Coordinated protein modules define DNA damage responses to carboplatin at single-cell resolution in human ovarian

Jacob S Bedia1, Antonio Delgado-Gonzalez2, Ying-Wen Huang1

  • 1Department of Urology, Stanford University School of Medicine, Stanford, CA 94305, USA.

Cell Reports. Medicine
|August 23, 2025
PubMed

Insights

Tubo-ovarian high-grade serous carcinoma (HGSC) resistance to carboplatin chemotherapy is linked to DNA damage response (DDR) heterogeneity. Identifying a DDR sensitivity module could improve patient stratification and treatment for this lethal gynecologic malignancy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Tubo-ovarian high-grade serous carcinoma (HGSC) is a lethal gynecologic malignancy.
  • Initial response to platinum chemotherapy is often followed by acquired resistance.
  • Mechanisms of platinum resistance and effective biomarkers remain poorly defined.

Purpose of the Study:

  • To investigate the heterogeneity of DNA damage response (DDR) in HGSC cell lines treated with carboplatin.
  • To identify molecular mechanisms underlying carboplatin resistance in HGSC.
  • To explore the potential of DDR protein modules as biomarkers for clinical stratification.

Main Methods:

  • Mass cytometry was used to quantify phosphorylation and abundance of DDR proteins.
  • HGSC cell line models were treated with carboplatin.
  • Unsupervised analysis and matrix factorization were applied to identify DDR states and protein modules.

Main Results:

  • Carboplatin-treated HGSC cells exhibited divergent fates despite similar platinum uptake, indicating DDR heterogeneity.
  • A continuum of DDR states was identified, with eight distinct protein modules characterized.
  • A module of canonical DDR proteins was upregulated in carboplatin-sensitive cells, while resistant cells engaged a broader DDR network.

Conclusions:

  • Single-cell proteomics can effectively identify functional DDR states in HGSC.
  • A specific DDR sensitivity module shows promise as a biomarker for predicting response to carboplatin.
  • These findings may guide clinical stratification and therapeutic decisions for HGSC patients.