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Updated: Jun 6, 2025

Visualizing DNA Damage Repair Proteins in Patient-Derived Ovarian Cancer Organoids via Immunofluorescence Assays
Published on: February 24, 2023
Coordinated protein modules define DNA damage responses to carboplatin at single cell resolution in human ovarian
Jacob S Bedia1, Ying-Wen Huang1, Antonio Delgado Gonzalez1
1Department of Urology, Stanford University School of Medicine, Stanford, CA 94305, USA.
Abstract:
Tubo-ovarian high-grade serous carcinoma (HGSC) is the most lethal gynecological malignancy and frequently responds to platinum-based chemotherapy because of common genetic and somatic impairment of DNA damage repair (DDR) pathways. The mechanisms of clinical platinum resistance are diverse and poorly molecularly defined. Consequently, there are no biomarkers or medicines that improve patient outcomes. Herein we use single cell mass cytometry (CyTOF) to systematically evaluate the phosphorylation and abundance of proteins known to participate in the DNA damage response (DDR). Single cell analyses of highly characterized HGSC cell lines that phenocopy human patients show that cells with comparable levels of intranuclear platinum, a proxy for carboplatin uptake, undergo different cell fates. Unsupervised analyses revealed a continuum of DDR responses. Decompositional methods were used to identify eight distinct protein modules of carboplatin resistance and sensitivity at single cell resolution. CyTOF profiling of primary and secondary platinum-resistance patient models shows that a complex DDR sensitivity module is strongly associated with response, suggesting it as a potential tool to clinically characterize complex drug resistance phenotypes.
Insights
Tubo-ovarian high-grade serous carcinoma (HGSC) cells exhibit diverse DNA damage repair (DDR) responses to carboplatin. A specific DDR sensitivity module identified via single-cell mass cytometry may predict platinum resistance in patients.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Tubo-ovarian high-grade serous carcinoma (HGSC) is a lethal gynecological cancer.
- Platinum-based chemotherapy is a common treatment, but resistance mechanisms are poorly understood.
- Lack of biomarkers hinders effective treatment strategies for HGSC.
Purpose of the Study:
- To systematically evaluate DNA damage response (DDR) protein phosphorylation and abundance in HGSC using single-cell mass cytometry.
- To identify molecular mechanisms underlying carboplatin resistance and sensitivity at a single-cell level.
- To explore potential biomarkers for predicting patient response to platinum chemotherapy.
Main Methods:
- Single-cell mass cytometry (CyTOF) was employed to analyze protein expression in HGSC cell lines and patient models.
- Cells were characterized based on intranuclear platinum levels as a proxy for carboplatin uptake.
- Unsupervised and decompositional analyses were used to identify distinct protein modules associated with drug response.
Main Results:
- HGSC cells with similar platinum levels displayed varied cell fates and DDR responses.
- A continuum of DDR responses was observed, revealing complexity in cellular reactions to carboplatin.
- Eight distinct protein modules related to carboplatin resistance and sensitivity were identified at single-cell resolution.
- A complex DDR sensitivity module was significantly associated with treatment response in patient-derived models.
Conclusions:
- Single-cell mass cytometry provides a powerful approach to dissecting complex drug resistance phenotypes in HGSC.
- The identified DDR sensitivity module shows potential as a clinical biomarker for characterizing platinum resistance.
- Further research into this module could lead to improved therapeutic strategies for HGSC patients.
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09:40Author Spotlight: Unveiling the Role of TMOD3 in Platinum Resistance and Immune Infiltration in Ovarian Cancer
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13:10Detection and Visualization of DNA Damage-induced Protein Complexes in Suspension Cell Cultures Using the Proximity Ligation Assay
Published on: June 9, 2017
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