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WRN PARP Synthetic Lethality MSI-H CRC — PatSnap Eureka

WRN PARP Synthetic Lethality MSI-H CRC — PatSnap Eureka
MSI-H CRC · Synthetic Lethality

WRN and PARP Synthetic Lethality in MSI-High Colorectal Cancer

Microsatellite instability-high colorectal cancer harbors unique DNA repair vulnerabilities. Explore the patent landscape, molecular targets, and IP strategy around WRN helicase dependency and PARP inhibitor sensitivity in MMR-deficient tumors.

Synthetic Lethality Mechanism: MMR Deficiency + PARP Inhibition → Selective Tumor Cell Death in MSI-H CRC Diagram illustrating the two-hit synthetic lethality model in MSI-high colorectal cancer: MMR deficiency (first hit) combined with PARP inhibitor treatment (second hit) leads to unrepaired DNA damage and selective cancer cell death, while normal cells with intact MMR survive. SYNTHETIC LETHALITY MODEL HIT 1 MMR Deficiency MLH1 / MSH2 / MSH3 HIT 2 PARP Inhibition Blocks SSB repair OUTCOME Tumor Cell Death MSH3 KEY STAT Frameshift mutations in MSH3 poly-[A]8 repeat occur in 20–50% of MSI colorectal cancer cases PARPi Therapy BER Inhibition DNPH1 Targeting HRD Diagnostics Source: PatSnap Eureka Patent Analysis · eureka.patsnap.com
20–50%
MSI CRC cases with MSH3 frameshift mutations
7+
Jurisdictions in Baylor MSH3/PARPi patent family
4
Distinct synthetic lethality modalities identified
2024
Most recent filing: Francis Crick Institute DNPH1 patent
Disease & Target Overview

MMR Deficiency as the Foundation of MSI-H CRC Vulnerability

Microsatellite instability-high (MSI-H) colorectal cancer arises from defective mismatch repair (MMR) — involving gene products including MLH1, MSH2, and MSH3 — resulting in the accumulation of mutations at microsatellite repeat loci. This genetic instability creates a distinct therapeutic landscape compared to microsatellite-stable CRC.

Frameshift mutations within the MSH3 gene's poly-[A]8 repeat are frequent in MSI CRC, occurring in 20–50% of cases, leading to loss or reduction of MSH3 protein expression. This MSH3 deficiency is posited as a determinant of sensitivity to both PARP inhibitors and platinum-based genotoxic agents, based on the role of MSH3 in DNA double-strand break (DSB) repair.

MSH3-negative cancer cell populations also exhibit elevated microsatellite alterations at tetranucleotide repeats — the EMAST phenotype — a marker co-occurring with low-level MSI. A patent from VIB VZW further frames MMR-deficient tumor cells as sensitive to synthetic lethality via inhibition of the DNA base excision repair (BER) pathway, noting that "MSI positive tumors are often resistant to standard chemotherapies."

The Francis Crick Institute filing extends the PARP synthetic lethality concept to homologous recombination (HR)-deficient cells, identifying that DNPH1 catalytic inhibition sensitizes HR-deficient cells to PARP inhibition — mechanistically relevant to the broader paradigm of exploiting DNA repair deficiency for selective tumor killing in oncology drug discovery.

MSH3
Primary synthetic lethal target in retrieved dataset
DNPH1
Novel target: Francis Crick Institute 2024 filing
BER
Orthogonal pathway targeted by VIB VZW active EP patent
HRD
LOH + TAI + LST markers for PARPi response prediction
Dataset Note

This report is derived from a limited set of patent and literature records retrieved across targeted searches. It represents a snapshot of innovation signals within this dataset only and should not be interpreted as a comprehensive view of the full field, clinical pipeline, or regulatory landscape.

Patent Intelligence

Assignee Activity & Synthetic Lethality Modalities

Patent-driven commercial activity in the MSI-H CRC synthetic lethality space is concentrated among a small number of institutions, with distinct IP positions across therapeutic and diagnostic modalities.

Patent Assignee Jurisdiction Coverage

Baylor Research Institute leads with 7+ jurisdictions for the MSH3/PARPi axis; VIB VZW holds the most current active EP patent on BER synthetic lethality.

Patent Assignee Jurisdiction Coverage: Baylor Research Institute 7 jurisdictions, VIB VZW 1 active EP, Francis Crick Institute 1 pending BR, Myriad Genetics 2 JP patents, University of Tokyo 1 JP patent Horizontal bar chart comparing the number of jurisdictions or active patents held by key assignees in the MSI-H CRC synthetic lethality space, based on PatSnap Eureka patent analysis. Baylor Research Institute has the broadest geographic reach but most patents are now inactive. Baylor RI VIB VZW Myriad Genetics Francis Crick Univ. Tokyo 7 1 2 1 1 Number of Patent Filings / Jurisdictions

Therapeutic Modalities by Development Stage

All retrieved modalities are at preclinical stage; no clinical trial data or patient cohort outcomes are present in the dataset for any WRN-targeted or PARPi therapy in MSI-H CRC.

