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Published on: May 27, 2021
Synthetic lethal targeting of PTEN mutant cells with PARP inhibitors
Ana M Mendes-Pereira1, Sarah A Martin, Rachel Brough
1The Breakthrough Breast Cancer Research Centre, The Institute of Cancer Research, London, UK.
Abstract:
The tumour suppressor gene, phosphatase and tensin homolog (PTEN), is one of the most commonly mutated genes in human cancers. Recent evidence suggests that PTEN is important for the maintenance of genome stability. Here, we show that PTEN deficiency causes a homologous recombination (HR) defect in human tumour cells. The HR deficiency caused by PTEN deficiency, sensitizes tumour cells to potent inhibitors of the DNA repair enzyme poly(ADP-ribose) polymerase (PARP), both in vitro and in vivo. PARP inhibitors are now showing considerable promise in the clinic, specifically in patients with mutations in either of the breast cancer susceptibility genes BRCA1 or BRCA2. The data we present here now suggests that the clinical assessment of PARP inhibitors should be extended beyond those with BRCA mutations to a larger group of patients with PTEN mutant tumours.
Insights
PTEN deficiency impairs DNA repair via homologous recombination (HR) in cancer cells. This HR defect sensitizes tumors to PARP inhibitors, suggesting broader clinical use beyond BRCA mutations.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The phosphatase and tensin homolog (PTEN) gene is frequently mutated in human cancers.
- PTEN plays a role in maintaining genome stability.
- Homologous recombination (HR) is a critical DNA repair pathway.
Purpose of the Study:
- To investigate the role of PTEN in DNA repair.
- To determine if PTEN deficiency affects homologous recombination (HR).
- To assess the therapeutic potential of poly(ADP-ribose) polymerase (PARP) inhibitors in PTEN-deficient tumors.
Main Methods:
- Utilized human tumor cell lines with varying PTEN status.
- Assessed DNA repair capacity, specifically homologous recombination (HR) efficiency.
- Evaluated the sensitivity of PTEN-deficient cells to PARP inhibitors in vitro and in vivo.
Main Results:
- PTEN deficiency was found to cause a significant defect in homologous recombination (HR) in human tumor cells.
- This HR deficiency rendered tumor cells more sensitive to PARP inhibitors.
- Sensitivity to PARP inhibitors was observed both in laboratory experiments and in animal models.
Conclusions:
- PTEN deficiency leads to homologous recombination (HR) defects, impacting cancer cell genome stability.
- Tumor cells with PTEN mutations are sensitive to PARP inhibitors.
- Clinical application of PARP inhibitors may benefit a wider patient population, including those with PTEN-mutant tumors, not just BRCA-mutated cancers.
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