Tousled-like kinase loss confers PARP inhibitor resistance in BRCA1-mutated cancers by impeding non-homologous end joining repair

Abstract Background Double-strand breaks (DSBs) are primarily repaired through non-homologous end joining (NHEJ) and homologous recombination (HR). Given that DSBs are highly cytotoxic, PARP inhibitors (PARPi), a prominent class of anticancer drugs, are designed to target tumors with HR deficiency (...

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Main Authors: Min-ah Kim, Banseok Kim, Jihyeon Jeon, Jonghyun Lee, Hyeji Jang, Minjae Baek, Sang-Uk Seo, Dongkwan Shin, Anindya Dutta, Kyung Yong Lee
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Molecular Medicine
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Online Access:https://doi.org/10.1186/s10020-025-01066-z
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author Min-ah Kim
Banseok Kim
Jihyeon Jeon
Jonghyun Lee
Hyeji Jang
Minjae Baek
Sang-Uk Seo
Dongkwan Shin
Anindya Dutta
Kyung Yong Lee
author_facet Min-ah Kim
Banseok Kim
Jihyeon Jeon
Jonghyun Lee
Hyeji Jang
Minjae Baek
Sang-Uk Seo
Dongkwan Shin
Anindya Dutta
Kyung Yong Lee
author_sort Min-ah Kim
collection DOAJ
description Abstract Background Double-strand breaks (DSBs) are primarily repaired through non-homologous end joining (NHEJ) and homologous recombination (HR). Given that DSBs are highly cytotoxic, PARP inhibitors (PARPi), a prominent class of anticancer drugs, are designed to target tumors with HR deficiency (HRD), such as those harboring BRCA mutations. However, many tumor cells acquire resistance to PARPi, often by restoring HR in HRD cells through the inactivation of NHEJ. Therefore, identifying novel regulators of NHEJ could provide valuable insights into the mechanisms underlying PARPi resistance. Methods Cellular DSBs were assessed using neutral comet assays and phospho-H2AX immunoblotting. Fluorescence-based reporter assays quantified repair via NHEJ or HR. The recruitment of proteins that promote NHEJ and HR to DSBs was analyzed using immunostaining, live-cell imaging following laser-induced microirradiation, and FokI-inducible single DSB generation. Loss-of-function experiments were performed in multiple human cancer cell lines using siRNA-mediated knockdown or CRISPR-Cas9 gene knockout. Cell viability assays were conducted to evaluate resistance to PARP inhibitors. Additionally, bioinformatic analyses of public databases were performed to investigate the association between TLK expression and BRCA1 status. Results We demonstrate that human tousled-like kinase (TLK) orthologs are essential for NHEJ-mediated repair of DSBs and for PARPi sensitivity in cells with BRCA1 mutation. TLK1 and TLK2 exhibit redundant roles in promoting NHEJ, and their deficiency results in a significant accumulation of DSBs. TLKs are required for the proper localization of 53BP1, a key factor in promoting the NHEJ pathway. Consequently, TLK deficiency induces PARPi resistance in triple-negative breast cancer (TNBC) and ovarian cancer (OVCA) cell lines with BRCA1 deficiency, as TLK deficiency in BRCA1-depleted cells, impairs 53BP1 recruitment to DSBs and reduces NHEJ efficiency, while restoring HR. Conclusions We have identified TLK proteins as novel regulators of NHEJ repair and PARPi sensitivity in BRCA1-depleted cells, suggesting that TLK repression may represent a previously unrecognized mechanism by which BRCA1 mutant cancers acquire PARPi resistance.
