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LIG1 Loss in TP53-mutant Triple Negative Breast Cancer Rewires DNA Repair and Confers Sensitivity to PARP-ATR
Anh Minh Tran Huynh1, Jonathan T Lei2, Rachel Brough3
1Baylor College of Medicine United States.
Abstract:
Proteogenomic analyses have identified an association between LIG1 (DNA Ligase I) loss and chemotherapy resistance in a subset of triple negative breast cancer (TNBC) enriched for TP53 mutations. Here, we demonstrate that co-occurrence of TP53 mutations and LIG1 loss is associated with upregulated DDR activity, including homologous recombination, likely contributing to reduced platinum sensitivity. Unbiased genetic and monotherapy drug screens identified PARP inhibitors (PARPi) as a potential treatment for LIG1-depleted tumors; however, the increase in sensitivity was modest and lower than that observed in TNBC models with homologous recombination deficiency. Subsequently, a screen of PARP inhibition in combination with each of 120 clinically relevant DDR inhibitors revealed that PARPi sensitivity in LIG1-loss cells was significantly enhanced by the addition of an ATR inhibitor (ATRi). Olaparib and ceralasertib demonstrated synergistic cytotoxicity in LIG1-loss cell line models; the combination significantly reduced tumor volume in a LIG1-low PDX model compared to either monotherapy, and showed greater ex vivo cytotoxicity in a LIG1-low PDXO model versus a LIG1-high control. Hence, this study highlights LIG1 status as a stratification factor for ongoing and future clinical trials of DDR-targeted combinations in TNBCs.
Insights
DNA Ligase I (LIG1) loss in triple-negative breast cancer (TNBC) with TP53 mutations correlates with DNA damage response (DDR) activation. Combining PARP and ATR inhibitors shows promise for treating LIG1-deficient TNBC.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Proteogenomic analysis reveals LIG1 loss is linked to chemotherapy resistance in a subset of triple-negative breast cancer (TNBC) with TP53 mutations.
- TP53 mutations and LIG1 loss are associated with increased DNA damage response (DDR) activity, including homologous recombination, potentially reducing platinum sensitivity.
Purpose of the Study:
- To investigate the therapeutic potential of targeting DNA repair pathways in LIG1-deficient TNBC.
- To identify effective drug combinations for LIG1-loss TNBC models.
Main Methods:
- Utilized unbiased genetic and monotherapy drug screens to identify potential treatments for LIG1-depleted tumors.
- Conducted a screen of PARP inhibition combined with 120 clinically relevant DDR inhibitors.
- Evaluated synergistic cytotoxicity of olaparib and ceralasertib in LIG1-loss cell lines and patient-derived xenograft (PDX) models.
Main Results:
- PARP inhibitors (PARPi) showed modest sensitivity increase in LIG1-depleted TNBC, less than in homologous recombination-deficient models.
- PARPi sensitivity was significantly enhanced by ATR inhibitors (ATRi) in LIG1-loss cells.
- The combination of olaparib and ceralasertib demonstrated synergistic cytotoxicity, reduced tumor volume in a LIG1-low PDX model, and enhanced ex vivo cytotoxicity.
Conclusions:
- LIG1 loss is a potential stratification biomarker for DDR-targeted therapies in TNBC.
- The combination of ATR inhibitors and PARP inhibitors offers a promising therapeutic strategy for LIG1-deficient TNBC.
- LIG1 status can guide patient selection for ongoing and future clinical trials involving DDR-targeted combinations in TNBC.
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