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.

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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