Multi-omics analysis reveals distinct non-reversion mechanisms of PARPi resistance in BRCA1- versus BRCA2-deficient

Jinhyuk Bhin1, Mariana Paes Dias2, Ewa Gogola2

  • 1Division of Molecular Pathology, Oncode Institute, the Netherlands Cancer Institute, 1066CX Amsterdam, the Netherlands; Division of Molecular Carcinogenesis, Oncode Institute, the Netherlands Cancer Institute, 1066CX Amsterdam, the Netherlands; Department of Biomedical System Informatics, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.

Cell Reports
|May 20, 2023
PubMed

Insights

Tumors resistant to PARP inhibitors (PARPis) can develop without reactivating BRCA1/2. In BRCA1-deficient tumors, 53BP1 loss restores DNA repair, while PARG loss drives resistance in BRCA2-deficient tumors.

Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Background:

  • BRCA1 and BRCA2 proteins are crucial for DNA double-strand break repair via homologous recombination (HR).
  • BRCA1/2-deficient cancers exhibit sensitivity to poly(ADP-ribose) polymerase inhibitors (PARPis) but often develop resistance.
  • Preclinical models suggest PARPi resistance mechanisms independent of BRCA1/2 reactivation, but their clinical significance is unclear.

Purpose of the Study:

  • To investigate BRCA1/2-independent mechanisms driving spontaneous PARPi resistance in vivo.
  • To correlate molecular profiles with HR functional status in PARPi-naive and resistant tumors.
  • To identify specific genetic alterations conferring PARPi resistance in mouse models.

Main Methods:

  • Utilized matched PARPi-naive and PARPi-resistant mouse mammary tumors with intragenic deletions precluding BRCA1/2 reactivation.
  • Combined molecular profiling (multi-omics) with functional analysis of homologous recombination (HR).
  • Assessed HR proficiency and identified specific gene losses (e.g., 53BP1, PARG) associated with resistance.

Main Results:

  • Homologous recombination (HR) was restored in 62% of PARPi-resistant BRCA1-deficient tumors, but not in BRCA2-deficient counterparts.
  • Loss of 53BP1 was identified as the predominant resistance mechanism in HR-proficient BRCA1-deficient tumors.
  • Loss of PARG was the primary driver of resistance in BRCA2-deficient tumors.
  • Multi-omics analysis revealed additional candidate genes and pathways influencing PARPi response.

Conclusions:

  • PARPi resistance in BRCA1/2-deficient cancers can arise from BRCA1/2-independent mechanisms.
  • 53BP1 loss in BRCA1-deficient and PARG loss in BRCA2-deficient tumors are key drivers of acquired resistance.
  • Further investigation into identified genes and pathways may uncover novel therapeutic strategies for overcoming PARPi resistance.

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