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Updated: Mar 11, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Targeting PRMTs Creates Vulnerability of DNA Double-Stand Break Repair Pathways, and Potentiates Chemotherapy
Charlène Thiebaut1,2,3, Sébastien Martinez1,2,3, Ludivine Pruvost1,2,3
1Université Claude Bernard Lyon 1, Lyon, France.
Abstract:
Patients with triple-negative breast cancer (ER-, PR-, and HER2-) are routinely treated with chemotherapies that induce DNA damage. However, around 30% of patients display resistance, owing largely to increased DNA repair mechanisms, upregulated to allow cancer cells to escape such therapies. PRMT1 and PRMT5, the two main protein arginine methyltransferases, are involved in several biological pathways, including DNA repair signaling, where they contribute to ensuring DNA integrity. We then speculated that targeting their enzymatic activity may sensitize TNBC cells to chemotherapeutic agents inducing DNA double-strand breaks. Here, we showed that PRMT1 and PRMT5 are recruited to DNA double-strand breaks upon doxorubicin or carboplatin treatment, two chemotherapies currently used to treat TNBC patients, and are preferentially involved in the homologous recombination pathway. By combining PRMT inhibitors with doxorubicin or carboplatin, we increased DNA double-strand breaks and impaired TNBC cell proliferation and clonogenicity in vitro and sensitized patient-derived models of TNBC to carboplatin treatment. These preclinical data provide a rationale for the clinical evaluation of PRMT inhibitors as combinatorial agents to improve chemotherapy efficacy for TNBC patients.
Insights
Targeting protein arginine methyltransferases (PRMT1 and PRMT5) can enhance chemotherapy efficacy in triple-negative breast cancer (TNBC). Inhibiting PRMTs sensitizes resistant TNBC cells to DNA-damaging agents, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Triple-negative breast cancer (TNBC) often exhibits resistance to DNA-damaging chemotherapies due to upregulated DNA repair mechanisms.
- Protein arginine methyltransferases (PRMT1 and PRMT5) play a role in DNA repair pathways, maintaining genomic integrity.
Purpose of the Study:
- To investigate whether inhibiting PRMT1 and PRMT5 can sensitize TNBC cells to DNA double-strand break-inducing chemotherapies.
- To explore the role of PRMT1 and PRMT5 in DNA repair pathways relevant to TNBC treatment.
Main Methods:
- Assessed PRMT1 and PRMT5 recruitment to DNA double-strand breaks induced by doxorubicin or carboplatin.
- Evaluated the effect of combining PRMT inhibitors with chemotherapy on TNBC cell proliferation and clonogenicity in vitro.
- Tested the efficacy of carboplatin combined with PRMT inhibitors in patient-derived TNBC models.
Main Results:
- PRMT1 and PRMT5 were recruited to DNA double-strand breaks following doxorubicin or carboplatin treatment.
- PRMT1 and PRMT5 are involved in the homologous recombination repair pathway.
- Combination therapy increased DNA damage, impaired TNBC cell growth, and sensitized patient-derived models to carboplatin.
Conclusions:
- Targeting PRMT1 and PRMT5 enzymatic activity can enhance the efficacy of DNA-damaging chemotherapies in TNBC.
- PRMT inhibitors show promise as combinatorial agents to overcome chemotherapy resistance in TNBC.
- Preclinical data support the clinical evaluation of PRMT inhibitors for TNBC treatment.
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