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

被引:131
作者
Choi, Young Eun [1 ]
Meghani, Khyati [1 ]
Brault, Marie-Eve [1 ]
Leclerc, Lucas [1 ]
He, Yizhou J. [1 ]
Day, Tovah A. [2 ]
Elias, Kevin M. [3 ]
Drapkin, Ronny [4 ]
Weinstock, David M. [2 ]
Dao, Fanny [5 ]
Shih, Karin K. [5 ]
Matulonis, Ursula [2 ]
Levine, Douglas A. [5 ]
Konstantinopoulos, Panagiotis A. [2 ]
Chowdhury, Dipanjan [1 ]
机构
[1] Harvard Univ, Dana Farber Canc Inst, Div Genom Stabil & DNA Repair, Dept Radiat Oncol,Sch Med, Boston, MA 02215 USA
[2] Harvard Univ, Sch Med, Dept Med Oncol, Dana Farber Canc Inst, Boston, MA 02215 USA
[3] Brigham & Womens Hosp, Dept Obstet & Gynecol & Reprod Biol, Div Gynecol Oncol, Boston, MA 02215 USA
[4] Univ Penn, Perelman Sch Med, Dept Obstet & Gynecol, Ovarian Canc Res Ctr, Philadelphia, PA 19104 USA
[5] Weill Cornell Med Coll, Mem Sloan Kettering Canc Ctr, Dept Surg, New York, NY 10065 USA
关键词
DNA-DAMAGE; HOMOLOGOUS RECOMBINATION; REPAIR; DEFICIENCY; 53BP1; KU;
D O I
10.1016/j.celrep.2015.12.046
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
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.
引用
收藏
页码:429 / 439
页数:11
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