Evidence map›Paper›PMID 32444694›Full record

ArticleOncogene2020

Combined PARP and ATR inhibition potentiates genome instability and cell death in ATM-deficient cancer cells.

Rebecca L Lloyd, Paul W G Wijnhoven, Antonio Ramos-Montoya, Zena Wilson, Giuditta Illuzzi, Katarzyna Falenta, Gemma N Jones, Neil James, Christophe D Chabbert, Jonathan Stott and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Oncogene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

124 citing papers in PubMed, 182 citations in OpenAlex.

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  4. PROTACs in cancer therapy: targeted degradation of GPX4, PARP and epigenetic regulators.Journal of enzyme inhibition and medicinal chemistry · 2026
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64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Rebecca L LloydBioscience, Oncology R&D, AstraZeneca, Cambridge, UK.
Paul W G WijnhovenBioscience, Oncology R&D, AstraZeneca, Cambridge, UK.
Antonio Ramos-MontoyaBioscience, Oncology R&D, AstraZeneca, Cambridge, UK.
Zena WilsonBioscience, Oncology R&D, AstraZeneca, Alderley Park, UK.
Giuditta IlluzziBioscience, Oncology R&D, AstraZeneca, Cambridge, UK.
Katarzyna FalentaBioscience, Oncology R&D, AstraZeneca, Cambridge, UK.
Gemma N JonesTranslational Medicine, Oncology R&D, AstraZeneca, Cambridge, UK.
Neil JamesBioscience, Oncology R&D, AstraZeneca, Alderley Park, UK.
Christophe D ChabbertBioscience, Oncology R&D, AstraZeneca, Cambridge, UK.
Jonathan StottQuantitative Biology, Discovery Science, Oncology R&D, AstraZeneca, Cambridge, UK.
Emma DeanResearch and Early Development, Oncology R&D, AstraZeneca, Cambridge, UK.
Alan LauBioscience, Oncology R&D, AstraZeneca, Cambridge, UK.
Lucy A YoungBioscience, Oncology R&D, AstraZeneca, Cambridge, UK. Lucy.Young@astrazeneca.com.
AstraZeneca (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The poly (ADP-ribose) polymerase (PARP) inhibitor olaparib is FDA approved for the treatment of BRCA-mutated breast, ovarian and pancreatic cancers. Olaparib inhibits PARP1/2 enzymatic activity and traps PARP1 on DNA at single-strand breaks, leading to replication-induced DNA damage that requires BRCA1/2-dependent homologous recombination repair. Moreover, DNA damage response pathways mediated by the ataxia-telangiectasia mutated (ATM) and ataxia-telangiectasia mutated and Rad3-related (ATR) kinases are hypothesised to be important survival pathways in response to PARP-inhibitor treatment. Here, we show that olaparib combines synergistically with the ATR-inhibitor AZD6738 (ceralasertib), in vitro, leading to selective cell death in ATM-deficient cells. We observe that 24 h olaparib treatment causes cells to accumulate in G2-M of the cell cycle, however, co-administration with AZD6738 releases the olaparib-treated cells from G2 arrest. Selectively in ATM-knockout cells, we show that combined olaparib/AZD6738 treatment induces more chromosomal aberrations and achieves this at lower concentrations and earlier treatment time-points than either monotherapy. Furthermore, single-agent olaparib efficacy in vitro requires PARP inhibition throughout multiple rounds of replication. Here, we demonstrate in several ATM-deficient cell lines that the olaparib and AZD6738 combination induces cell death within 1-2 cell divisions, suggesting that combined treatment could circumvent the need for prolonged drug exposure. Finally, we demonstrate in vivo combination activity of olaparib and AZD6738 in xenograft and PDX mouse models with complete ATM loss. Collectively, these data provide a mechanistic understanding of combined PARP and ATR inhibition in ATM-deficient models, and support the clinical development of AZD6738 in combination with olaparib.

Indexed as

A549 CellsAnimalsAtaxia Telangiectasia Mutated ProteinsCell DeathCell LineCell Line, TumorChromosome AberrationsDrug SynergismGenomic InstabilityHumansIndolesMiceMorpholinesPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsAtaxia Telangiectasia Mutated ProteinsATR protein, humanceralasertibIndolesMorpholinesolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsPyrimidinesSulfonamidesSulfoxides

Identifiers

PMID32444694
PMCPMC7299845
OpenAlexW3027186100

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.