Elevated PAF1-RAD52 axis confers chemoresistance to human cancers

Cell Rep. 2023 Feb 28;42(2):112043. doi: 10.1016/j.celrep.2023.112043. Epub 2023 Jan 28.

Abstract

Cisplatin- and gemcitabine-based chemotherapeutics represent a mainstay of cancer therapy for most solid tumors; however, resistance limits their curative potential. Here, we identify RNA polymerase II-associated factor 1 (PAF1) as a common driver of cisplatin and gemcitabine resistance in human cancers (ovarian, lung, and pancreas). Mechanistically, cisplatin- and gemcitabine-resistant cells show enhanced DNA repair, which is inhibited by PAF1 silencing. We demonstrate an increased interaction of PAF1 with RAD52 in resistant cells. Targeting the PAF1 and RAD52 axis combined with cisplatin or gemcitabine strongly diminishes the survival potential of resistant cells. Overall, this study shows clinical evidence that the expression of PAF1 contributes to chemotherapy resistance and worse clinical outcome for lethal cancers.

Keywords: CP: Cancer; DNA repair; PAF1; RAD52; chemoresistance; lung cancer; ovarian cancer; pancreatic cancer.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, N.I.H., Extramural

MeSH terms

  • Carcinoma, Non-Small-Cell Lung* / genetics
  • Cell Line, Tumor
  • Cisplatin / therapeutic use
  • Deoxycytidine / pharmacology
  • Deoxycytidine / therapeutic use
  • Drug Resistance, Neoplasm*
  • Gemcitabine / therapeutic use
  • Humans
  • Lung Neoplasms* / genetics
  • Rad52 DNA Repair and Recombination Protein
  • Transcription Factors

Substances

  • Cisplatin
  • Deoxycytidine
  • Gemcitabine
  • PAF1 protein, human
  • Rad52 DNA Repair and Recombination Protein
  • RAD52 protein, human
  • Transcription Factors