Target intelligence / Profile preview

Homologous Recombination Deficiency Pathway (HRD)

Target
HRD
Molecular classification
DNA Repair Pathway
01

Overview

Homologous recombination deficiency describes failure or impairment within the high-fidelity homologous recombination DNA repair system. It results from genetic or epigenetic changes affecting core components like *BRCA* genes. Clinically relevant both diagnostically and therapeutically—especially regarding targeted therapies like PARP inhibitors—HRD status guides treatment decisions across multiple solid tumor types by identifying patients most likely to benefit from specific interventions targeting defective DNA damage response pathways.

02

Mechanism of action

Synthetic lethality in HRD tumors with PARP inhibitors; Induction of double-strand breaks with platinum-based chemotherapies

03

Biological functions

DNA repairGenome stabilityCell cycle control
04

Disease associations

CancerTumorigenesis
05

Safety considerations

Development of resistance to PARP inhibitorsSecondary malignancies due to genomic instabilityMyelosuppression with PARP inhibitors and platinum-based therapies
06

Interacting drugs

Platinum-based chemotherapies

1 more in the full profile.

07

Biomarkers

BRCA1/BRCA2 mutationsLoss of heterozygosity (LOH)Telomeric allelic imbalance (TAI)Large-scale state transitions (LST)Mutations in HRR genes (ATM, BARD1, BRIP1, CDK12, CHEK1/2, FANCL, PALB2, RAD51B/C/D, RAD54L)

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