There is an unmet need for better therapeutic strategies for advanced
prostate cancer.
Poly (ADP-ribose) polymerase-1 (PARP-1) is a
chromatin-binding
DNA repair enzyme overexpressed in
prostate cancer. This study evaluates whether PARP-1, on account of its proximity to the cell's
DNA, would be a good target for delivering high-linear energy transfer Auger radiation to induce lethal DNA damage in
prostate cancer cells. We analyzed the correlation between PARP-1 expression and Gleason score in a
prostate cancer tissue microarray. A radio-brominated Auger emitting inhibitor ([77Br]Br-WC-DZ) targeting PARP-1 was synthesized. The ability of [77Br]Br-WC-DZ to induce cytotoxicity and DNA damage was assessed in vitro. The antitumor efficacy of [77Br]Br-WC-DZ was investigated in
prostate cancer xenograft models. PARP-1 expression was found to be positively correlated with the Gleason score, thus making it an attractive target for Auger
therapy in advanced diseases. The Auger emitter, [77Br]Br-WC-DZ, induced DNA damage, G2-M cell cycle phase arrest, and cytotoxicity in PC-3 and IGR-CaP1
prostate cancer cells. A single dose of [77Br]Br-WC-DZ inhibited the growth of
prostate cancer xenografts and improved the survival of
tumor-bearing mice. Our studies establish the fact that PARP-1 targeting Auger emitters could have therapeutic implications in advanced
prostate cancer and provides a strong rationale for future clinical investigation.