Evidence map›Paper›PMID 42013846›Full record

ArticleCell reports. Medicine2026

Targeting RNase H2: A dual-mechanism strategy to elevate replication stress, DNA damage, and antitumor immunity in TNBC.

Thai Quynh Anh Nguyen, Jing Zhang, Hui Dai, Aysegul Murat, Yong Du, Daniel J McGrail, Funda Meric-Bernstam, Shiaw-Yih Lin

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Thai Quynh Anh NguyenDepartment of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jing ZhangDepartment of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Hui DaiDepartment of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Aysegul MuratDepartment of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Yong DuDepartment of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Daniel J McGrailCenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic, Cleveland, OH, USA; Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: mcgraid@ccf.org.
Funda Meric-BernstamDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Shiaw-Yih LinDepartment of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: sylin@mdanderson.org.

Funding

RNase H2 is a novel therapeutic target in triple negative breast cancerR01CA251206 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LIN, SHIAW-YIH · 2021 to 2025
$1.9M
NCI NIH HHS R01 CA251206
6 · The paper itself

Abstract

Triple-negative breast cancer (TNBC) lacks effective targeted therapies and carries a poor prognosis. TNBC cells escape oncogene-induced senescence and adapt to elevated replication stress. Here, we show that cells escaping senescence depend on overexpression of RNase H2, which removes misincorporated ribonucleotides from genomic DNA. RNASEH2A, the catalytic subunit of RNase H2, is overexpressed in TNBC tumors and correlates with poor survival. Genetic silencing or pharmacological inhibition of RNase H2 selectively impairs TNBC viability, spares non-tumorigenic mammary epithelial cells, and suppresses tumor growth in vivo. Mechanistically, RNase H2 inhibition increases replication stress, DNA damage, and cytosolic single-stranded DNA accumulation, triggering innate immune activation and upregulation of T cell-recruiting chemokines. RNase H2 inhibition synergizes with ATR and PARP inhibitors and enhances immune checkpoint blockade efficacy. Together, these findings identify RNase H2 as a therapeutic vulnerability in TNBC and support combined strategies integrating DNA damage modulation and immunotherapy.

Indexed as

DNA DamageDNA ReplicationRibonuclease HTriple Negative Breast NeoplasmsAnimalsCell Line, TumorFemaleHumansMiceRibonuclease Hribonuclease HIIATR inhibitorDNA damageDNA replication stressimmune checkpoint blockadeimmunotherapyPARP inhibitorRNase H2RNASEH2Atriple-negative breast cancer

Identifiers

PMID42013846
PMCPMC13198296

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.