Tumor-associated neutrophil precursors impair homologous DNA repair and promote sensitivity to PARP inhibition.

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作者:Mukherjee Siddhartha, Garda Cindy, Boffa Letizia, Elia Angela Rita, Massara Matteo, Balia Maria Teresa, Brina Daniela, Mosole Simone, Campagnari Anna, Cassanmagnago Giada Andrea, Rinaldi Andrea, Lazzaroni Giacomo, Jarrossay David, Morone Diego, Ceppi Ilaria, De Sillo Riccardo, Giacomini Isabella, Craparotta Ilaria, Di Rito Laura, Barry Simon, Laczko Endre, Streb Sebastian, Meani Francesco, Di Lascio Simona, Hynes Nancy, Lugli Enrico, Puccio Simone, Sammut Stephen-John, Perriard Ulrike, Harder Yves, Rossi Lorenzo, Gasparri Maria Luisa, Bolis Marco, Cejka Petr, Calcinotto Arianna
Tumor evolution is one of the major mechanisms responsible for acquiring therapy-resistant and more aggressive cancer clones. Whether the tumor microenvironment through immune-mediated mechanisms might promote the development of more aggressive cancer types is crucial for the identification of additional therapeutic opportunities. Here, we identify a subset of tumor-associated neutrophils, defined as tumor-associated neutrophil precursors (PreNeu). These PreNeu are enriched in highly proliferative hormone-dependent breast cancers and impair DNA repair capacity. Mechanistically, succinate secreted by tumor-associated PreNeu inhibits homologous recombination, promoting error-prone DNA repair through non-homologous end-joining regulated by PARP-1. Consequently, breast cancer cells acquire genomic instability promoting tumor editing and progression. Selective inhibition of these pathways induces increased tumor cell killing in vitro and in vivo. Tumor-associated PreNeu score correlates with copy number alterations in highly proliferative hormone-dependent tumors from breast cancer patients. Treatment with PARP-1 inhibitors counteract the pro-tumoral effect of these neutrophils and synergize with endocrine therapy.

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