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MYC inhibition by Omomyc causes DNA damage and overcomes PARPi resistance in breast cancer
Fabio Giuntini1, Íñigo González-Larreategui1, Andrea Herencia-Ropero2
1Models of Cancer Therapies Group, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Abstract:
MYC is dysregulated in most human cancers and is a DNA damage response (DDR) modulator capable of both promoting genomic instability and enhancing DNA repair. Here, we show that Omomyc, the only direct MYC inhibitor that has completed a phase 1 trial, shuts down DDR genes in triple-negative breast cancer (TNBC), causing DDR defects and inducing DNA damage. Since DDR-deficient tumors are currently targeted by poly ADP-ribose polymerase inhibitors (PARPis), we tested combinations with Omomyc. We show that Omomyc-induced DNA damage is enhanced by PARPis and that the inhibitors cooperate even in models with intrinsic or acquired PARPi resistance, both in vitro and in vivo. Moreover, using patient-derived models and clinical samples, we reveal a role for MYC as a predictor of PARPi resistance. Overall, our research highlights the opportunity of combining MYC inhibition by Omomyc with PARPis in PARPi-resistant TNBC, where MYC transcriptional activity represents a predictive biomarker of resistance to therapy.
Insights
Omomyc, a MYC inhibitor, disrupts DNA repair in triple-negative breast cancer (TNBC). Combining Omomyc with PARP inhibitors shows promise for treating PARP inhibitor-resistant TNBC.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- MYC dysregulation is common in cancers, influencing DNA damage response (DDR).
- MYC acts as a dual modulator of genomic instability and DNA repair.
- Triple-negative breast cancer (TNBC) presents therapeutic challenges.
Purpose of the Study:
- To investigate the effect of Omomyc, a direct MYC inhibitor, on DDR in TNBC.
- To evaluate the efficacy of combining Omomyc with poly ADP-ribose polymerase inhibitors (PARPis) in TNBC models.
- To identify MYC's role as a potential biomarker for PARPi resistance.
Main Methods:
- Treatment of TNBC models with Omomyc and/or PARPis.
- Assessment of DDR gene expression, DNA damage induction, and cell viability.
- In vitro and in vivo studies using patient-derived models and clinical samples.
Main Results:
- Omomyc inhibits DDR genes in TNBC, leading to DDR defects and DNA damage.
- Omomyc enhances PARPi-induced DNA damage and exhibits synergistic effects with PARPis.
- Combination therapy overcomes both intrinsic and acquired PARPi resistance.
- MYC activity predicts PARPi resistance in patient-derived TNBC models.
Conclusions:
- Omomyc combined with PARPis offers a potential therapeutic strategy for PARPi-resistant TNBC.
- MYC transcriptional activity serves as a predictive biomarker for PARPi resistance in TNBC.
- This combination approach warrants further clinical investigation for TNBC treatment.
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