Surveying the Proteome-Wide Landscape of Mitoxantrone and Examining Drug Sensitivity in BRCA1-Deficient Ovarian

Savanna Wallin1, Sneha Pandithar1, Sarbjit Singh1

  • 1Eppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE 68198, USA.

Proteomes
|November 24, 2025
PubMed

Insights

Mitoxantrone (MX) targets proteins involved in DNA repair and RNA processing in BRCA1-deficient ovarian cancer cells. This reveals new insights into its anti-cancer mechanisms and potential side effects.

Area of Science:

  • Oncology
  • Molecular Biology
  • Proteomics

Background:

  • Mitoxantrone (MX) is a chemotherapy drug with established use in cancer treatment.
  • Recent research suggests MX has novel protein targets beyond its known mechanisms.
  • Understanding these targets is crucial for interpreting MX efficacy in homologous recombination (HR)-deficient cancers.

Purpose of the Study:

  • To investigate the activity and binding profile of Mitoxantrone (MX) in HR-deficient ovarian cancer cells.
  • To identify novel protein targets of MX using quantitative proteomics and chemoproteomics.

Main Methods:

  • Utilized TMT-labeled quantitative proteomics to analyze protein expression in MX-treated BRCA1-deficient UWB1.289 ovarian cancer cells.
  • Employed chemoproteomics with a biotinylated-MX probe and mass spectrometry to identify MX binding proteins.
  • Evaluated MX activity specifically in homologous recombination (HR)-deficient cancer models.

Main Results:

  • MX treatment led to downregulation of genomic stability pathways, including single-strand annealing, in BRCA1-deficient cells.
  • Observed significant upregulation of proteins involved in ribosome biogenesis and RNA processing in these cells.
  • Proteomics and chemoproteomics confirmed MX targets proteins crucial for genome maintenance and RNA processing.

Conclusions:

  • Mitoxantrone exhibits both canonical and non-canonical antitumor activities that impact HR-deficient cancer cells.
  • The study elucidates the target landscape of MX, offering insights into its off-target effects.
  • Findings provide a deeper understanding of MX's action in HR-deficient cancers, particularly ovarian cancer.