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Updated: Nov 19, 2025

Quantifying Replication Stress in Ovarian Cancer Cells Using Single-Stranded DNA Immunofluorescence
Published on: February 10, 2023
DNA replication stress and emerging prospects for PARG inhibitors in ovarian cancer therapy
Nisha Pillay1, Rosie M Brady2, Malini Dey2
1Division of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Cancer Research Centre, Wilmslow Rd, Manchester, M20 4GJ, UK; Divisions of Structural Biology & Cancer Biology, The Institute of Cancer Research (ICR), London, SW7 3RP, UK.
Abstract:
Poly (ADP-ribosyl)ation has central functions in maintaining genome stability, including facilitating DNA replication and repair. In cancer cells these processes are frequently disrupted, and thus interfering with poly (ADP-ribosyl)ation can exacerbate inherent genome instability and induce selective cytotoxicity. Indeed, inhibitors of poly (ADP-ribose) polymerase (PARP) are having a major clinical impact in treating women with BRCA-mutant ovarian cancer, based on a defect in homologous recombination. However, only around half of ovarian cancers harbour defects in homologous recombination, and most sensitive tumours eventually acquire PARP inhibitor resistance with treatment. Thus, there is a pressing need to develop alternative treatment strategies to target tumours with both inherent and acquired resistance to PARP inhibition. Several novel inhibitors of poly (ADP-ribose)glycohydrolase (PARG) have been described, with promising anti-cancer activity in vitro that is distinct from PARP inhibitors. Here we discuss, the role of poly (ADP-ribosyl)ation in genome stability, and the potential for PARG inhibitors as a complementary strategy to PARP inhibitors in the treatment of ovarian cancer.
Insights
Poly (ADP-ribosyl)ation is crucial for genome stability. New poly (ADP-ribose)glycohydrolase (PARG) inhibitors show promise against cancer, offering a new strategy alongside PARP inhibitors for ovarian cancer treatment.
Area of Science:
- Molecular Biology
- Cancer Research
- Genetics
Background:
- Poly (ADP-ribosyl)ation is vital for genome stability, DNA repair, and replication.
- Cancer cells often have disrupted genome maintenance pathways.
- Poly (ADP-ribose) polymerase (PARP) inhibitors are effective in BRCA-mutant ovarian cancers but face resistance.
Purpose of the Study:
- To explore the role of poly (ADP-ribosyl)ation in genome stability.
- To evaluate poly (ADP-ribose)glycohydrolase (PARG) inhibitors as a novel cancer therapy.
- To position PARG inhibitors as a complementary strategy to PARP inhibitors for ovarian cancer.
Main Methods:
- Review of the role of poly (ADP-ribosyl)ation in genome maintenance.
- Discussion of the distinct anti-cancer activity of PARG inhibitors in vitro.
- Analysis of therapeutic strategies targeting PARP inhibitor resistance.
Main Results:
- Poly (ADP-ribosyl)ation pathways are frequently altered in cancer.
- PARG inhibitors demonstrate anti-cancer effects distinct from PARP inhibitors.
- PARG inhibition presents a potential therapeutic avenue for resistant tumors.
Conclusions:
- Targeting poly (ADP-ribosyl)ation offers a viable strategy for cancer treatment.
- PARG inhibitors represent a promising alternative and complementary approach to PARP inhibitors.
- Further research into PARG inhibitors is warranted for overcoming PARP resistance in ovarian cancer.
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