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spelling doaj-art-c7d8e3ee14534365a2f5f8d5b53165322025-01-26T12:38:38ZengBMCMolecular Medicine1528-36582025-01-0131111810.1186/s10020-025-01066-zTousled-like kinase loss confers PARP inhibitor resistance in BRCA1-mutated cancers by impeding non-homologous end joining repairMin-ah Kim0Banseok Kim1Jihyeon Jeon2Jonghyun Lee3Hyeji Jang4Minjae Baek5Sang-Uk Seo6Dongkwan Shin7Anindya Dutta8Kyung Yong Lee9Research Institute, National Cancer CenterResearch Institute, National Cancer CenterResearch Institute, National Cancer CenterResearch Institute, National Cancer CenterResearch Institute, National Cancer CenterResearch Institute, National Cancer CenterDepartment of Microbiology, College of Medicine, The Catholic University of KoreaResearch Institute, National Cancer CenterDepartment of Genetics, University of AlabamaResearch Institute, National Cancer CenterAbstract Background Double-strand breaks (DSBs) are primarily repaired through non-homologous end joining (NHEJ) and homologous recombination (HR). Given that DSBs are highly cytotoxic, PARP inhibitors (PARPi), a prominent class of anticancer drugs, are designed to target tumors with HR deficiency (HRD), such as those harboring BRCA mutations. However, many tumor cells acquire resistance to PARPi, often by restoring HR in HRD cells through the inactivation of NHEJ. Therefore, identifying novel regulators of NHEJ could provide valuable insights into the mechanisms underlying PARPi resistance. Methods Cellular DSBs were assessed using neutral comet assays and phospho-H2AX immunoblotting. Fluorescence-based reporter assays quantified repair via NHEJ or HR. The recruitment of proteins that promote NHEJ and HR to DSBs was analyzed using immunostaining, live-cell imaging following laser-induced microirradiation, and FokI-inducible single DSB generation. Loss-of-function experiments were performed in multiple human cancer cell lines using siRNA-mediated knockdown or CRISPR-Cas9 gene knockout. Cell viability assays were conducted to evaluate resistance to PARP inhibitors. Additionally, bioinformatic analyses of public databases were performed to investigate the association between TLK expression and BRCA1 status. Results We demonstrate that human tousled-like kinase (TLK) orthologs are essential for NHEJ-mediated repair of DSBs and for PARPi sensitivity in cells with BRCA1 mutation. TLK1 and TLK2 exhibit redundant roles in promoting NHEJ, and their deficiency results in a significant accumulation of DSBs. TLKs are required for the proper localization of 53BP1, a key factor in promoting the NHEJ pathway. Consequently, TLK deficiency induces PARPi resistance in triple-negative breast cancer (TNBC) and ovarian cancer (OVCA) cell lines with BRCA1 deficiency, as TLK deficiency in BRCA1-depleted cells, impairs 53BP1 recruitment to DSBs and reduces NHEJ efficiency, while restoring HR. Conclusions We have identified TLK proteins as novel regulators of NHEJ repair and PARPi sensitivity in BRCA1-depleted cells, suggesting that TLK repression may represent a previously unrecognized mechanism by which BRCA1 mutant cancers acquire PARPi resistance.https://doi.org/10.1186/s10020-025-01066-zDNA damage repairDouble-stranded breaks (DSBs)Non-homologous end joining (NHEJ)Homologous recombination (HR)PARP inhibitorTousled-like kinase
spellingShingle Min-ah Kim
Banseok Kim
Jihyeon Jeon
Jonghyun Lee
Hyeji Jang
Minjae Baek
Sang-Uk Seo
Dongkwan Shin
Anindya Dutta
Kyung Yong Lee
Tousled-like kinase loss confers PARP inhibitor resistance in BRCA1-mutated cancers by impeding non-homologous end joining repair
Molecular Medicine
DNA damage repair
Double-stranded breaks (DSBs)
Non-homologous end joining (NHEJ)
Homologous recombination (HR)
PARP inhibitor
Tousled-like kinase
title Tousled-like kinase loss confers PARP inhibitor resistance in BRCA1-mutated cancers by impeding non-homologous end joining repair
title_full Tousled-like kinase loss confers PARP inhibitor resistance in BRCA1-mutated cancers by impeding non-homologous end joining repair
title_fullStr Tousled-like kinase loss confers PARP inhibitor resistance in BRCA1-mutated cancers by impeding non-homologous end joining repair
title_full_unstemmed Tousled-like kinase loss confers PARP inhibitor resistance in BRCA1-mutated cancers by impeding non-homologous end joining repair
title_short Tousled-like kinase loss confers PARP inhibitor resistance in BRCA1-mutated cancers by impeding non-homologous end joining repair
title_sort tousled like kinase loss confers parp inhibitor resistance in brca1 mutated cancers by impeding non homologous end joining repair
topic DNA damage repair
Double-stranded breaks (DSBs)
Non-homologous end joining (NHEJ)
Homologous recombination (HR)
PARP inhibitor
Tousled-like kinase
url https://doi.org/10.1186/s10020-025-01066-z
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