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Updated: Feb 1, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
The F-Box Domain-Dependent Activity of EMI1 Regulates PARPi Sensitivity in Triple-Negative Breast Cancers
Antonio Marzio1, Joseph Puccini1, Youngho Kwon2
1Department of Biochemistry and Molecular Pharmacology, New York University School of Medicine, New York, NY 10016, USA; Perlmutter NYU Cancer Center, New York University School of Medicine, New York, NY 10016, USA.
Abstract:
The BRCA1-BRCA2-RAD51 axis is essential for homologous recombination repair (HRR) and is frequently disrupted in breast cancers. PARP inhibitors (PARPis) are used clinically to treat BRCA-mutated breast tumors. Using a genetic screen, we identified EMI1 as a modulator of PARPi sensitivity in triple-negative breast cancer (TNBC) cells. This function requires the F-box domain of EMI1, through which EMI1 assembles a canonical SCF ubiquitin ligase complex that constitutively targets RAD51 for degradation. In response to genotoxic stress, CHK1-mediated phosphorylation of RAD51 counteracts EMI1-dependent degradation by enhancing RAD51's affinity for BRCA2, leading to RAD51 accumulation. Inhibition of RAD51 degradation restores HRR in BRCA1-depleted cells. Human breast cancer samples display an inverse correlation between EMI1 and RAD51 protein levels. A subset of BRCA1-deficient TNBC cells develop resistance to PARPi by downregulating EMI1 and restoring RAD51-dependent HRR. Notably, reconstitution of EMI1 expression reestablishes PARPi sensitivity both in cellular systems and in an orthotopic mouse model.
Insights
EMI1 regulates PARPi sensitivity in triple-negative breast cancer (TNBC) by controlling RAD51 degradation. Restoring EMI1 levels re-sensitizes resistant TNBC cells to PARPi treatment.
Area of Science:
- Molecular Oncology
- Cancer Therapeutics
- DNA Repair Mechanisms
Background:
- The BRCA1-BRCA2-RAD51 axis is critical for homologous recombination repair (HRR), a pathway frequently impaired in breast cancers.
- Poly (ADP-ribose) polymerase inhibitors (PARPis) are effective treatments for BRCA-mutated breast tumors, but resistance mechanisms limit their efficacy.
Purpose of the Study:
- To identify novel modulators of PARPi sensitivity in triple-negative breast cancer (TNBC).
- To elucidate the role of EMI1 in regulating RAD51 stability and HRR in the context of PARPi treatment.
Main Methods:
- Conducted a genetic screen to identify factors influencing PARPi sensitivity in TNBC cells.
- Investigated the interaction between EMI1, SCF ubiquitin ligase complex, and RAD51.
- Analyzed protein levels in human breast cancer samples and evaluated EMI1 re-expression in cellular and mouse models.
Main Results:
- Identified EMI1 as a key regulator of PARPi sensitivity, functioning through its F-box domain to promote RAD51 degradation.
- Demonstrated that CHK1-mediated phosphorylation of RAD51 counteracts EMI1-dependent degradation, promoting HRR.
- Observed an inverse correlation between EMI1 and RAD51 protein levels in human breast cancers and found that EMI1 downregulation confers PARPi resistance by restoring RAD51-dependent HRR.
Conclusions:
- EMI1 acts as a crucial negative regulator of RAD51, impacting HRR and PARPi sensitivity in TNBC.
- Downregulation of EMI1 is a mechanism of acquired resistance to PARPi in BRCA1-deficient TNBC.
- Re-expression of EMI1 can overcome PARPi resistance, offering a potential therapeutic strategy for TNBC.
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