NAR cancerPub Date : 2025-09-03eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf027
Carlos Peula, Margalida Esteva-Socias, Kanchan Kumari, Erik Dassi, Francesca Aguilo
{"title":"Analysis of the mRNA modification machinery alterations in breast cancer through the SCAN-B cohort.","authors":"Carlos Peula, Margalida Esteva-Socias, Kanchan Kumari, Erik Dassi, Francesca Aguilo","doi":"10.1093/narcan/zcaf027","DOIUrl":"10.1093/narcan/zcaf027","url":null,"abstract":"<p><p>Epitranscriptomic modifications regulate gene expression and have been implicated in cancer, including breast cancer. Using the SCAN-B cohort, we analyzed 49 messenger RNA modification regulators (mRMPs) across breast cancer subtypes. In the basal subtype, we found significant overexpression of m<sup>6</sup>A readers (IGF2BP1-3), m<sup>5</sup>C regulators (NSUN5, ALYREF, YBX1, YBX2), pseudouridine [PUS1, MARS (or MetRS), RPUSD2], and RNA editing enzymes [APOBEC3A (A3A), A3G, ADAR1], all linked to poor survival. Conversely, the m<sup>6</sup>A writer METTL14 was downregulated. Our findings highlight key mRMPs as potential biomarkers and therapeutic targets, underscoring the role of RNA modifications in breast cancer progression.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf027"},"PeriodicalIF":3.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NAR cancerPub Date : 2025-09-03eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf029
Philipp Keyl, Julius Keyl, Andreas Mock, Gabriel Dernbach, Liliana H Mochmann, Niklas Kiermeyer, Philipp Jurmeister, Michael Bockmayr, Roland F Schwarz, Grégoire Montavon, Klaus-Robert Müller, Frederick Klauschen
{"title":"Neural interaction explainable AI predicts drug response across cancers.","authors":"Philipp Keyl, Julius Keyl, Andreas Mock, Gabriel Dernbach, Liliana H Mochmann, Niklas Kiermeyer, Philipp Jurmeister, Michael Bockmayr, Roland F Schwarz, Grégoire Montavon, Klaus-Robert Müller, Frederick Klauschen","doi":"10.1093/narcan/zcaf029","DOIUrl":"10.1093/narcan/zcaf029","url":null,"abstract":"<p><p>Personalized treatment selection is crucial for cancer patients due to the high variability in drug response. While actionable mutations can increasingly inform treatment decisions, most therapies still rely on population-based approaches. Here, we introduce neural interaction explainable AI (NeurixAI), an explainable and highly scalable deep learning framework that models drug-gene interactions and identifies transcriptomic patterns linked with drug response. Trained on data from 546 646 drug perturbation experiments involving 1135 drugs and molecular profiles from 476 tumors, NeurixAI accurately predicted treatment responses for 272 targeted and 30 chemotherapeutic drugs in unseen tumor samples (Spearman's rho >0.2), maintaining high performance on an external validation set. Additionally, NeurixAI identified the anticancer potential of 160 repurposed non-cancer drugs. Using explainable artificial intelligence (xAI), our framework uncovered key genes influencing drug response at the individual tumor level and revealed both known and novel mechanisms of drug resistance. These findings demonstrate the potential of integrating transcriptomics with xAI to optimize cancer treatment, enable drug repurposing, and identify new therapeutic targets.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf029"},"PeriodicalIF":3.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NAR cancerPub Date : 2025-09-03eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf031
Boya Gao, Xudong Wang, Melissa Long, Fengqi Zhang, Yumin Wang, Raj Kumar, Irva Veillard, Bo R Rueda, Oladapo Yeku, Li Lan
