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Lurbinectedin is a DNA alkylating agent.1 It induces DNA double-strand breaks (DSBs), cell cycle arrest at the S phase, and apoptosis in A549 lung cancer cells. Lurbinectedin is cytotoxic against a panel of 24 cancer cell lines with a mean GI50 value of 2.7 nM. It increases the levels of cyclic GMP-AMP (cGAMP) synthase (cGAS) and phosphorylated STING, TANK-binding kinase 1 (TBK1), and IFN regulatory factor 3 (IRF3) in PB115, DMS 114, NCI H446, and NCI H196 lung cancer cells when used at a concentration of 10 nM.2 Lurbinectedin (0.18 mg/kg) decreases tumor weight in NCI H460 lung, A2780 ovarian, HT-29 colon, and HGC-27 gastric cancer mouse xenograft models.1 It also decreases tumor volume when used in combination with an antibody targeting programmed cell death 1 ligand 1 (PD-L1) in an immunocompetent genetically engineered mouse model of small cell lung cancer (SCLC).2 Formulations containing lurbinectedin have been used in the treatment of metastatic SCLC.
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1. PM01183, a new DNA minor groove covalent binder with potent in vitro and in vivo anti-
2. Lurbinectedin sensitizes PD-