The concept of the 'BRCAness' phenotype implies the properties that some sporadic breast
cancers (BC) share with BRCA1/2-mutation carriers with hereditary BC.
Breast tumors with BRCAness have deficiencies in homologous recombination repair (HRR), like BRCA1/2-mutation carriers, and consequently could benefit from
poly-(ADP)-ribose polymerase (
PARP) inhibitors and
DNA-damaging
chemotherapy.
Triple-negative breast cancers (TNBC) show a higher frequency of BRCAness than the other BC subtypes. Therefore, looking for BRCAness-related
biomarkers could improve personalized management of TNBC patients.
microRNAs (
miRNAs) play a pivotal role in onco-transcriptomic profiles of
tumor cells besides their suitable features as molecular
biomarkers. The current study aims to evaluate the expression level of some critical
miRNAs-
mRNA axes in HRR pathway in
tumors and plasma samples from BC patients. The expression levels of three multi-target
miRNAs, including miR-182-5p, miR-146a-5p, and miR-498, as well as six downstream HRR-related
protein-coding genes, have been investigated in the
breast tumors and paired adjacent normal tissues by Real-time PCR. In the next step, based on the results derived from the previous step, we examined the level of cell-free miR-182-5p in the blood plasma samples from the patients. Our results highlight the difference between TNBC and non-TNBC
tumor subgroups regarding the dysregulation of the key
miRNA/
mRNA axes involved in the HRR pathway. Also, for the first time, we show that the level of cell-free miR-182-5p in plasma samples from BC patients could be a clue for screening BC patients eligible for receiving
PARP inhibitors through a personalized manner. Altogether, some sporadic BC patients, especially sporadic TNBC, have epigenetically dysregulated HRR pathway that could be identified and benefit from BRCAness-specific therapeutic agents.