DNA Damage and Repair in Ovarian Cancer: Focus on MicroRNAs

Katarzyna D Arczewska1, Agnieszka Piekiełko-Witkowska1

  • 1Department of Biochemistry and Molecular Biology, Centre of Postgraduate Medical Education, 01-813 Warsaw, Poland.

Cancers
|September 27, 2025
PubMed

Insights

microRNAs (miRNAs) dysregulate DNA repair genes in ovarian cancer (OvCa), impacting DNA damage response and therapy effectiveness. Despite identified targets, no miRNA-based OvCa drugs are currently approved.

Area of Science:

  • Molecular Biology
  • Genetics
  • Oncology

Background:

  • Ovarian cancer (OvCa) is a leading cause of female cancer deaths worldwide.
  • Defective DNA repair mechanisms drive OvCa development and progression.
  • microRNAs (miRNAs) are key regulators of gene expression involved in cellular processes.

Purpose of the Study:

  • To review miRNA-mediated dysregulation of DNA damage response (DDR) and DNA repair pathways in OvCa.
  • To explore the role of specific miRNAs in targeting key DNA repair genes.
  • To discuss the implications of miRNA dysregulation for OvCa therapy response.

Main Methods:

  • Literature review of studies on miRNA regulation of DNA repair genes in OvCa.
  • Analysis of specific miRNA interactions with DDR and DNA repair mediators.
  • Examination of miRNAs affecting response to OvCa therapies, including PARP1 inhibitors.

Main Results:

  • miRNAs target crucial DDR mediators like ATM (e.g., miR-203a-3p).
  • Specific miRNAs regulate homologous repair (BRCA1), non-homologous end joining (RNF8), nucleotide excision repair (DDB2), and translesion synthesis (RAD18).
  • Certain miRNAs (e.g., miR-519a-3p, let-7e, miR-216b) influence OvCa therapy response by targeting PARP1.

Conclusions:

  • miRNA dysregulation significantly impacts DNA repair pathways in OvCa.
  • While numerous miRNAs target DNA repair genes and affect therapy response, clinical translation remains a challenge.
  • Further research is needed to develop effective miRNA-based therapeutic strategies for OvCa.

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