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BIOMARKER:

DDR

4d
NIRADO: Basket Trial Exploring the Efficacy and Safety of the Combination of Niraparib and Dostarlimab (clinicaltrials.gov)
P2, N=51, Terminated, Gustave Roussy, Cancer Campus, Grand Paris | Trial completion date: Dec 2027 --> Feb 2025 | Suspended --> Terminated; Abandon of the partner, GSK
Trial completion date • Trial termination • Pan tumor • Platinum sensitive
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HER-2 (Human epidermal growth factor receptor 2) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2) • ARID1A (AT-rich interaction domain 1A) • PBRM1 (Polybromo 1) • CDK12 (Cyclin dependent kinase 12) • CHEK2 (Checkpoint kinase 2) • RAD51 (RAD51 Homolog A) • FANCA (FA Complementation Group A) • BRIP1 (BRCA1 Interacting Protein C-terminal Helicase 1) • RAD51C (RAD51 paralog C) • RAD51D (RAD51 paralog D) • ARID2 (AT-Rich Interaction Domain 2) • BARD1 (BRCA1 Associated RING Domain 1) • NBN (Nibrin Nijmegen Breakage Syndrome 1 (Nibrin)) • RAD54L (DNA Repair And Recombination Protein RAD54) • DRD (DNA Repair Deficiency)
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HER-2 positive • HER-2 amplification • DDR • CDK12 mutation • CHEK2 mutation • BRIP1 mutation • RAD51C mutation • RAD51D mutation • BARD1 mutation
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Zejula (niraparib) • Jemperli (dostarlimab-gxly)
4d
Trial termination • Pan tumor • Platinum sensitive
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • ATM (ATM serine/threonine kinase) • CDK12 (Cyclin dependent kinase 12) • CHEK2 (Checkpoint kinase 2) • RAD51 (RAD51 Homolog A) • FANCA (FA Complementation Group A) • BRIP1 (BRCA1 Interacting Protein C-terminal Helicase 1) • RAD51C (RAD51 paralog C) • IL2 (Interleukin 2) • RAD51D (RAD51 paralog D) • BARD1 (BRCA1 Associated RING Domain 1) • NBN (Nibrin Nijmegen Breakage Syndrome 1 (Nibrin)) • RAD54L (DNA Repair And Recombination Protein RAD54) • DRD (DNA Repair Deficiency)
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DDR • CDK12 mutation • CHEK2 mutation • BRIP1 mutation • RAD51C mutation • RAD51D mutation • BARD1 mutation
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Tecentriq (atezolizumab) • Rubraca (rucaparib)
5d
Targeting WEE1 in ARID1A/TP53 Concurrent Mutant Colorectal Cancer by Exploiting RLoop Accumulation and DNA Repair Deficiencies. (PubMed, Adv Sci (Weinh))
Moreover, though CRISPR knockout screening, it is found that concurrent AKT blockade significantly augmented the antitumor effects of the WEE1 inhibitor. In conclusion, WEE1 inhibition offers a promising therapeutic strategy for ARID1A/TP53 concurrent mutant CRC.
Journal
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TP53 (Tumor protein P53) • ARID1A (AT-rich interaction domain 1A) • DRD (DNA Repair Deficiency) • ATF3 (Activating Transcription Factor 3)
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TP53 mutation • ARID1A mutation • DDR
1m
DNA Damage and Repair in Pancreatic Cancer-The Latest Findings. (PubMed, Int J Mol Sci)
Such an approach could significantly improve early diagnosis and treatment outcomes. Moreover, uncovering the mechanisms linking pancreatic cancer aggressiveness with DNA repair deficiencies may lead to the development of specific biomarkers, enabling early detection and potentially improving patient survival.
Review • Journal
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DRD (DNA Repair Deficiency)
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DDR
2ms
Comprehensive Measurement of Inter-Individual Variation in DNA Repair Capacity in Healthy Individuals. (PubMed, Adv Sci (Weinh))
This study underscores the sensitivity of FM-HCR assays in detecting subtle biological differences and establishes standardized methodologies for population research. The findings and open-source tools advance precision health by enabling comprehensive exploration of genetic and environmental determinants of DRC, supporting targeted interventions to maintain genomic integrity.
Journal
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DRD (DNA Repair Deficiency)
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DDR
4ms
Epigenetic changes by EZH2 inhibition increase translocations in B cells with high AID activity or DNA repair deficiency. (PubMed, Blood)
The EZH2 histone methyltransferase inhibitors tazemetostat and valemetostat have recently received approval for clinical use in follicular lymphoma and adult T-cell leukemia/lymphoma, respectively. Mechanistically, EZH2 inhibition in B cells depletes the repressive histone modification H3K27me3 while concurrently enhancing the active histone modification H3K27ac, thereby selectively increasing transcriptional activity and facilitating chromosomal translocation formation in the presence of high AID activity or Ligase4 deficiency. These findings highlight the impact of drugs that induce epigenetic changes to influence chromosomal translocations and demonstrate the genetic safety of EZH2 inhibitors as monotherapy while highlighting the increased risk of genomic instability when used in cells prone to translocations, such as B cells with high AID levels or DNA-repair deficiency.
