Selective Killing of BRCA2-Deficient Ovarian Cancer Cells via MRE11 Blockade

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  • Adel Alblihy
    University of Nottingham
  • Reem Ali
    University of Nottingham
  • Mashael Algethami
    University of Nottingham
  • Alison A. Ritchie
    University of Nottingham
  • Ahmed Shoqafi
    University of Nottingham
  • Shatha Alqahtani
    University of Nottingham
  • Katia A. Mesquita
    University of Nottingham
  • Michael S. Toss
    University of Nottingham
  • Paloma Ordóñez-Morán
    University of Nottingham
  • Jennie N. Jeyapalan
    University of Nottingham
  • Lodewijk Dekker
    University of Nottingham
  • Martina Salerno
  • Edgar Hartsuiker
  • Anna M. Grabowska
    University of Nottingham
  • Emad A. Rakha
    University of Nottingham
  • Nigel P. Mongan
    University of Nottingham
  • Srinivasan Madhusudan
    University of Nottingham
The MRE11 nuclease is essential during DNA damage recognition, homologous recombination, and replication. BRCA2 plays important roles during homologous recombination and replication. Here, we show that effecting an MRE11 blockade using a prototypical inhibitor (Mirin) induces synthetic lethality (SL) in BRCA2-deficient ovarian cancer cells, HeLa cells, and 3D spheroids compared to BRCA2-proficient controls. Increased cytotoxicity was associated with double-strand break accumulation, S-phase cell cycle arrest, and increased apoptosis. An in silico analysis revealed Mirin docking onto the active site of MRE11. While Mirin sensitises DT40 MRE11+/− cells to the Top1 poison SN-38, it does not sensitise nuclease-dead MRE11 cells to this compound confirming that Mirin specifically inhibits Mre11 nuclease activity. MRE11 knockdown reduced cell viability in BRCA2-deficient PEO1 cells but not in BRCA2-proficient PEO4 cells. In a Mirin-resistant model, we show the downregulation of 53BP1 and DNA repair upregulation, leading to resistance, including in in vivo xenograft models. In a clinical cohort of human ovarian tumours, low levels of BRCA2 expression with high levels of MRE11 co-expression were linked with worse progression-free survival (PFS) (p = 0.005) and overall survival (OS) (p = 0.001). We conclude that MRE11 is an attractive SL target, and the pharmaceutical development of MRE11 inhibitors for precision oncology therapeutics may be of clinical benefit.

Keywords

  • BRCA2, BRCA2 Protein - metabolism, Cell Line, Tumor, DNA Repair, DNA-Binding Proteins - metabolism, Female, HeLa Cells, Humans, MRE11, MRE11 Homologue Protein - genetics - metabolism, Ovarian Neoplasms - drug therapy - genetics, Precision Medicine, synthetic lethality
Original languageEnglish
JournalInternational journal of molecular sciences
Volume24
Issue number13
Early online date30 Jun 2023
DOIs
Publication statusPublished - 30 Jun 2023

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