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SOX5 inhibition overcomes PARP inhibitor resistance in BRCA-mutated breast and ovarian cancer.

作者信息

Ghosh Mithun, Kang Min Sil, Katuwal Nar Bahadur, Hong Sa Deok, Park Seong Min, Kim Seul-Gi, Lee Seung Ryeol, Moon Yong Wha

机构信息

Department of Biomedical Science, The Graduate School, CHA University, Seongnam-si, 13488, Republic of Korea.

Department of Internal Medicine, Hematology and Oncology, CHA Bundang Medical Center, CHA University, Seongnam-si, 13496, Republic of Korea.

出版信息

Cell Death Dis. 2025 Apr 24;16(1):333. doi: 10.1038/s41419-025-07660-7.


DOI:10.1038/s41419-025-07660-7
PMID:40274769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12022250/
Abstract

Poly (ADP-ribose) polymerase (PARP) inhibitors are effective in cells with homologous recombination (HR) deficiency, including BRCA1/2 mutation. However, PARP inhibitors remain a therapeutic challenge in breast and ovarian cancer due to inevitably acquired resistance in most cases. Therefore, strategies to overcome PARP inhibitor resistance are unmet clinical need. SRY-box transcription factor 5 (SOX5) plays a crucial role in development of various cancers but the role of SOX5 in PARP inhibitor resistance is poorly understood. This study identified SOX5 as a potential biomarker associated with PARP inhibitor resistance and addressed potential treatment strategies to overcome PARP inhibitor resistance using the olaparib-resistant preclinical model. We observed that SOX5 was significantly upregulated in olaparib-resistant cells and contributed to PARP inhibitor resistance by upregulating DNA repair pathway genes. Ectopic SOX5 overexpression contributed to PARP inhibitor resistance by suppressing DNA double-strand breaks (DSBs) in BRCA-mutated breast and ovarian cancer. SOX5 small interfering RNA combined with olaparib sensitized olaparib-resistant cells and suppressed the growth of olaparib-resistant xenografts in mice via increased DSBs represented by ɣH2AX formation. Mechanistically, SOX5 directly interacted with yes-associated protein 1 (YAP1) and promoted its nuclear translocation by suppressing the Hippo pathway. YAP1, in association with TEA domain family members (TEAD), upregulated HR-related gene expression and conferred PARP inhibitor resistance. Furthermore, the clinical relevance of SOX5 as a therapeutic target was supported by a significant association between SOX5 overexpression and poor prognosis in ovarian cancer on public mRNA microarray data sets. Therefore, we propose SOX5 as a promising therapeutic target for overcoming PARP inhibitor resistance in BRCA1/2-mutated breast and ovarian cancer.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/bd812de421bd/41419_2025_7660_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/e88c2613c7b4/41419_2025_7660_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/641737ce3fa9/41419_2025_7660_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/5ed78c02e1ba/41419_2025_7660_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/91d1408c39d9/41419_2025_7660_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/0445137c1c5b/41419_2025_7660_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/d3ce1ed594bb/41419_2025_7660_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/bd812de421bd/41419_2025_7660_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/e88c2613c7b4/41419_2025_7660_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/641737ce3fa9/41419_2025_7660_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/5ed78c02e1ba/41419_2025_7660_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/91d1408c39d9/41419_2025_7660_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/0445137c1c5b/41419_2025_7660_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/d3ce1ed594bb/41419_2025_7660_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7238/12022250/bd812de421bd/41419_2025_7660_Fig7_HTML.jpg

相似文献

[1]
SOX5 inhibition overcomes PARP inhibitor resistance in BRCA-mutated breast and ovarian cancer.

Cell Death Dis. 2025-4-24

[2]
ALDH1A1 Contributes to PARP Inhibitor Resistance via Enhancing DNA Repair in BRCA2 Ovarian Cancer Cells.

