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The BRCA1-?11q Alternative Splice Isoform Bypasses Germline Mutations and Promotes Therapeutic Resistance to PARP Inhibition and Cisplatin.


ABSTRACT: Breast and ovarian cancer patients harboring BRCA1/2 germline mutations have clinically benefitted from therapy with PARP inhibitor (PARPi) or platinum compounds, but acquired resistance limits clinical impact. In this study, we investigated the impact of mutations on BRCA1 isoform expression and therapeutic response. Cancer cell lines and tumors harboring mutations in exon 11 of BRCA1 express a BRCA1-?11q splice variant lacking the majority of exon 11. The introduction of frameshift mutations to exon 11 resulted in nonsense-mediated mRNA decay of full-length, but not the BRCA1-?11q isoform. CRISPR/Cas9 gene editing as well as overexpression experiments revealed that the BRCA1-?11q protein was capable of promoting partial PARPi and cisplatin resistance relative to full-length BRCA1, both in vitro and in vivo Furthermore, spliceosome inhibitors reduced BRCA1-?11q levels and sensitized cells carrying exon 11 mutations to PARPi treatment. Taken together, our results provided evidence that cancer cells employ a strategy to remove deleterious germline BRCA1 mutations through alternative mRNA splicing, giving rise to isoforms that retain residual activity and contribute to therapeutic resistance. Cancer Res; 76(9); 2778-90. ©2016 AACR.

SUBMITTER: Wang Y 

PROVIDER: S-EPMC4874568 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature

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The BRCA1-Δ11q Alternative Splice Isoform Bypasses Germline Mutations and Promotes Therapeutic Resistance to PARP Inhibition and Cisplatin.

Wang Yifan Y   Bernhardy Andrea J AJ   Cruz Cristina C   Krais John J JJ   Nacson Joseph J   Nicolas Emmanuelle E   Peri Suraj S   van der Gulden Hanneke H   van der Heijden Ingrid I   O'Brien Shane W SW   Zhang Yong Y   Harrell Maribel I MI   Johnson Shawn F SF   Candido Dos Reis Francisco J FJ   Pharoah Paul D P PD   Karlan Beth B   Gourley Charlie C   Lambrechts Diether D   Chenevix-Trench Georgia G   Olsson Håkan H   Benitez Javier J JJ   Greene Mark H MH   Gore Martin M   Nussbaum Robert R   Sadetzki Siegal S   Gayther Simon A SA   Kjaer Susanne K SK   D'Andrea Alan D AD   Shapiro Geoffrey I GI   Wiest David L DL   Connolly Denise C DC   Daly Mary B MB   Swisher Elizabeth M EM   Bouwman Peter P   Jonkers Jos J   Balmaña Judith J   Serra Violeta V   Johnson Neil N  

Cancer research 20160501 9


Breast and ovarian cancer patients harboring BRCA1/2 germline mutations have clinically benefitted from therapy with PARP inhibitor (PARPi) or platinum compounds, but acquired resistance limits clinical impact. In this study, we investigated the impact of mutations on BRCA1 isoform expression and therapeutic response. Cancer cell lines and tumors harboring mutations in exon 11 of BRCA1 express a BRCA1-Δ11q splice variant lacking the majority of exon 11. The introduction of frameshift mutations t  ...[more]

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