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Abrogation of KLF5 sensitizes BRCA1-proficient pancreatic cancer to PARP inhibition

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收录情况: ◇ 统计源期刊 ◇ CSCD-C ◇ 卓越:梯队期刊

机构: [1]Department of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China. [2]Cancer Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China. [3]Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China. [4]Institute of Liver Diseases, Shanxi Medical University, Taiyuan 030001, China. [5]Department of General Surgery, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai, 201700, China. [6]Department of Hepatobiliary and Pancreatic Surgery, the First People's Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Kunming 650500, China.
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关键词: pancreatic cancer wild-type BRCA BRCAness KLF5 BRCA1

摘要:
Poly ADP-ribose polymerase (PARP) inhibitor monotherapies are selectively effective in patients with pancreatic, breast, prostate, and ovarian cancers with BRCA1 mutations. Cancer patients with more frequent wild-type BRCA show poor responses to PARP inhibitors. Moreover, patients who are initially sensitive to these inhibitors eventually respond poorly to drugs. In the present study, we discover that abrogation of Kruppel-like factor 5 (KLF5) significantly inhibits homologous recombination, which is the main mechanism for DNA double-stranded repair. Furthermore, the downregulation of KLF5 expression promotes the DNA damage induced by olaparib and significantly reduces the IC 50 of the RARP inhibitor in pancreatic cancer cells. Overexpression of BRCA1 reverses the above effects caused by silencing of KLF5. Olaparib combined with a KLF5 inhibitor has an enhanced cytotoxic effect. Mechanistically, we identify BRCA1 as a KLF5 target gene. BRCA1 is positively correlated with KLF5 in PDAC tissue. Our results indicate that inhibition of KLF5 may induce BRCAness in a larger pancreatic cancer subset with proficient BRCA. The combination of KLF5 inhibitors and PARP inhibitors provides a novel treatment strategy to enhance the sensitivity of BRCA1-proficient pancreatic cancer to PARP inhibitors.

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大类 | 2 区 生物学
小类 | 2 区 生物物理 3 区 生化与分子生物学
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第一作者机构: [1]Department of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China. [2]Cancer Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China. [3]Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
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通讯机构: [1]Department of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China. [2]Cancer Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China. [3]Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
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