Platinum and PARP Inhibitor Resistance Due to Overexpression of MicroRNA-622 in BRCA1-Mutant Ovarian Cancer

High-grade serous ovarian carcinomas (HGSOCs) with BRCA1/2 mutations exhibit improved outcome and sensitivity to double-strand DNA break (DSB)-inducing agents (i.e., platinum and poly(ADP-ribose) polymerase inhibitors [PARPis]) due to an underlying defect in homologous recombination (HR). However, r...

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Vydáno v:Cell reports (Cambridge) Ročník 14; číslo 3; s. 429 - 439
Hlavní autoři: Choi, Young Eun, Meghani, Khyati, Brault, Marie-Eve, Leclerc, Lucas, He, Yizhou J., Day, Tovah A., Elias, Kevin M., Drapkin, Ronny, Weinstock, David M., Dao, Fanny, Shih, Karin K., Matulonis, Ursula, Levine, Douglas A., Konstantinopoulos, Panagiotis A., Chowdhury, Dipanjan
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 26.01.2016
Elsevier
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ISSN:2211-1247, 2211-1247
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Shrnutí:High-grade serous ovarian carcinomas (HGSOCs) with BRCA1/2 mutations exhibit improved outcome and sensitivity to double-strand DNA break (DSB)-inducing agents (i.e., platinum and poly(ADP-ribose) polymerase inhibitors [PARPis]) due to an underlying defect in homologous recombination (HR). However, resistance to platinum and PARPis represents a significant barrier to the long-term survival of these patients. Although BRCA1/2-reversion mutations are a clinically validated resistance mechanism, they account for less than half of platinum-resistant BRCA1/2-mutated HGSOCs. We uncover a resistance mechanism by which a microRNA, miR-622, induces resistance to PARPis and platinum in BRCA1 mutant HGSOCs by targeting the Ku complex and restoring HR-mediated DSB repair. Physiologically, miR-622 inversely correlates with Ku expression during the cell cycle, suppressing non-homologous end-joining and facilitating HR-mediated DSB repair in S phase. Importantly, high expression of miR-622 in BRCA1-deficient HGSOCs is associated with worse outcome after platinum chemotherapy, indicating microRNA-mediated resistance through HR rescue. [Display omitted] •miR-622 induces resistance to PARP inhibitors and cisplatin in BRCA1-deficient cells•miR-622 levels in BRCA1-mutant ovarian tumors correlates with survival of patients•The Ku complex is directly downregulated by miR-622 to suppress the NHEJ pathway•MiR-622 helps to balance HR and NHEJ pathways for DSB repair during the cell cycle Choi et al. show that expression of miR-622 induces resistance to PARP inhibitors and cisplatin in BRCA1-mutant ovarian tumors and correlates with survival of patients. miR-622 suppresses NHEJ by downregulating expression of the Ku complex and facilitates homologous recombination mediated repair of DNA double-strand breaks (DSBs) in the S phase of cycling cells.
Bibliografie:ObjectType-Article-1
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ISSN:2211-1247
2211-1247
DOI:10.1016/j.celrep.2015.12.046