[PDF][PDF] Platinum and PARP inhibitor resistance due to overexpression of microRNA-622 in BRCA1-mutant ovarian cancer

YE Choi, K Meghani, ME Brault, L Leclerc, YJ He… - Cell reports, 2016 - cell.com
YE Choi, K Meghani, ME Brault, L Leclerc, YJ He, TA Day, KM Elias, R Drapkin
Cell reports, 2016cell.com
High-grade serous ovarian carcinomas (HGSOCs) with BRCA1/2 mutations exhibit
improved outcome and sensitivity to double-strand DNA break (DSB)-inducing agents (ie,
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 …
Summary
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.
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