Journal
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EZH2 (Enhancer of zeste 2 polycomb repressive complex 2 subunit) • PIK3CD (Phosphatidylinositol-4 5-Bisphosphate 3-Kinase Catalytic Subunit Delta) • DRD (DNA Repair Deficiency)
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DDR
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Tazverik (tazemetostat) • Ezharmia (valemetostat)
4ms
Chimeric Antigen Receptor-Engineered (CAR)-T Cell Therapy for Metastatic Prostate Cancer. (PubMed, Cancer Lett)
These include androgen receptor signaling inhibitors such as enzalutamide and abiraterone acetate, taxane-based chemotherapies including docetaxel and cabazitaxel, and bone-targeting radiopharmaceuticals like radium-223. Immunotherapeutic agents have also contributed to expanding treatment options with Sipuleucel-T, a dendritic cell-based vaccine, and pembrolizumab, a PD-1 immune checkpoint inhibitor approved for select patient populations. Furthermore, the introduction of poly (ADP-ribose) polymerase inhibitors like olaparib and rucaparib, has transformed the therapeutic landscape, particularly for patients with DNA repair deficiencies in metastatic prostate cancer...In this review, we highlight adoptive cellular therapies utilizing CAR-T cells engineered to recognize prostate cancer-specific antigens, aiming to overcome immune evasion mechanisms. We summarize current CAR-T modalities with their limitations and prospects being evaluated in both preclinical and clinical settings of metastatic prostate cancer.
Review • Journal
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DRD (DNA Repair Deficiency)
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DDR
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Keytruda (pembrolizumab) • Lynparza (olaparib) • docetaxel • Xtandi (enzalutamide) • Rubraca (rucaparib) • abiraterone acetate • cabazitaxel • Xofigo (radium Ra-223 dichloride) • Provenge (sipuleucel-T)
4ms
Leveraging DNA repair deficiency to personalize radiopharmaceutical therapy in prostate cancer. (PubMed, Urol Oncol)
Clinical efforts to combine targeted radiation with synthetic lethality approaches are ongoing. Tailoring radiopharmaceutical therapy to individual tumor DNA repair profiles offers a promising paradigm to improve outcomes and expand therapeutic windows in advanced prostate cancer.
Journal
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HRD (Homologous Recombination Deficiency) • DRD (DNA Repair Deficiency)
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HRD • DDR
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Xofigo (radium Ra-223 dichloride)
4ms
BRCA2 Pre-mRNA Differential 5' Splicing: A Rescue of Functional Protein Properties from Pathogenic Gene Variants and a Lifeline for Fanconi Anemia D1 Patients. (PubMed, Int J Mol Sci)
Here, we review and debate aspects of the contribution of splicing in the 5' segment to BRCA2 functions in the context of PVs affecting this largely intrinsically disordered protein region, with a focus on recent findings in individuals with FA-D1. In this Perspective, we also discuss some of the broader biological implications and open questions that arise from considering 5'-terminal BRCA2 splicing in light of old and new findings from FA-D1 patients and beyond.
Journal • BRCA Biomarker
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BRCA2 (Breast cancer 2, early onset) • DRD (DNA Repair Deficiency)
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DDR
5ms
Clinical syndromes linked to biallelic germline variants in MCM8 and MCM9. (PubMed, HGG Adv)
Collectively, our data indicates that biallelic MCM9 variants are associated with polyposis, gastric cancer, and early-onset CRC, while both biallelic MCM8 and MCM9 variants are linked to hypogonadism and the early development of germ cell tumors. These findings underscore the importance of including MCM8/MCM9 in diagnostic gene panels for certain clinical contexts and suggest that biallelic carriers may benefit from cancer surveillance.
Journal
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DRD (DNA Repair Deficiency) • MCM9 (Minichromosome Maintenance 9 Homologous Recombination Repair Factor)
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DDR
5ms
Joint inference of mutational signatures from indels and single-nucleotide substitutions reveals prognostic impact of DNA repair deficiencies. (PubMed, Genome Med)
Overall, combining SBS and ID mutations improves detection of HR deficiency-associated signatures and reveals distinct SBS3 subtypes with prognostic value. This multimodal approach outperforms existing markers and is readily applicable to therapy stratification.
Journal • IO biomarker
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HRD (Homologous Recombination Deficiency) • DRD (DNA Repair Deficiency)
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MSI-H/dMMR • HRD • DDR
5ms
Comprehensive Measurement of Inter-Individual Variation in DNA Repair Capacity in Healthy Individuals. (PubMed, medRxiv)
Our pioneering analysis underscores the sensitivity of FM-HCR assays for detecting subtle biological differences between individuals and establishes standardized methodologies for population studies. Our findings and open source analytical tools advance precision medicine by enabling comprehensive exploration of genetic, demographic, clinical, and lifestyle factors and supporting targeted interventions to enhance DNA repair and maintain genomic integrity, thereby promoting personalized healthcare and disease prevention.
Journal
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DRD (DNA Repair Deficiency)
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DDR