{"title":"ABL1-mediated tyrosine phosphorylation of SYCP2 contributes to transcription-coupled homologous recombination and platinum resistance in ovarian cancer.","authors":"Boya Gao, Xudong Wang, Melissa Long, Fengqi Zhang, Yumin Wang, Raj Kumar, Irva Veillard, Bo R Rueda, Oladapo Yeku, Li Lan","doi":"10.1093/narcan/zcaf031","DOIUrl":"10.1093/narcan/zcaf031","url":null,"abstract":"<p><p>Treatment of patients with platinum-resistant ovarian cancer is a major clinical challenge. We found that high expression of a meiotic protein, Synaptonemal Complex Protein 2 (SYCP2), is associated with platinum resistance and tyrosine kinase ABL1 inhibitor sensitivity in ovarian cancer. We demonstrate that tyrosine kinase ABL1 inhibitors inhibit cancer cell proliferation more efficiently in ovarian cancer cell lines with SYCP2 overexpression. Moreover, ABL1 inhibition effectively prevents tumor growth <i>in vivo</i>. Mechanistically, we identified a phosphorylation motif [RK]-x(2,3)-[DE]-x(2,3)-Y in SYCP2 and found that abolishing ABL1-mediated phosphorylation of SYCP2 at its tyrosine (Y) 739 within this motif renders ABL1 sensitivity of cancer cells. Importantly, ABL1 and SYCP2 colocalize at sites of R-loops after damage and promote transcription-coupled homologous recombination. Moreover, ABL1-mediated Y739 phosphorylation of SYCP2 promotes function of SYCP2 at sites of R-loops by facilitating RAD51 localization and repair, contributing to ovarian cancer cell survival. Overall, these findings highlight a novel therapeutic mechanism where ABL1 inhibitors induce cell death in platinum-resistant ovarian cancer by impairing transcription-coupled homologous recombination repair.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf031"},"PeriodicalIF":3.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NAR cancerPub Date : 2025-09-03eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf030
Daniel J Laverty, Rachana Tomar, Sophie Erlich, Michael P Stone, Zachary D Nagel
{"title":"The aflatoxin B<sub>1</sub>-induced formamidopyrimidine adduct is repaired by transcription-coupled nucleotide excision repair in human cells.","authors":"Daniel J Laverty, Rachana Tomar, Sophie Erlich, Michael P Stone, Zachary D Nagel","doi":"10.1093/narcan/zcaf030","DOIUrl":"10.1093/narcan/zcaf030","url":null,"abstract":"<p><p>The mycotoxin, aflatoxin B<sub>1</sub> (AFB<sub>1</sub>), is a potent mutagen that contaminates agricultural food supplies. After ingestion, AFB<sub>1</sub> is oxidized into a reactive electrophile that alkylates DNA, forming bulky lesions such as the genotoxic formamidopyrimidine lesion, AFB<sub>1</sub>-Fapy dG. This lesion is mainly repaired by nucleotide excision repair (NER) in bacteria; however, in humans the picture is less clear. We report a plasmid-based host cell reactivation assay containing a site-specific AFB<sub>1</sub>-Fapy dG lesion and present evidence that this lesion is mainly repaired by transcription-coupled NER (TC-NER) in human cells. Using a combination of isogenic knockout cell lines and immortalized fibroblasts from xeroderma pigmentosum and Cockayne syndrome patients, we show that the TC-NER factors CSA, CSB, and UVSSA are required for efficient AFB<sub>1</sub>-Fapy dG repair, while the global-genome NER protein, XPC, is dispensable. Furthermore, knockout of CSB or UVSSA impairs AFB<sub>1</sub>-Fapy dG repair to a similar degree as knockout of the core NER nuclease, XPF. Our data indicate that TC-NER is the major repair pathway for AFB<sub>1</sub>-Fapy dG adducts in human cells.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf030"},"PeriodicalIF":3.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NAR cancerPub Date : 2025-08-30eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf024
Anna Dopler, Edwin S Kyei-Baffour, Mandy Kerkhoff, Ferhat Alkan, Yuval Malka, Kelly Hoefakker, Rob van der Kammen, Liesbeth Hoekman, Onno Bleijerveld, Antonia Bradaric, Maarten Altelaar, Jonathan W Yewdell, Pia Kvistborg, William J Faller
