Lomeguatrib Increases the Radiosensitivity of MGMT Unmethylated Human Glioblastoma Multiforme Cell Lines

  • Int J Mol Sci. 2021 Jun 24;22(13):6781. doi: 10.3390/ijms22136781.
Anna Kirstein  1  2 Daniela Schilling  1  2 Stephanie E Combs  1  2  3 Thomas E Schmid  1  2
Affiliations
  • 1. Institute of Radiation Medicine (IRM), Department of Radiation Sciences (DRS), Helmholtz Zentrum München, 85764 Neuherberg, Germany.
  • 2. Department of Radiation Oncology, School of Medicine, Technical University of Munich (TUM), 81675 Munich, Germany.
  • 3. Deutsches Konsortium für Translationale Krebsforschung (DKTK), Partner Site Munich, 81675 Munich, Germany.
Abstract

Background: Treatment resistance of glioblastoma multiforme to chemo- and radiotherapy remains a challenge yet to overcome. In particular, the O6-methylguanine-DNA-methyltransferase (MGMT) promoter unmethylated patients have only little benefit from chemotherapy treatment using temozolomide since MGMT counteracts its therapeutic efficacy. Therefore, new treatment options in radiotherapy need to be developed to inhibit MGMT and increase radiotherapy response.

Methods: Lomeguatrib, a highly specific MGMT Inhibitor, was used to inactivate MGMT protein in vitro. Radiosensitivity of established human glioblastoma multiforme cell lines in combination with lomeguatrib was investigated using the clonogenic survival assay. Inhibition of MGMT was analyzed using Western Blot. Cell cycle distribution and Apoptosis were investigated to determine the effects of lomeguatrib alone as well as in combination with ionizing radiation.

Results: Lomeguatrib significantly decreased MGMT protein and reduced radiation-induced G2/M arrest. A radiosensitizing effect of lomeguatrib was observed when administered at 1 µM and increased radioresistance at 20 µM.

Conclusion: Low concentrations of lomeguatrib elicit radiosensitization, while high concentrations mediate a radioprotective effect.

Keywords
MGMT; glioblastoma; lomeguatrib; radiosensitivity; radiotherapy.
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