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ERCC2 Helicase Domain Mutations Confer Nucleotide Excision Repair Deficiency and Drive Cisplatin Sensitivity in Muscle-Invasive Bladder Cancer.


ABSTRACT: PURPOSE:DNA-damaging agents comprise the backbone of systemic treatment for many tumor types; however, few reliable predictive biomarkers are available to guide use of these agents. In muscle-invasive bladder cancer (MIBC), cisplatin-based chemotherapy improves survival, yet response varies widely among patients. Here, we sought to define the role of the nucleotide excision repair (NER) gene ERCC2 as a biomarker predictive of response to cisplatin in MIBC. EXPERIMENTAL DESIGN:Somatic missense mutations in ERCC2 are associated with improved response to cisplatin-based chemotherapy; however, clinically identified ERCC2 mutations are distributed throughout the gene, and the impact of individual ERCC2 variants on NER capacity and cisplatin sensitivity is unknown. We developed a microscopy-based NER assay to profile ERCC2 mutations observed retrospectively in prior studies and prospectively within the context of an institution-wide tumor profiling initiative. In addition, we created the first ERCC2-deficient bladder cancer preclinical model for studying the impact of ERCC2 loss of function. RESULTS:We used our functional assay to test the NER capacity of clinically observed ERCC2 mutations and found that most ERCC2 helicase domain mutations cannot support NER. Furthermore, we show that introducing an ERCC2 mutation into a bladder cancer cell line abrogates NER activity and is sufficient to drive cisplatin sensitivity in an orthotopic xenograft model. CONCLUSIONS:Our data support a direct role for ERCC2 mutations in driving cisplatin response, define the functional landscape of ERCC2 mutations in bladder cancer, and provide an opportunity to apply combined genomic and functional approaches to prospectively guide therapy decisions in bladder cancer.See related commentary by Grivas, p. 907.

SUBMITTER: Li Q 

PROVIDER: S-EPMC6434536 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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<i>ERCC2</i> Helicase Domain Mutations Confer Nucleotide Excision Repair Deficiency and Drive Cisplatin Sensitivity in Muscle-Invasive Bladder Cancer.

Li Qiang Q   Damish Alexis W AW   Frazier Zoë Z   Liu David D   Reznichenko Elizaveta E   Kamburov Atanas A   Bell Andrew A   Zhao Huiyong H   Jordan Emmet J EJ   Gao S Paul SP   Ma Jennifer J   Abbosh Philip H PH   Bellmunt Joaquim J   Plimack Elizabeth R ER   Lazaro Jean-Bernard JB   Solit David B DB   Bajorin Dean D   Rosenberg Jonathan E JE   D'Andrea Alan D AD   Riaz Nadeem N   Van Allen Eliezer M EM   Iyer Gopa G   Mouw Kent W KW  

Clinical cancer research : an official journal of the American Association for Cancer Research 20180706 3


<h4>Purpose</h4>DNA-damaging agents comprise the backbone of systemic treatment for many tumor types; however, few reliable predictive biomarkers are available to guide use of these agents. In muscle-invasive bladder cancer (MIBC), cisplatin-based chemotherapy improves survival, yet response varies widely among patients. Here, we sought to define the role of the nucleotide excision repair (NER) gene <i>ERCC2</i> as a biomarker predictive of response to cisplatin in MIBC.<h4>Experimental design</  ...[more]

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