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A single nucleotide variant of human PARP1 determines response to PARP inhibitors
Rivki Cashman1, Alona Zilberberg1, Avner Priel1
1The Mina and Everard Goodman Faculty of Life Sciences, Bar Ilan University, Ramat-Gan, 52900 Israel.
Abstract:
The introduction of novel cancer drugs and innovative treatments brings great hope for cancer patients, but also an urgent need to match drugs to suitable patients, since certain drugs that benefit one patient may actually harm others. The newly developed poly-ADP ribose polymerase (PARP) inhibitors (PARPis) are a group of pharmacological enzyme inhibitors used clinically for multiple indications. Several forms of cancer tend to be PARP dependent, making PARP an attractive target for cancer therapy. Specifically, PARPis are commonly used in BRCA-associated breast cancers patients, since unrepaired single-strand breaks are converted into double-strand breaks and BRCA-associated tumors cannot repair them by homologous recombination so that PARPi leads to tumor cell death, by a mechanism called "Synthetic Lethality". Unfortunately, not all patients respond to PARPi, and it is not currently possible to predict who will or will not respond. Here, we present a specific genomic marker, which reflects a single-nucleotide polymorphism of human PARP1 and correlates in vitro with response to PARPi, throughout all indications. In addition, we report that this SNP is associated with re-shaping mRNA, and mRNA levels, and influences the final protein structure to expose new binding sites while hiding others. The status of the SNP is therefore critical to patients' care, as it relates responses to PARPi to the PARP1-SNP carried.
Insights
A newly identified single-nucleotide polymorphism (SNP) in the human PARP1 gene correlates with patient response to poly-ADP ribose polymerase inhibitors (PARPis). This genomic marker may help predict treatment efficacy for various cancers.
Area of Science:
- Oncology
- Genomics
- Pharmacology
Background:
- Novel cancer therapies, including poly-ADP ribose polymerase inhibitors (PARPis), offer promise but require patient-specific treatment matching.
- PARPis are effective in certain cancers, particularly those associated with BRCA mutations, via synthetic lethality, but response prediction remains a challenge.
Purpose of the Study:
- To identify a genomic marker that predicts patient response to PARP inhibitors (PARPis).
- To investigate the correlation between a specific human PARP1 single-nucleotide polymorphism (SNP) and in vitro response to PARPis across all indications.
Main Methods:
- Identification and analysis of a specific single-nucleotide polymorphism (SNP) in the human PARP1 gene.
- In vitro correlation studies to assess the relationship between the PARP1-SNP and response to PARPis.
Main Results:
- A specific PARP1 single-nucleotide polymorphism (SNP) was identified as a genomic marker correlating with PARPi response.
- The identified SNP influences mRNA reshaping and levels, altering protein structure and binding sites.
- The PARP1-SNP status is critical for predicting patient response to PARPis.
Conclusions:
- The identified PARP1-SNP is a potential predictive biomarker for PARPi therapy.
- Understanding the impact of this SNP on PARP1 function is crucial for personalized cancer treatment strategies.
- This discovery could lead to improved patient selection for PARPi treatment, enhancing therapeutic outcomes.
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