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Nature 434, 917-921 (14 April 2005) | doi:10.1038/nature03445; Received 14 October 2004; Accepted 11 February 2005

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Targeting the DNA repair defect in BRCA mutant cells as a therapeutic strategy

Hannah Farmer1,2,6, Nuala McCabe1,2,6, Christopher J. Lord2,6, Andrew N. J. Tutt2,3, Damian A. Johnson2, Tobias B. Richardson2, Manuela Santarosa2,7, Krystyna J. Dillon4, Ian Hickson4, Charlotte Knights4, Niall M. B. Martin4, Stephen P. Jackson4,5, Graeme C. M. Smith4 & Alan Ashworth1,2

  1. Cancer Research UK Gene Function and Regulation Group and
  2. The Breakthrough Breast Cancer Research Centre Institute of Cancer Research, Fulham Road, London SW3 6JB, UK
  3. Guy's Hospital, St Thomas' Street, London SE1 9RT, UK
  4. KuDOS Pharmaceuticals Ltd, Cambridge Science Park, Cambridge CB4 0WG, UK
  5. Wellcome Trust and Cancer Research UK, Gurdon Institute of Cancer and Developmental Biology, and Department of Zoology, University of Cambridge, Tennis Court Road, Cambridge CB2 1QN, UK
  6. These authors contributed equally to this work
  7. Present address: Division of Experimental Oncology1, CRO-IRCCS, Aviano 33081 PN, Italy

Correspondence to: Graeme C. M. Smith4Alan Ashworth1,2 Correspondence and requests for materials should be addressed to A.A. (Email: alan.ashworth@icr.ac.uk) or G.C.M.S. (Email: gcmsmith@kudospharma.co.uk).

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BRCA1 and BRCA2 are important for DNA double-strand break repair by homologous recombination1, and mutations in these genes predispose to breast and other cancers2. Poly(ADP-ribose) polymerase (PARP) is an enzyme involved in base excision repair, a key pathway in the repair of DNA single-strand breaks3. We show here that BRCA1 or BRCA2 dysfunction unexpectedly and profoundly sensitizes cells to the inhibition of PARP enzymatic activity, resulting in chromosomal instability, cell cycle arrest and subsequent apoptosis. This seems to be because the inhibition of PARP leads to the persistence of DNA lesions normally repaired by homologous recombination. These results illustrate how different pathways cooperate to repair damage, and suggest that the targeted inhibition of particular DNA repair pathways may allow the design of specific and less toxic therapies for cancer.

  1. Cancer Research UK Gene Function and Regulation Group and
  2. The Breakthrough Breast Cancer Research Centre Institute of Cancer Research, Fulham Road, London SW3 6JB, UK
  3. Guy's Hospital, St Thomas' Street, London SE1 9RT, UK
  4. KuDOS Pharmaceuticals Ltd, Cambridge Science Park, Cambridge CB4 0WG, UK
  5. Wellcome Trust and Cancer Research UK, Gurdon Institute of Cancer and Developmental Biology, and Department of Zoology, University of Cambridge, Tennis Court Road, Cambridge CB2 1QN, UK
  6. These authors contributed equally to this work
  7. Present address: Division of Experimental Oncology1, CRO-IRCCS, Aviano 33081 PN, Italy

Correspondence to: Graeme C. M. Smith4Alan Ashworth1,2 Correspondence and requests for materials should be addressed to A.A. (Email: alan.ashworth@icr.ac.uk) or G.C.M.S. (Email: gcmsmith@kudospharma.co.uk).

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