{"title":"Loss of ribosomal protein uL14 enables tumor escape from T cell immunosurveillance.","authors":"Anna Dopler, Edwin S Kyei-Baffour, Mandy Kerkhoff, Ferhat Alkan, Yuval Malka, Kelly Hoefakker, Rob van der Kammen, Liesbeth Hoekman, Onno Bleijerveld, Antonia Bradaric, Maarten Altelaar, Jonathan W Yewdell, Pia Kvistborg, William J Faller","doi":"10.1093/narcan/zcaf024","DOIUrl":"10.1093/narcan/zcaf024","url":null,"abstract":"<p><p>The presentation of peptides on HLA molecules is essential to CD8<sup>+</sup> T cell responses. Here, we show that loss of uL14 significantly downregulates the expression of antigen processing and presentation (APP) components in melanoma cell lines. Peptides generated following knockdown show different characteristics, with altered peptide charge, and differences in anchor residue positions. These peptides also have lower predicted binding to the HLA alleles and a shorter predicted HLA-peptide complex half-life. These result in a functional difference in APP, and knockdown of uL14 causes a reduction in the ability of CD8<sup>+</sup> T cells to recognize and kill melanoma cells in a co-culture assay. Together, our data suggest that loss of uL14 alters the peptide pool available for presentation and thus may act as an escape mechanism from tumor immune surveillance.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf024"},"PeriodicalIF":3.2,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NAR cancerPub Date : 2025-08-30eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf028
Stefano Gallo, Anastasiia Suspitsyna, Daniel Sanchez-Taltavull, Rafael Sebastián Fort, Maria Ana Duhagon, Deborah Stroka, Norbert Polacek
{"title":"Regulation of angiogenesis and cancer cell proliferation by human vault RNA1-2.","authors":"Stefano Gallo, Anastasiia Suspitsyna, Daniel Sanchez-Taltavull, Rafael Sebastián Fort, Maria Ana Duhagon, Deborah Stroka, Norbert Polacek","doi":"10.1093/narcan/zcaf028","DOIUrl":"10.1093/narcan/zcaf028","url":null,"abstract":"<p><p>Noncoding RNAs play pivotal roles in tumorigenesis and cancer progression. Recent evidence has identified vault RNAs (vtRNAs) as critical regulators of cellular homeostasis. The human genome encodes four vtRNA paralogs, which are differentially expressed in cancer tissues and contribute to tumor development. The best studied vtRNA1-1 is involved in regulating apoptosis resistance, autophagy, lysosomal biogenesis, and drug resistance. Here, we present the first comprehensive characterization of vtRNA1-2 using a knockout hepatocellular carcinoma (HCC) cell line. Loss of vtRNA1-2 impaired cancer cell viability and proliferation by modulating mitogen-activated protein kinase signaling. Additionally, vtRNA1-2-deficient cells exhibited reduced motility and a decreased invasive potential. Unlike vtRNA1-1, vtRNA1-2 did not influence autophagy or lysosomal activity. Instead, vtRNA1-2 is implicated in the regulation of angiogenesis, a key process in tumor progression. <i>VTRNA1-2</i>-promoter hypomethylation is correlated with chromatin accessibility in liver cancer samples and we uncovered an association between promoter methylation and key patient clinical conditions as registered in the TCGA metadata. These findings highlight a distinct oncogenic role for vtRNA1-2 in HCC and suggest that it may serve as a potential therapeutic target. Our study underscores the functional divergence among vtRNA paralogs, supporting the concept that each exerts unique biological effects rather than acting as redundant molecular entities.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf028"},"PeriodicalIF":3.2,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NAR cancerPub Date : 2025-08-30eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf026
Rupesh Paudel, Lena F Sorger, Anita Hufnagel, Mira Pasemann, Tamsanqa Hove, André Marquardt, Susanne Kneitz, Andreas Schlosser, Caroline Kisker, Jochen Kuper, Svenja Meierjohann
