乳がん薬の効果を高める遺伝的特徴の発見(How breast cancer drugs exploit genomic fractures in tumors)

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2025-08-18 ワシントン大学セントルイス校

ワシントン大学セントルイス校の研究チーム(Alessandro Vindigni 教授ら)は、PARP阻害剤というがん治療薬が乳がん細胞内でDNAに「大きな亀裂(DNAギャップ)」を生じさせ、それが腫瘍細胞の死を誘導する仕組みを明らかにしました。BRCA遺伝子変異を持つ腫瘍では、ヌクレアーゼと呼ばれる酵素がこれらのギャップをさらに拡大させ、細胞が修復不可能な損傷状態に陥ることで治療に敏感になります。この理解により、ヌクレアーゼの活性を強化するアプローチを組み合わせることで、PARP阻害剤の効果を再び高め、耐性腫瘍への対応力を復活させる可能性が示されました。

<関連情報>

MRN-CtIP、EXO1、DNA2-WRN/BLMは、PARPi処理細胞中のDNAギャップを鎖切断なしに双方向に処理する MRN–CtIP, EXO1, and DNA2–WRN/BLM act bidirectionally to process DNA gaps in PARPi-treated cells without strand cleavage

Isabelle M. Seppa,Ilaria Ceppi,Mithila Tennakoon,Giordano Reginato,Jessica Jackson,Celia D. Rouault,Sumedha Agashe,Vladislav O. Sviderskiy,Mangsi Limbu,Erica Lantelme,Alice Meroni,Stefan Braunshier,Damiano Borrello,Priyanka Verma,Petr Cejka and Alessandro Vindigni
Genes & Development  Published:March 24, 2025
DOI:10.1101/gad.352421.124

Abstract

Single-stranded DNA (ssDNA) gaps impact genome stability and PARP inhibitor (PARPi) sensitivity, especially in BRCA1/2-deficient tumors. Using single-molecule DNA fiber analysis, electron microscopy, and biochemical methods, we found that MRN, CtIP, EXO1, and DNA2–WRN/BLM resect ssDNA gaps through a mechanism different from their actions at DNA ends. MRN resects ssDNA gaps in the 3′-to-5′ direction using its pCtIP-stimulated exonuclease activity. Unlike at DNA ends, MRN does not use its endonucleolytic activity to cleave the 5′-terminated strand flanking the gap or the ssDNA. EXO1 and DNA2–WRN/BLM specifically resect the 5′ end of the gap independent of MRN–CtIP. This resection process alters ssDNA gap repair kinetics in BRCA1-proficient and -deficient cells. In BRCA1-deficient cells treated with PARPis, excessive resection results in larger ssDNA gaps, hindering their repair and leading to DNA breaks in subsequent cell cycle stages due to ssDNA gaps colliding with DNA replication forks. These findings broaden our understanding of the role of human nucleases in DNA metabolism and have significant implications for defining the mechanisms driving PARPi sensitivity in BRCA-deficient tumors.

医療・健康
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