor AZD1208 on prostate tumorigenesis and tumor growth.
Results: PIM inhibition significantly decreases c-MYC/Pim1 graft growth
by more than 50%, decreases cellular proliferation by nearly 50%, and
increases apoptosis by approximately 300%, likely in a phospho-
Bad(S112) mediated process. In addition, AZD1208 significantly
decreases the growth of aggressive mouse prostate cancer Myc-CaP
xenografts by decreasing proliferation and increasing apoptosis.
Conclusions: These results indicate that PIM kinase inhibition by an orally
available drug is a valid treatment for c-MYC/Pim1-driven and aggressive
c-MYC-overexpressing prostate cancers. This research supports efforts
aimed at enhancing systemic and radiation therapy for prostate cancer in
humans. AZD1208 is currently in phase 1 clinical trials.
Author Disclosure: A.N. Kirschner: None. E.K. Keeton: A. Employee;
AstraZeneca R&D. D. Huszar: A. Employee; AstraZeneca R&D. S.A.
Abdulkadir: None.
3190Preclinical Investigation of a Novel Redox Modulator, Parthenolide,as a Cytotoxic and Potential Radiosensitizing Agent inGlioblastoma MultiformeA.J. Smith, F.F. Xu, C. Wang, M.E. Stevens, Y. Xu, D.K. St. Clair,
and W.H. St. Clair; University of Kentucky, Lexington, KY
Purpose/Objective(s): Previous work has shown that the natural product
sesquiterpene parthenolide (PN) is cytotoxic to cancer cells in vitro and
in vivo while sparing normal cell counterparts. The cytotoxic effect of
PN in cancer cells is mediated, in part, through inhibition of the NF-kB
pathway, which also radiosensitizes by down-regulating the primary
antioxidant enzyme manganese superoxide dismutase (MnSOD). GBM
tumors resistant to O6-alkylators, such as temozolomide (TMZ), have
a high level of NF-kB activity, and inhibition of this activity by gene
therapy sensitizes GBM to O6-alkylators. The purpose of the current
study is to investigate PN as a potential cytotoxic, radiosensitizing, and
chemosensitizing agent in GBM cell lines as a precursor to clinical
exploration.
Materials/Methods: A bioinformatics analysis was carried out using an
Oncomine data set obtained from 514 patients to review the expressions
of proteins in the NF-kB pathway in GBM. In vitro work was done
using the GBM cell lines LN229 and U87, with MGMT promoter
methylated, and LN18, with MGMT promoter unmethylated. Cell
survivals were measured by MTT assay experiments with DMSO
control, PN, and TMZ, with and without radiation (RT) of up to 6 Gy.
Colony-forming assays (CFA) were carried out on the LN229 cell line
with DMSO control, PN, and TMZ with RT doses of 0-6 Gy. Surviving
fraction (SF) was plotted against RT dose and fitted to a linear quadratic
equation allowing for calculation of a dose-enhancement factor, DEF0.1.
This is the ratio of RT required to achieve 90% cell kill in the absence
versus presence of PN.
Results: The bioinformatics analysis indicates that the levels of MnSOD
mRNA were significantly higher in GBM versus normal tissues (p <
0.001). Importantly, the overall survival rate is inversely related to the
level of MnSOD (p < 0.05). MTT assays revealed that PN was cyto-
toxic to all GBM cell lines tested in a concentration-dependent manner.
U87 and LN229 were sensitive to TMZ, while LN18 was resistant to
TMZ up to 100 uM. While the combination of RT and PN is only an
additive in the two TMZ sensitive cell lines, low concentrations of PN
led to a synergistic effect of PN and RT in the TMZ resistant LN18
cells. CFA experiments in LN229 also showed dose-dependent cyto-
toxicity of PN. The data also suggest a radiosensitization effect of
parthenolide, with a DEF0.1 of 1.35 for 0.25 uM PN versus 0.1%
DMSO.
Conclusions: These preclinical data suggest that parthenolide should be an
attractive therapeutic agent in GBM. The MTT and CFA experiments show
that PN enhances the cytotoxic effect of radiation even when TMZ, the
current standard chemotherapy, does not. These promising data will be
followed up with further in vivo experiments towards a potential future
clinical trial.
Author Disclosure: A.J. Smith: None. F.F. Xu: None. C. Wang: None. M.E.
Stevens: None. Y. Xu: None. D.K. St. Clair: None. W.H. St. Clair: None.
3191Differential Cellular Response to Nanoparticle Docetaxel andDocetaxel at Subtherapeutic Dose RangeE.C. Wang, R. Sinnott, M.E. Werner, M. Sethi, A.W. Whitehurst,
and A.Z. Wang; University of North Carolina at Chapel Hill, Chapel Hill,
NC
Purpose/Objective(s): Nanoparticle (NP) formulations of taxanes
overcome the need for excipients and improve the delivery of taxane
therapeutics to tumors. These advantages have resulted in rapid clinical
translation of NP taxanes and high interest in preclinical and clinical
development of novel NP taxanes. However, the effects of NP taxanes
on tumor cells compared to their small molecule counterparts have not
been extensively evaluated. Existing NP taxanes are polymeric NPs and
release their cargo in a slow and controlled fashion. Due to this
controlled release, the taxane concentration level and exposure time to
a cell at any given time from NP taxanes are different from that of
small molecule taxanes. Thus, we hypothesized that the cellular
response to polymeric NP taxanes is different from that of small
molecule taxanes.