Department of Cardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Division of Gynecologic Cancer, Women's Health Institute, Cleveland Clinic, Cleveland, OH, USA.
J Ovarian Res. 2023 Jun 27;16(1):122. doi: 10.1186/s13048-023-01194-2.
Poly-ADP Ribose Polymerase (PARP) targeted therapy is clinically approved for the treatment of homologous recombination (HR) repair deficient tumors. The remarkable success of this therapy in the treatment of HR repair deficient cancers has not translated to HR-proficient cancers. Our studies identify the novel role of non-receptor lymphocyte-specific protein tyrosine kinase (LCK) in the regulation of HR repair in endometrioid epithelial ovarian cancer (eEOC) model. We show that DNA damage leads to direct interaction of LCK with the HR repair proteins RAD51 and BRCA1 in a kinase dependent manner RAD51 and BRCA1 stabilization. LCK expression is induced and activated in the nucleus in response to DNA damage insult. Disruption of LCK expression attenuates RAD51, BRCA1, and BRCA2 protein expression by hampering there stability and results in inhibition of HR-mediated DNA repair including suppression of RAD51 foci formation, and augmentation of γH2AX foci formation. In contrast LCK overexpression leads to increased RAD51 and BRCA1 expression with a concomitant increase in HR DNA damage repair. Importantly, attenuation of LCK sensitizes HR-proficient eEOC cells to PARP inhibitor in cells and pre-clinical mouse studies. Collectively, our findings identify a novel therapeutic strategy to expand the utility of PARP targeted therapy in HR proficient ovarian cancer.
聚 ADP 核糖聚合酶(PARP)靶向治疗已在临床上获准用于同源重组(HR)修复缺陷肿瘤的治疗。这种治疗在 HR 修复缺陷癌症治疗中的显著成功并未转化为 HR 功能正常的癌症。我们的研究确定了非受体淋巴细胞特异性蛋白酪氨酸激酶(LCK)在调节子宫内膜样卵巢上皮癌(eEOC)模型中的 HR 修复中的新作用。我们表明,DNA 损伤导致 LCK 以激酶依赖性方式直接与 HR 修复蛋白 RAD51 和 BRCA1 相互作用,从而稳定 RAD51 和 BRCA1。LCK 表达在细胞核中被诱导和激活,以响应 DNA 损伤。LCK 表达的破坏通过阻碍它们的稳定性来减弱 RAD51、BRCA1 和 BRCA2 蛋白的表达,导致 HR 介导的 DNA 修复抑制,包括抑制 RAD51 焦点形成,并增加 γH2AX 焦点形成。相比之下,LCK 过表达导致 RAD51 和 BRCA1 表达增加,同时 HR DNA 损伤修复增加。重要的是,LCK 表达的衰减使 HR 功能正常的 eEOC 细胞对 PARP 抑制剂敏感,这在细胞和临床前小鼠研究中得到了证实。总之,我们的研究结果确定了一种新的治疗策略,可以扩大 PARP 靶向治疗在 HR 功能正常的卵巢癌中的应用。