{"title":"Anti-tumorigenic properties by trichothiodystrophy mutations in melanocytic cells.","authors":"Rupesh Paudel, Lena F Sorger, Anita Hufnagel, Mira Pasemann, Tamsanqa Hove, André Marquardt, Susanne Kneitz, Andreas Schlosser, Caroline Kisker, Jochen Kuper, Svenja Meierjohann","doi":"10.1093/narcan/zcaf026","DOIUrl":"10.1093/narcan/zcaf026","url":null,"abstract":"<p><p>Germline mutations in the DNA repair helicase XPD can cause the diseases xeroderma pigmentosum (XP) and trichothiodystrophy (TTD). XP patients bear an increased risk of skin cancer including melanoma. This is not observed for TTD patients despite DNA repair defects. To examine whether TTD cells harbor features counteracting tumorigenesis, we developed a TTD melanoma cell model containing the XPD variant R722W. Intriguingly, TTD melanoma cells exhibited reduced proliferation and an increased signature of the melanocyte lineage factor MITF, along with a strong basal upregulation of REDD2, an inhibitor of the mTOR/S6K/4EBP1-dependent messenger RNA (mRNA) translation machinery. REDD2 levels were partially driven by MITF and contributed to reduced melanoma proliferation. In a TTD model for melanocytes-the progenitor cells of melanoma-the MITF gene signature was also increased, but here without affecting REDD2 expression. However, ribosomal protein synthesis was reduced particularly in R722W melanocytes after UV stress, indicating a compromised mRNA translation machinery. Impaired translation was also demonstrated for the TTD XPD variant A725P, but not for an XP variant. Concludingly, the impaired translation and reduced fitness observed in TTD melanocytes and melanoma cells, particularly after UV stress, offer a possible explanation why TTD patients do not develop melanomas.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf026"},"PeriodicalIF":3.2,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NAR cancerPub Date : 2025-08-28eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf021
Małgorzata Wilk, Thomas Knöpfel, Stana M Burger, Stellor Nlandu Khodo, Roland H Wenger
{"title":"Inherent single-cell heterogeneity of the transcriptional response to hypoxia in cancer cells.","authors":"Małgorzata Wilk, Thomas Knöpfel, Stana M Burger, Stellor Nlandu Khodo, Roland H Wenger","doi":"10.1093/narcan/zcaf021","DOIUrl":"10.1093/narcan/zcaf021","url":null,"abstract":"<p><p>Hypoxia-inducible factor (HIF) is a master regulator of cancer cell adaptation to tumor hypoxia and is involved in cancer progression. Single-cell (sc) differences in the HIF response allow for tumor evolution and cause therapy resistance. These sc-differences are usually ascribed to tumor microenvironmental differences and/or clonal (epi)genetic variability. However, the sc-heterogeneity of the HIF response in otherwise identical cells cultured under defined <i>in vitro</i> conditions has not yet been addressed. Therefore, we analyzed the sc-response to hypoxia in nonclonal cell lines and multiple clonal derivatives, including HIF-1α or HIF-2α knockouts. While HIF-1α and HIF-1 target mRNA sc-heterogeneity was slightly higher than global transcription or specific housekeeping messenger RNAs (mRNAs), HIF-2α and especially HIF-2 target mRNA sc-heterogeneity was extraordinary, and remained in independent clones following HIFα knockouts. Unexpectedly, neither HIF-2α mRNA nor nuclear protein levels correlated with target mRNA levels. Unsupervised but not supervised HIF target gene dimensionality reduction revealed the initial sample composition after scRNA-seq, demonstrating that, owing to sc-heterogeneity, individual HIF target genes are not sufficient to unequivocally identify hypoxic cancer cells. In conclusion, the pronounced intrinsic sc-heterogeneity of the HIF response represents a hitherto unrecognized feature of cancer cells that impairs clinical HIF pathway-dependent cancer cell identification and targeting.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf021"},"PeriodicalIF":3.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NAR cancerPub Date : 2025-08-11eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf022
