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Updated: Oct 5, 2025

Quantifying Replication Stress in Ovarian Cancer Cells Using Single-Stranded DNA Immunofluorescence
Published on: February 10, 2023
An mRNA expression-based signature for oncogene-induced replication-stress
Sergi Guerrero Llobet1, Arkajyoti Bhattacharya1, Marieke Everts1
1Department of Medical Oncology, University Medical Center Groningen, Groningen, the Netherlands.
Abstract:
Oncogene-induced replication stress characterizes many aggressive cancers. Several treatments are being developed that target replication stress, however, identification of tumors with high levels of replication stress remains challenging. We describe a gene expression signature of oncogene-induced replication stress. A panel of triple-negative breast cancer (TNBC) and non-transformed cell lines were engineered to overexpress CDC25A, CCNE1 or MYC, which resulted in slower replication kinetics. RNA sequencing analysis revealed a set of 52 commonly upregulated genes. In parallel, mRNA expression analysis of patient-derived tumor samples (TCGA, n = 10,592) also revealed differential gene expression in tumors with amplification of oncogenes that trigger replication stress (CDC25A, CCNE1, MYC, CCND1, MYB, MOS, KRAS, ERBB2, and E2F1). Upon integration, we identified a six-gene signature of oncogene-induced replication stress (NAT10, DDX27, ZNF48, C8ORF33, MOCS3, and MPP6). Immunohistochemical analysis of NAT10 in breast cancer samples (n = 330) showed strong correlation with expression of phospho-RPA (R = 0.451, p = 1.82 × 10-20) and γH2AX (R = 0.304, p = 2.95 × 10-9). Finally, we applied our oncogene-induced replication stress signature to patient samples from TCGA (n = 8,862) and GEO (n = 13,912) to define the levels of replication stress across 27 tumor subtypes, identifying diffuse large B cell lymphoma, ovarian cancer, TNBC and colorectal carcinoma as cancer subtypes with high levels of oncogene-induced replication stress.
Insights
Identifying tumors with high replication stress is crucial for cancer treatment. This study introduces a six-gene signature for oncogene-induced replication stress, applicable across various cancer subtypes like ovarian and breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Oncogene-induced replication stress is a hallmark of aggressive cancers, yet identifying affected tumors is challenging.
- Targeting replication stress is a promising therapeutic strategy, necessitating reliable biomarkers.
Purpose of the Study:
- To develop and validate a gene expression signature for identifying oncogene-induced replication stress.
- To assess the prevalence of this stress signature across diverse cancer subtypes.
Main Methods:
- Engineered cancer cell lines to induce replication stress via oncogene overexpression (CDC25A, CCNE1, MYC).
- Performed RNA sequencing to identify differentially expressed genes.
- Analyzed large-scale patient tumor datasets (TCGA, GEO) for gene expression and oncogene amplification.
- Validated the signature using immunohistochemistry for NAT10 and DNA damage markers (phospho-RPA, γH2AX).
Main Results:
- Identified a 52-gene signature of oncogene-induced replication stress in cell lines.
- Developed a refined six-gene signature (NAT10, DDX27, ZNF48, C8ORF33, MOCS3, MPP6) by integrating cell line and patient data.
- NAT10 expression strongly correlated with DNA damage markers in breast cancer.
- Applied the signature to over 22,000 patient samples, revealing high replication stress in diffuse large B cell lymphoma, ovarian cancer, triple-negative breast cancer, and colorectal carcinoma.
Conclusions:
- The six-gene signature effectively identifies oncogene-induced replication stress.
- This signature can stratify patients and guide the development of replication stress-targeting therapies.
- Specific cancer subtypes exhibit a high burden of oncogene-induced replication stress, representing potential candidates for targeted treatments.
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