BRCA1/2 Reversion Mutations and Cancer Therapy Resistance

Wenjing Qi1, Gege Yang1, Yingyi Zhang1

  • 1Department of Bioscience, Changchun Normal University, Changchun 130032, China.

Biology
|June 11, 2026
PubMed

Insights

Germline mutations in BRCA1 and BRCA2 genes increase cancer risk. Understanding these gene variants is crucial for developing targeted therapies and overcoming treatment resistance in homologous recombination-deficient cancers.

Area of Science:

  • Genetics and Genomics
  • Cancer Biology
  • Molecular Oncology

Background:

  • Germline loss-of-function mutations in BRCA1 and BRCA2 significantly elevate susceptibility to breast, ovarian, and other cancers.
  • BRCA2 is essential for RAD51 recruitment to DNA damage sites, while BRCA1 regulates homologous recombination repair (HRR) and DNA damage response signaling.
  • Poly (ADP-ribose) polymerase inhibitors (PARPis) exploit synthetic lethality in homologous recombination-deficient tumors, showing clinical benefit in BRCA1/2-mutated cancers.

Purpose of the Study:

  • To review the structural and functional domains of BRCA1/2.
  • To analyze pathogenic mutation profiles of BRCA1/2.
  • To discuss therapeutic strategies for BRCA1/2-deficient cancers and identify knowledge gaps.

Main Methods:

  • Literature review of BRCA1/2 function, mutations, and therapeutic strategies.
  • Analysis of existing data on PARPi efficacy and resistance mechanisms.
  • Synthesis of information on the role of specific BRCA1/2 domains and residual protein activities.

Main Results:

  • PARPi therapy is effective in BRCA1/2-mutated cancers, but resistance, often due to secondary mutations restoring protein function, is a significant challenge.
  • Critical gaps remain in understanding how specific BRCA1/2 domains and residual protein activities influence tumorigenesis and treatment response.
  • Pathogenic mutation profiles highlight the importance of precise genetic alterations in disease susceptibility and therapeutic outcomes.

Conclusions:

  • Further functional studies of BRCA1/2 variants are essential for refining cancer risk prediction.
  • Developing mutation-tailored therapies is necessary to improve treatment efficacy for BRCA1/2-deficient cancers.
  • Addressing resistance mechanisms and understanding the impact of specific BRCA1/2 domains will advance precision oncology.

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