Abstract
Ependymoma is the third most common pediatric tumor with posterior fossa group A (PFA) being its most aggressive subtype. Ependymomas are generally refractory to chemotherapies and thus lack any effective treatment. Here, we report that elevated expression of CXorf67 (chromosome X open reading frame 67), which frequently occurs in PFA ependymomas, suppresses homologous recombination (HR)-mediated DNA repair. Mechanistically, CXorf67 interacts with PALB2 and inhibits PALB2-BRCA2 interaction, thereby inhibiting HR repair. Concordantly, tumor cells with high CXorf67 expression levels show increased sensitivity to poly(ADP-ribose) polymerase (PARP) inhibitors, especially when combined with radiotherapy. Thus, our findings have revealed a role of CXorf67 in HR repair and suggest that combination of PARP inhibitors with radiotherapy could be an effective treatment option for PFA ependymomas.
Keywords:
CXorf67; PALB2; PARP inhibitors; ependymoma tumor; homologous recombination repair; radiotherapy.
Copyright © 2020 Elsevier Inc. All rights reserved.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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BRCA2 Protein / metabolism*
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Cell Line, Tumor
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Cell Proliferation / drug effects
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Cell Proliferation / radiation effects
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Cell Survival / drug effects
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Cell Survival / radiation effects
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Chemoradiotherapy
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Ependymoma / genetics
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Ependymoma / metabolism
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Ependymoma / therapy*
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Fanconi Anemia Complementation Group N Protein / metabolism*
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Gene Expression Profiling
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Gene Expression Regulation, Neoplastic / drug effects
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Gene Expression Regulation, Neoplastic / radiation effects
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Humans
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Infratentorial Neoplasms / genetics
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Infratentorial Neoplasms / metabolism
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Infratentorial Neoplasms / therapy*
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Mice
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Oligonucleotide Array Sequence Analysis
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Oncogene Proteins / genetics
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Oncogene Proteins / metabolism*
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Poly(ADP-ribose) Polymerase Inhibitors / administration & dosage*
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Poly(ADP-ribose) Polymerase Inhibitors / pharmacology
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Recombinational DNA Repair / drug effects
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Recombinational DNA Repair / radiation effects
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Up-Regulation
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Xenograft Model Antitumor Assays
Substances
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BRCA2 Protein
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BRCA2 protein, human
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EZHIP protein, human
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Fanconi Anemia Complementation Group N Protein
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Oncogene Proteins
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PALB2 protein, human
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Poly(ADP-ribose) Polymerase Inhibitors