Evidence map›Paper›PMID 38906885›Full record

ArticleNature communications2024

ATM inhibition exploits checkpoint defects and ATM-dependent double strand break repair in TP53-mutant glioblastoma.

Daniel J Laverty, Shiv K Gupta, Gary A Bradshaw, Alexander S Hunter, Brett L Carlson, Nery Matias Calmo, Jiajia Chen, Shulan Tian, Jann N Sarkaria, Zachary D Nagel

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

  1. Article
  2. Mechanisms, Microenvironments, and Models: Understanding Therapeutic Resistance in Glioblastoma.International journal of radiation oncology, biology, physics · 2026
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  20. Differential Clearance of [medRxiv : the preprint server for health sciences · 2025
    Article
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

10 authors.

Daniel J LavertyHarvard T.H. Chan School of Public Health, Boston, MA, 02115, USA.
Shiv K GuptaMayo Clinic, Rochester, MN, 55905, USA.ORCID http://orcid.org/0000-0002-9107-9935
Gary A BradshawHarvard Medical School, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0001-9724-6100
Alexander S HunterHarvard Medical School, Boston, MA, 02115, USA.
Brett L CarlsonMayo Clinic, Rochester, MN, 55905, USA.
Nery Matias CalmoHarvard T.H. Chan School of Public Health, Boston, MA, 02115, USA.ORCID http://orcid.org/0009-0007-9677-2994
Jiajia ChenMayo Clinic, Rochester, MN, 55905, USA.
Shulan TianMayo Clinic, Rochester, MN, 55905, USA.
Jann N SarkariaMayo Clinic, Rochester, MN, 55905, USA.ORCID http://orcid.org/0000-0001-7489-4885
Zachary D NagelHarvard T.H. Chan School of Public Health, Boston, MA, 02115, USA. znagel@hsph.harvard.edu.ORCID http://orcid.org/0000-0003-2104-2093

Funding

Transcription-Coupled & Replication-Associated Excision RepairP01CA092584 · NCI · UNIVERSITY OF CALIF-LAWRENC BERKELEY LAB · PI John A. Tainer · 2001 to 2026
$89.6M
Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Training Program in Molecular and Integrative Physiological SciencesT32HL007118 · NHLBI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI LU, QUAN · 1985 to 2025
$14.3M
Therapy Evaluation CoreU19CA264362 · NCI · MAYO CLINIC ROCHESTER · PI PARNEY, IAN F · 2021 to 2025
$7.6M
Pre-Clinical Novel Radiosensitizer Evaluation Program for Brain TumorsU01CA227954 · NCI · MAYO CLINIC ROCHESTER · PI SARKARIA, JANN N. · 2018 to 2022
$3.0M
American Cancer Society (American Cancer Society, Inc.) RSG-22-038-01-DMCNCI NIH HHS P01 CA092584NIEHS NIH HHS P30 ES000002U.S. Department of Health & Human Services | National Institutes of Health (NIH) P30ES000002U.S. Department of Health & Human Services | National Institutes of Health (NIH) T32HL007118U.S. Department of Health & Human Services | National Institutes of Health (NIH) U01CA227954U.S. Department of Health & Human Services | National Institutes of Health (NIH) U19CA264362U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 5P01CA092584
6 · The paper itself

Abstract

Determining the balance between DNA double strand break repair (DSBR) pathways is essential for understanding treatment response in cancer. We report a method for simultaneously measuring non-homologous end joining (NHEJ), homologous recombination (HR), and microhomology-mediated end joining (MMEJ). Using this method, we show that patient-derived glioblastoma (GBM) samples with acquired temozolomide (TMZ) resistance display elevated HR and MMEJ activity, suggesting that these pathways contribute to treatment resistance. We screen clinically relevant small molecules for DSBR inhibition with the aim of identifying improved GBM combination therapy regimens. We identify the ATM kinase inhibitor, AZD1390, as a potent dual HR/MMEJ inhibitor that suppresses radiation-induced phosphorylation of DSBR proteins, blocks DSB end resection, and enhances the cytotoxic effects of TMZ in treatment-naïve and treatment-resistant GBMs with TP53 mutation. We further show that a combination of G2/M checkpoint deficiency and reliance upon ATM-dependent DSBR renders TP53 mutant GBMs hypersensitive to TMZ/AZD1390 and radiation/AZD1390 combinations. This report identifies ATM-dependent HR and MMEJ as targetable resistance mechanisms in TP53-mutant GBM and establishes an approach for simultaneously measuring multiple DSBR pathways in treatment selection and oncology research.

Indexed as

Ataxia Telangiectasia Mutated ProteinsDNA Breaks, Double-StrandedGlioblastomaTemozolomideTumor Suppressor Protein p53AnimalsBrain NeoplasmsCell Line, TumorDNA End-Joining RepairDNA RepairDrug Resistance, NeoplasmHumansMiceMutationPhosphorylationAtaxia Telangiectasia Mutated ProteinsATM protein, humanTemozolomideTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID38906885
PMCPMC11192742

What OpenQuestion holds

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Registered trials

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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.