A common polymorphism in the 5’ UTR of ERCC5 creates an upstream ORF that confers resistance to platinum-based chemotherapy

Joanna Somers, Lindsay A. Wilson, John Paul Kilday, Emilie Horvilleur, Ian G. Cannell, Tuija A.A. Pöyry, Laura C. Cobbold, Alexander Kondrashov, John R.P. Knight, Stéphanie Puget, Jacques Grill, Richard G. Grundy, Martin Bushell, Anne E. Willis

    Research output: Contribution to journalArticlepeer-review

    31 Citations (Scopus)

    Abstract

    We show that a common polymorphic variant in the ERCC5 5’ untranslated region (UTR) generates an upstream ORF (uORF) that affects both the background expression of this protein and its ability to be synthesized following exposure to agents that cause bulky adduct DNA damage. Individuals that harbor uORF1 have a marked resistance to platinum-based agents, illustrated by the significantly reduced progression-free survival of pediatric ependymoma patients treated with such compounds. Importantly, inhibition of DNA-PKcs restores sensitivity to platinum-based compounds by preventing uORF1-dependent ERCC5 expression. Our data support a model in which a heritable 5’ noncoding mRNA element influences individuals’ responses to platinumbased chemotherapy.

    Original languageEnglish
    Pages (from-to)1891-1896
    Number of pages6
    JournalGenes and Development
    Volume29
    Issue number18
    DOIs
    Publication statusPublished - 15 Sept 2015

    Keywords

    • DNA damage repair
    • ERCC5
    • Protein synthesis
    • uORF

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