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Updated: Jan 19, 2026
DNA Damage and Nucleotide Excision Repair
Functional profiling of nucleotide Excision repair in breast cancer
Anne S Rajkumar-Calkins1, Raphael Szalat2, Matija Dreze3
1Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, MA, United States; Department of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN, United States.
Abstract:
Homologous recombination deficiency conferred by alterations in BRCA1 or BRCA2 are common in breast tumors and can drive sensitivity to platinum chemotherapy and PARP inhibitors. Alterations in nucleotide excision repair (NER) activity can also impact sensitivity to DNA damaging agents, but NER activity in breast cancer has been poorly characterized. Here, we apply a novel immunofluorescence-based cellular NER assay to screen a large panel of breast epithelial and cancer cell lines. Although the majority of breast cancer models are NER proficient, we identify an example of a breast cancer cell line with profound NER deficiency. We show that NER deficiency in this model is driven by epigenetic silencing of the ERCC4 gene, leading to lack of expression of the NER nuclease XPF, and that ERCC4 methylation is also strongly correlated with ERCC4 mRNA and XPF protein expression in primary breast tumors. Re-expression of XPF in the ERCC4-deficient breast cancer rescues NER deficiency and cisplatin sensitivity, but does not impact PARP inhibitor sensitivity. These findings demonstrate the potential to use functional assays to identify novel mechanisms of DNA repair deficiency and nominate NER deficiency as a platinum sensitivity biomarker in breast cancer.
Insights
Breast cancer cells with deficient nucleotide excision repair (NER) show sensitivity to platinum chemotherapy. This NER deficiency, linked to ERCC4 gene silencing, can serve as a biomarker for platinum sensitivity.
Area of Science:
- Oncology
- Molecular Biology
- DNA Repair Mechanisms
Background:
- Homologous recombination deficiency (BRCA1/2 alterations) is common in breast cancer, conferring sensitivity to platinum chemotherapy and PARP inhibitors.
- Nucleotide excision repair (NER) activity influences sensitivity to DNA damaging agents, but its role in breast cancer remains understudied.
Purpose of the Study:
- To characterize NER activity in breast cancer models using a novel cellular assay.
- To identify novel mechanisms of DNA repair deficiency in breast cancer.
- To evaluate NER deficiency as a potential biomarker for platinum sensitivity.
Main Methods:
- Application of a novel immunofluorescence-based cellular NER assay.
- Screening of a large panel of breast epithelial and cancer cell lines.
- Analysis of ERCC4 gene methylation and XPF protein expression in cell lines and primary tumors.
Main Results:
- Identified a breast cancer cell line with profound NER deficiency.
- NER deficiency was attributed to epigenetic silencing of the ERCC4 gene, resulting in reduced XPF nuclease expression.
- ERCC4 methylation correlated with ERCC4 mRNA and XPF protein levels in primary breast tumors.
- Restoring XPF expression rescued NER deficiency and cisplatin sensitivity, but not PARP inhibitor sensitivity.
Conclusions:
- Functional assays can uncover novel DNA repair deficiencies.
- NER deficiency is a potential biomarker for platinum sensitivity in breast cancer.
- Epigenetic silencing of ERCC4 is a mechanism for NER deficiency in breast cancer.
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