MYC inhibition by Omomyc causes DNA damage and overcomes PARPi resistance in breast cancer

MYC is dysregulated in most human cancers and is a DNA damage response (DDR) modulator capable of both promoting genomic instability and enhancing DNA repair. Here, we show that Omomyc, the only direct MYC inhibitor that has completed a phase 1 trial, shuts down DDR genes in triple-negative breast cancer (TNBC), causing DDR defects and inducing DNA damage. Since DDR-deficient tumors are currently targeted by poly ADP-ribose polymerase inhibitors (PARPis), we tested combinations with Omomyc. We show that Omomyc-induced DNA damage is enhanced by PARPis and that the inhibitors cooperate even in models with intrinsic or acquired PARPi resistance, both in vitro and in vivo. Moreover, using patient-derived models and clinical samples, we reveal a role for MYC as a predictor of PARPi resistance. Overall, our research highlights the opportunity of combining MYC inhibition by Omomyc with PARPis in PARPi-resistant TNBC, where MYC transcriptional activity represents a predictive biomarker of resistance to therapy.

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Publication Details

Journal
Cell Reports
Published
2025-11-21
DOI
https://doi.org/10.1016/j.celrep.2025.116604
Citations
3
Primary Topic
PARP inhibition in cancer therapy
Type
article
Field-Weighted Citation Impact
3.14

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MYC inhibition by Omomyc causes DNA damage and overcomes PARPi resistance in breast cancer

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3 citations
Cell Reports
PARP inhibition in cancer therapy
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article

MYC inhibition by Omomyc causes DNA damage and overcomes PARPi resistance in breast cancer

Virginia Castillo Cano, Marie-Ève Beaulieu, Olga Rodríguez, Violeta Serra, Fara Brasó‐Maristany, Erika Serrano, Magdalena Arnal, Mariano F. Zacarías Fluck, A. Rodríguez, Judit Grueso, Íñigo González-Larreategui, Flaminia Pedretti, Laia Foradada, Laura Soucek, Lara Nonell, Jonathan R. Whitfield, Alba Llop‐Guevara, Fabio Giuntini, Sílvia Casacuberta‐Serra, Sergio López‐Estévez, Sandra Martínez-Martín, Andrea Herencia-Ropero, Judith Balmañà, Marta Guzmán, Hugo Thabussot, Daniel Massó-Vallés, Aleix Prat
article en
3 citations

Abstract

MYC is dysregulated in most human cancers and is a DNA damage response (DDR) modulator capable of both promoting genomic instability and enhancing DNA repair. Here, we show that Omomyc, the only direct MYC inhibitor that has completed a phase 1 trial, shuts down DDR genes in triple-negative breast cancer (TNBC), causing DDR defects and inducing DNA damage. Since DDR-deficient tumors are currently targeted by poly ADP-ribose polymerase inhibitors (PARPis), we tested combinations with Omomyc. We show that Omomyc-induced DNA damage is enhanced by PARPis and that the inhibitors cooperate even in models with intrinsic or acquired PARPi resistance, both in vitro and in vivo. Moreover, using patient-derived models and clinical samples, we reveal a role for MYC as a predictor of PARPi resistance. Overall, our research highlights the opportunity of combining MYC inhibition by Omomyc with PARPis in PARPi-resistant TNBC, where MYC transcriptional activity represents a predictive biomarker of resistance to therapy.

Cell ReportsVol. 44(12)
Hebron University (PS), Vall d'Hebron Institut de Recerca (ES), Vall d'Hebron Hospital Universitari (ES), Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES), Vall d'Hebron Institute of Oncology (ES)
Fundación Cellex, European Commission, Generalitat de Catalunya, Ministerio de Ciencia e Innovación, Horizon 2020 Framework Programme, Agència de Gestió d'Ajuts Universitaris i de Recerca, Instituto de Salud Carlos III
Openalex Percentile: Top 7%
PARP inhibition in cancer therapy
3.14
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