Abstract
Background: Patients with metastatic Merkel cell carcinoma are treated similarly to small cell lung cancer (SCLC). Poly ADP-ribose polymerase-1 (PARP1) is overexpressed in SCLC and response to PARP inhibitors have been reported in patients with SCLC. Our study explores PARP as a therapeutic target in Merkel cell carcinoma. Methods: We evaluated PARP1 expression and Merkel cell polyomavirus (MCPyV) in 19 patients with Merkel cell carcinoma. Target exome-sequencing was performed in 14 samples. Sensitivity to olaparib was tested in 4 Merkel cell carcinoma cell lines. Results: Most Merkel cell carcinomas (74%) express PARP1 at high levels. Mutations in DNA-damage repair genes were identified in 9 samples (64%), occurred exclusively in head neck primaries, and correlated with TP53/RB1 mutations. The TP53/RB1 mutations were more frequent in MCPyV-negative tumors. Sensitivity to olaparib was seen in the Merkel cell carcinoma line with highest PARP1 expression. Conclusion: Based on PARP1 overexpression, DNA-damage repair gene mutations, platinum sensitivity, and activity of olaparib in a Merkel cell carcinoma line, clinical trials with PARP inhibitors are warranted in Merkel cell carcinoma.
Original language | English (US) |
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Pages (from-to) | 1676-1684 |
Number of pages | 9 |
Journal | Head and Neck |
Volume | 40 |
Issue number | 8 |
DOIs | |
State | Published - Aug 2018 |
Keywords
- Merkel cell carcinoma
- Merkel cell polyomavirus
- genomics
- poly ADP-ribose polymerase (PARP)
- targeted therapy
ASJC Scopus subject areas
- Otorhinolaryngology
MD Anderson CCSG core facilities
- Bioinformatics Shared Resource