Minh-Anh Vu, Manuela Spagnuolo, Chun-Long Chen
{"title":"m6A modification in R-loop homeostasis: a potential target for cancer therapeutics.","authors":"Minh-Anh Vu, Manuela Spagnuolo, Chun-Long Chen","doi":"10.1093/narcan/zcaf022","DOIUrl":"10.1093/narcan/zcaf022","url":null,"abstract":"<p><p>R-loops or DNA-RNA hybrids are prominent nucleic acid structures that commonly arise during transcription. These structures play important biological functions, such as regulating gene expression and DNA repair. However, when unresolved by nucleic acid processing factors, pathological R-loops can be harmful and lead to genome instability. <i>N</i> <sup>6</sup>-Methyladenosine (m6A), the most prevalent modification in messenger RNA, has been recently identified to be crucial for regulating R-loop balance and maintaining genome stability. Strikingly, m6A-modified R-loop formation can have opposing consequences, either stabilization or resolution, depending on the biological context. In this review, we discuss the current knowledge of the regulatory roles of m6A on R-loops across various processes, including gene transcription, DNA repair, and centromere and telomere stability. Additionally, we explore other m6A-mediated processes, such as nascent transcription and chromatin landscape, that potentially affect R-loop dynamics. Finally, we discuss the current limitations and future directions of studying the m6A-R-loop axis, as well as the opportunities to target this pathway as a potential therapeutic strategy.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf022"},"PeriodicalIF":3.2,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NAR cancerPub Date : 2025-08-11eCollection Date: 2025-09-01DOI: 10.1093/narcan/zcaf025
Tugba Y Ozmen, Matthew J Rames, Gabriel M Zangirolani, Furkan Ozmen, Kangjin Jeong, Connor Frankston, Gordon B Mills
{"title":"Automated machine learning profiling with MAP-HR for quantifying homologous recombination foci in patient samples.","authors":"Tugba Y Ozmen, Matthew J Rames, Gabriel M Zangirolani, Furkan Ozmen, Kangjin Jeong, Connor Frankston, Gordon B Mills","doi":"10.1093/narcan/zcaf025","DOIUrl":"10.1093/narcan/zcaf025","url":null,"abstract":"<p><p>Accurate visualization and quantification of homologous recombination (HR)-associated foci in readily available patient samples are critical for identifying patients with HR deficiency (HRD) when they present for care to guide polyADP ribose polymerase (PARP) inhibitors (PARPi) or platinum-based therapies. Immunofluorescence (IF) assays have the potential to accurately visualize DNA repair processes as punctate foci within the nucleus. To ensure precise HRD assessment, we developed MAP-HR, (<b>M</b>achine-learning <b>A</b>ssisted <b>P</b>rofiling of <b>H</b>omologous <b>R</b>ecombination), a scalable machine-learning (ML) analysis platform to enable effective patient triage and therapeutic decision-making. This workflow integrates high-resolution four-channel IF imaging and automated analysis of Geminin (cell cycle states), RAD51 foci (HR repair), γH2AX foci (double strand breaks) and DAPI (nuclear localization) in both cultured cell lines and in a single formalin-fixed, paraffin-embedded (FFPE) patient samples. Using a spinning disk confocal microscope, we optimized imaging parameters to improve resolution and signal-to-noise ratio. Our MAP-HR pipeline uses nested nuclei and segmentation of foci to analyze the HR status of each cell, unlike competing bulk or single-foci marker assays, allowing evaluation of HR functional heterogeneity across and within patient biopsies. This approach facilitates robust comparisons of HR and foci-based processes across diverse cell populations and patient tissues, enabling scalable, translational research.</p>","PeriodicalId":94149,"journal":{"name":"NAR cancer","volume":"7 3","pages":"zcaf025"},"PeriodicalIF":3.2,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}