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RAD51-mediated homologous recombination is a pro-tumour driver pathway.

Bernard S Lopez1

  • 1Université de Paris-Cité, INSERM U1016, UMR 8104 CNRS, Institut Cochin, Paris, France. bernard.lopez@inserm.fr.

Oncogene
|September 24, 2025
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Homologous recombination (HR) is thought to suppress tumors, but this study suggests HR/RAD51 actually promotes cancer progression by aiding cancer cells in overcoming replication stress. This challenges the established view of HR as a tumor suppressor pathway.

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Area of Science:

  • Genetics
  • Cancer Biology
  • Molecular Oncology

Background:

  • Homologous recombination (HR) is crucial for genome stability and DNA repair, and is considered a tumor suppressor pathway.
  • Mutations in HR genes are common in cancers, yet RAD51, central to HR, lacks associated cancer predisposition mutations (the "RAD51 paradox").
  • This paradox suggests cancer predisposition might stem from alternative mutagenic repair pathways activated by HR deficiency, rather than HR deficiency itself.

Purpose of the Study:

  • To investigate whether HR deficiency or alternative repair pathways drive cancer predisposition.
  • To re-evaluate the role of RAD51-controlled HR in tumorigenesis and cancer progression.

Main Methods:

  • A mouse model was utilized to assess the impact of decreased RAD51 HR activity.
  • The study specifically modulated HR activity without stimulating alternative repair pathways like single-strand annealing (SSA) or alternative end-joining (A-EJ).

Main Results:

  • Decreasing RAD51 HR activity in vivo, without promoting SSA or A-EJ, did not favor tumorigenesis and instead appeared protective against it.
  • These findings contradict the notion that HR acts as a tumor suppressor pathway.

Conclusions:

  • RAD51-controlled HR facilitates cancer progression, particularly in highly proliferative cancer cells coping with replication stress.
  • The study proposes that HR/RAD51 aids cancer progression from early hyperplastic states, challenging the long-held dogma of HR as a tumor suppressor.