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Research area

DNA Metabolism: From Hereditary Cancer Syndromes to Targeted Therapy

We investigate how inherited mutations in cancer predisposition genes BRCA1,BRCA2, RAD51, RAD51 paralogs, PALB2, and ATM –compromise the protection of replicating DNA and drive hereditary breast, ovarian, pancreatic, and prostate cancers. Using electron microscopy, cryo-EM, and biochemical reconstitution, we identify the molecular vulnerabilities of DNA repair-deficient cancer cells that can be exploited by targeted therapies including PARP inhibitors and POLθ inhibitors, and we develop structural approaches to reclassify variants of uncertain significance in cancer susceptibility genes.

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Researcher

Vincenzo Costanzo

Vincenzo Costanzo is Full Professor of General Pathology at the University of Milan and Senior Group Leader at IFOM ETS, where he directs the DNA Metabolism programme. After training at Columbia University and founding his lab at Cancer Research UK’s Clare Hall Laboratories, he moved to IFOM in 2013. An elected EMBO Member and recipient of two ERC grants, his discovery that BRCA2 and RAD51 protect replicating DNA from degradation fundamentally changed our understanding of why BRCA mutation carriers develop cancer and how their tumours respond to therapy.

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Publications
Kolinjivadi AM, Sannino V, De Antoni A, Zadorozhny K, Kilkenny M, Técher H, Baldi G, Shen R, Ciccia A, Pellegrini L, Krejci L, Costanzo V

Smarcal1-Mediated Fork Reversal Triggers Mre11-Dependent Degradation of Nascent DNA in the Absence of Brca2 and Stable Rad51 Nucleofilaments.

Mol Cell 2017; 867-881.e7. doi: 10.1016/j.molcel.2017.07.001

Schrempf A, Bernardo S, Arasa Verge EA, Ramirez Otero MA, Wilson J, Kirchhofer D, Timelthaler G, Ambros AM, Kaya A, Wieder M, Ecker GF, Winter GE, Costanzo V, Loizou JI

POLθ processes ssDNA gaps and promotes replication fork progression in BRCA1-deficient cells.

Cell Rep 2022; 111716. doi: 10.1016/j.celrep.2022.111716

Hanthi YW, Ramirez-Otero MA, Appleby R, De Antoni A, Joudeh L, Sannino V, Waked S, Ardizzoia A, Barra V, Fachinetti D, Pellegrini L, Costanzo V

RAD51 protects abasic sites to prevent replication fork breakage.

Mol Cell 2024; 3026-3043.e11. doi: 10.1016/j.molcel.2024.07.004

Team

Antonie Aze (Postdoc), Hervé Técher (Postdoc), Arun M. Kolinjivadi (PhD), Anjali Mann (PhD), Andrea Gnocchi (PhD), Christelle El Kai (PhD), Sina Atashpaz (Postdoc), Vincenzo Sannino (Postdoc).

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