An activity-based functional test for identifying homologous recombination deficiencies across cancer types in real

Chih-Ying Lee1, Wen-Fang Cheng2, Po-Han Lin3

  • 1Institute of Biochemical Sciences, National Taiwan University, Taipei, Taiwan.

Cell Reports. Medicine
|October 20, 2023
PubMed

Insights

A new functional assay quantifies real-time homologous recombination (HR) activity, identifying HR deficiency (HRD) for predicting cancer treatment response. This method offers a dynamic alternative to genetic tests for PARPi therapy selection.

Area of Science:

  • Molecular Biology
  • Genetics
  • Oncology

Background:

  • Homologous recombination (HR) is crucial for genome stability.
  • HR deficiency (HRD) makes cancer cells sensitive to poly(ADP-ribose) polymerase inhibitors (PARPis).
  • Current genetic tests for HRD lack dynamic assessment of HR status.

Purpose of the Study:

  • To develop a functional assay for real-time quantification of HR activity.
  • To establish a method for identifying HRD across cancer types.
  • To predict patient response to PARPi therapy.

Main Methods:

  • Developed a virus- and activity-based functional assay.
  • Quantified real-time HR activity using fluorescence.
  • Established an HR activity threshold for HRD identification.
  • Validated the assay with PARPi sensitivity and BRCA status in primary ovarian cancer cells.

Main Results:

  • The functional assay directly quantifies HR activity.
  • An activity threshold effectively identifies HRD across various cancer types.
  • The assay's results correlate with PARPi sensitivity and BRCA status.
  • Applied to primary ovarian cancer cells, the assay reflects patient HRD levels and predicts survival benefits.

Conclusions:

  • The developed functional assay provides a direct measure of HR activity.
  • This assay serves as a valuable tool for identifying HRD and predicting PARPi therapy response.
  • The method is applicable to primary cancer cells, offering personalized treatment prediction.