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Updated: Apr 25, 2026

Author Spotlight: Unveiling the Role of TMOD3 in Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
BRCA1-IRIS inactivation sensitizes ovarian tumors to cisplatin
B T Paul1, Z Blanchard1, M Ridgway2
1Cancer Institute and Department of Biochemistry, University of Mississippi Medical Center, Jackson, MS, USA.
Abstract:
Ovarian cancer is the first in mortalities among gynecologic cancers in the United States, often due to late diagnosis and/or acquired platinum-resistant recurrences. This study investigates whether BRCA1-IRIS is a novel treatment target for ovarian cancers and in platinum-resistant recurrences. Here we show that more than half of the ovarian cancer samples analyzed showed BRCA1-IRIS and survivin overexpression and lacked nuclear FOXO3a expression. Normal ovarian epithelial cells overexpressing BRCA1-IRIS formed metastasis in mice when injected in the peritoneal cavity, whereas aggressive ovarian cancer cell lines failed to form tumors or metastases in mice when BRCA1-IRIS was silenced in them. We show that BRCA1-IRIS activates two autocrine signaling loops, brain-derived neurotrophic factor/tyrosine kinase B receptor (BDNF/TrkB) and neuregulin 1 (NRG1)/ErbB2. These loops are involved in anoikis resistance and metastasis promotion. These loops operate in several ovarian cancer cell lines, and BRCA1-IRIS silencing or inactivation using a novel inhibitory peptide renders both non-functional and promoted cell death. In a mouse xenograft model, BRCA1-IRIS inactivation using this novel inhibitory peptide resulted in significant reduction in ovarian tumor growth. More importantly, this treatment sensitized ovarian tumors to low cisplatin concentrations. Taken together, these data strongly suggest that BRCA1-IRIS and/or BDNF/TrkB and NRG1/ErbB2 could serve as rational therapeutic targets for advanced ovarian cancers.
Insights
BRCA1-IRIS protein promotes ovarian cancer metastasis and platinum resistance. Targeting BRCA1-IRIS with a novel peptide inhibits tumor growth and sensitizes cancers to chemotherapy, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Ovarian cancer is a leading cause of gynecologic cancer mortality in the US.
- Late diagnosis and platinum-resistant recurrences contribute to poor outcomes.
- Identifying novel therapeutic targets is crucial for treating advanced ovarian cancers.
Purpose of the Study:
- To investigate BRCA1-IRIS as a novel therapeutic target for ovarian cancer, including platinum-resistant forms.
- To elucidate the role of BRCA1-IRIS in ovarian cancer metastasis and chemoresistance.
Main Methods:
- Analysis of BRCA1-IRIS, survivin, and FOXO3a expression in ovarian cancer samples.
- In vivo studies using mice to assess tumor formation and metastasis with BRCA1-IRIS manipulation.
- Investigation of BRCA1-IRIS-activated signaling loops (BDNF/TrkB and NRG1/ErbB2).
- Evaluation of a novel inhibitory peptide targeting BRCA1-IRIS in cell lines and a mouse xenograft model.
Main Results:
- Overexpression of BRCA1-IRIS and survivin, with lack of nuclear FOXO3a, observed in over half of ovarian cancer samples.
- BRCA1-IRIS overexpression promoted metastasis in mice; silencing BRCA1-IRIS inhibited tumor formation.
- BRCA1-IRIS activates BDNF/TrkB and NRG1/ErbB2 signaling loops, contributing to anoikis resistance and metastasis.
- A novel inhibitory peptide targeting BRCA1-IRIS reduced tumor growth and sensitized ovarian tumors to cisplatin in mice.
Conclusions:
- BRCA1-IRIS plays a significant role in ovarian cancer progression, metastasis, and platinum resistance.
- Targeting BRCA1-IRIS, or its downstream signaling pathways (BDNF/TrkB, NRG1/ErbB2), represents a promising therapeutic strategy for advanced ovarian cancers.
- The novel inhibitory peptide demonstrates potential for treating ovarian cancer, including resistant forms.
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