Mol Cancer Ther. 2019-9-18

[3]
Molecular mechanisms restoring olaparib efficacy through ATR/CHK1 pathway inhibition in olaparib-resistant BRCA1/2 ovarian cancer models.

Biochim Biophys Acta Mol Basis Dis. 2025-2

[4]
PARP inhibitor resistance and TP53 mutations in patients treated with olaparib for BRCA-mutated cancer: Four case reports.

Mol Med Rep. 2021-1

[5]
Combination of triapine, olaparib, and cediranib suppresses progression of BRCA-wild type and PARP inhibitor-resistant epithelial ovarian cancer.

PLoS One. 2018-11-16

[6]
Advances in PARP inhibitors for the treatment of breast cancer.

Expert Opin Pharmacother. 2015

[7]
Poly (ADP-Ribose) Polymerase Inhibitor Olaparib-Resistant -Mutant Ovarian Cancer Cells Demonstrate Differential Sensitivity to PARP Inhibitor Rechallenge.

Cells. 2024-11-7

[8]
In silico screening identifies a novel small molecule inhibitor that counteracts PARP inhibitor resistance in ovarian cancer.

Sci Rep. 2021-4-13

[9]
Advances in the Treatment of Ovarian Cancer Using PARP Inhibitors and the Underlying Mechanism of Resistance.

Curr Drug Targets. 2020

[10]
Co-targeting poly(ADP-ribose) polymerase (PARP) and histone deacetylase (HDAC) in triple-negative breast cancer: Higher synergism in BRCA mutated cells.

Biomed Pharmacother. 2018-2-20

引用本文的文献

[1]
Homologous Recombination Deficiency in Ovarian and Breast Cancers: Biomarkers, Diagnosis, and Treatment.

Curr Issues Mol Biol. 2025-8-8

[2]
Liquid biopsy in breast cancer: Redefining precision medicine.

J Liq Biopsy. 2025-7-16

[3]
Zr-Radiolabelling of p-NCS-Bz-DFO-Anti-HER2 Affibody Immunoconjugate: Characterization and Assessment of In Vitro Potential in HER2-Positive Breast Cancer Imaging.

Pharmaceutics. 2025-6-4

本文引用的文献

[1]
Combining Novel Hormonal Therapies with a Poly (ADP-Ribose) Polymerase Inhibitor for Metastatic Castration-Resistant Prostate Cancer: Emerging Evidence.

Curr Oncol. 2023-12-4

[2]
PSPC1 Inhibition Synergizes with Poly(ADP-ribose) Polymerase Inhibitors in a Preclinical Model of BRCA-Mutated Breast/Ovarian Cancer.

Int J Mol Sci. 2023-12-3

[3]
Targeting PEG10 as a novel therapeutic approach to overcome CDK4/6 inhibitor resistance in breast cancer.

J Exp Clin Cancer Res. 2023-11-28

[4]
Discovery and ranking of the most robust prognostic biomarkers in serous ovarian cancer.

Geroscience. 2023-6

[5]
Overall survival in the OlympiA phase III trial of adjuvant olaparib in patients with germline pathogenic variants in BRCA1/2 and high-risk, early breast cancer.

Ann Oncol. 2022-12

[6]
PARP inhibitors: clinical development, emerging differences, and the current therapeutic issues.

Cancer Drug Resist. 2019-9-19

[7]
Maintenance olaparib for patients with newly diagnosed advanced ovarian cancer and a BRCA mutation (SOLO1/GOG 3004): 5-year follow-up of a randomised, double-blind, placebo-controlled, phase 3 trial.

Lancet Oncol. 2021-12

[8]
Understanding and overcoming resistance to PARP inhibitors in cancer therapy.

Nat Rev Clin Oncol. 2021-12

[9]
Adjuvant Olaparib for Patients with - or -Mutated Breast Cancer.

N Engl J Med. 2021-6-24

[10]
TGFβR-SMAD3 Signaling Induces Resistance to PARP Inhibitors in the Bone Marrow Microenvironment.

Cell Rep. 2020-10-6

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