Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam 1066CX, the Netherlands; Cancer Genomics Netherlands, Oncode Institute, Amsterdam 1066CX, the Netherlands.
Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam 1066CX, the Netherlands; Division of Molecular Carcinogenesis, The Netherlands Cancer Institute, Amsterdam 1066CX, the Netherlands; Cancer Genomics Netherlands, Oncode Institute, Amsterdam 1066CX, the Netherlands.
Cancer Cell. 2018 Jun 11;33(6):1078-1093.e12. doi: 10.1016/j.ccell.2018.05.008.
Inhibitors of poly(ADP-ribose) (PAR) polymerase (PARPi) have recently entered the clinic for the treatment of homologous recombination (HR)-deficient cancers. Despite the success of this approach, drug resistance is a clinical hurdle, and we poorly understand how cancer cells escape the deadly effects of PARPi without restoring the HR pathway. By combining genetic screens with multi-omics analysis of matched PARPi-sensitive and -resistant Brca2-mutated mouse mammary tumors, we identified loss of PAR glycohydrolase (PARG) as a major resistance mechanism. We also found the presence of PARG-negative clones in a subset of human serous ovarian and triple-negative breast cancers. PARG depletion restores PAR formation and partially rescues PARP1 signaling. Importantly, PARG inactivation exposes vulnerabilities that can be exploited therapeutically.
聚(ADP-核糖)聚合酶(PARPi)抑制剂最近已进入临床,用于治疗同源重组(HR)缺陷型癌症。尽管这种方法取得了成功,但耐药性仍是一个临床难题,我们对癌细胞如何在不恢复 HR 途径的情况下逃避 PARPi 的致命作用知之甚少。通过将遗传筛选与对匹配的 PARPi 敏感和耐药 Brca2 突变型小鼠乳腺肿瘤的多组学分析相结合,我们确定了聚(ADP-核糖)糖基水解酶(PARG)的缺失是主要的耐药机制。我们还在一部分人类浆液性卵巢癌和三阴性乳腺癌中发现了 PARG 阴性克隆的存在。PARG 耗竭会恢复 PAR 的形成,并部分挽救 PARP1 信号。重要的是,PARG 失活会暴露出可被治疗利用的弱点。
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