DNA-dependent protein kinase (
DNA-PK) plays a crucial role in repair of
DNA double-strand breaks by facilitating non-homologous end-joining. Inhibitors of
DNA-PK have the potential to block DNA repair and enhance
DNA-damaging agents.
Peposertib (
M3814) is
a DNA-PK inhibitor that has shown preclinical activity in combination with
DNA-damaging agents, including ionizing radiation (IR) and
topoisomerase II inhibitors. Here we evaluated the activity of
peposertib (
M3814) in combination with radiation in a mouse xenograft model of HPV-associated
cervical cancer. Athymic nude female mice with established
tumors derived from HeLa cells injected into the flank were treated with vehicle alone (n = 3), IR alone (n = 4), and
peposertib (M38814) in combination with IR (M3814 + IR; n = 4). While IR alone was associated with a trend towards decreased
tumor volume compared with untreated, only the M3814 + IR treatment arm was associated with consistent and significant reduction in
tumor burden, which correlated with higher levels of γ-H2AX in
tumor cells, a marker of double-strand DNA breaks. Our data support further clinical evaluation of the combination of
peposertib (M38814) and IR in
cervical cancer.