Synthetic Lethality Modalities in MSI-H CRC: PARP Inhibitor MSH3-guided (Preclinical), BER Inhibition VIB VZW (Early Preclinical), DNPH1/PARP Francis Crick (Preclinical), HRD Companion Diagnostics Myriad (Diagnostic/Biomarker) Overview of four therapeutic and diagnostic modalities for synthetic lethality in MSI-high colorectal cancer, all at preclinical stage based on patent evidence retrieved via PatSnap Eureka. No clinical trial data is present in the dataset. PARP INHIBITOR MSH3-Guided PARPi Baylor Research Institute 7 jurisdictions · 2012 filings Preclinical BER INHIBITION BER Synthetic Lethality VIB VZW · Active EP Patent 2021 filing · MSI-positive cells Early Preclinical DNPH1 / PARP AXIS DNPH1 Inhibition Francis Crick Institute · 2024 Pending BR · HR-deficient cells Preclinical HRD DIAGNOSTICS HRD Companion Dx Myriad Genetics · 2023–2025 JP LOH · TAI · LST · BRCA signature Diagnostic

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Key Molecular Targets

DNA Repair Targets Driving Synthetic Lethality in MMR-Deficient CRC

Four molecular target classes emerge from the retrieved dataset, each representing a distinct mechanism of exploiting DNA repair deficiency for selective tumor killing in life sciences drug discovery.

Primary Target · Most Evidenced

MSH3 — Mismatch Repair / DSB Repair

The most frequently appearing DNA repair target in this dataset. MSH3 deficiency in MSI CRC — arising from frameshift mutations in the poly-[A]8 repeat occurring in 20–50% of cases — impairs double-strand break (DSB) repair, increasing reliance on PARP-mediated single-strand break repair. Baylor Research Institute patent families across at least 7 jurisdictions (US, AU, CA, CN, JP, MX, BR) converge on MSH3 expression status as the predictive biomarker for PARPi and platinum sensitivity. Experimental evidence includes isogenic CRC cell lines with tet-off shRNA-regulated MSH3 expression tested against cisplatin, oxaliplatin, and PARP inhibitors.

20–50% MSI CRC frequency · Baylor RI, 7 jurisdictions
Pathway Target · Active EP Patent

BER Pathway Enzymes — Base Excision Repair

The VIB VZW patent (2021, active EP) identifies MMR-deficient cells — detected via novel microsatellite mutation markers — as sensitive to BER enzyme inhibition as a class. The synthetic lethal logic is that MMR-deficient cells accumulate replication errors processed via BER; BER inhibition therefore creates lethal DNA damage specifically in MMR-deficient cells. This modality is conceptually distinct from direct PARP inhibition, targeting BER pathway components including PARP1/2, APE1, and POLB. Standard chemotherapy resistance in MSI-positive tumors motivates this alternative approach.

VIB VZW · Active EP 2021 · MSI-positive screening
Novel Target · 2024 Filing

DNPH1 — Next-Generation Synthetic Lethal Agent

Identified in The Francis Crick Institute patent (2024, pending BR) as a novel synthetic lethal target: catalytic inhibition of DNPH1 (2'-deoxynucleoside 5'-phosphate N-hydrolase 1) sensitizes HR-deficient cells to PARP inhibition. Combined DNPH1 ablation plus substrate (5-hydroxymethyl-deoxyuridine) administration can itself produce synthetic lethality in HR-deficient cells, even without PARP inhibitors. This target is presented as distinct from, and potentially synergistic with, direct PARPi — relevant given that a subset of MSI-H CRC may harbor HR deficiency features.

Francis Crick Institute · 2024 pending · HR-deficient cells
Diagnostic Biomarkers · Companion Dx

HRD Genomic Signatures — LOH, TAI, LST, BRCA

Myriad Genetics (multiple active and pending JP patents, 2023–2025) describes in vitro methods for assessing homologous recombination deficiency (HRD) via genomic instability markers: loss of heterozygosity (LOH), telomeric allelic imbalance (TAI), and large-scale state transitions (LST). The University of Tokyo patent additionally describes BRCA mutation signature analysis relative to Age signature as an HRD indicator. These companion diagnostic frameworks are applicable to the subset of MSI-H CRC with overlapping HRD features, and are essential for patient stratification in PARPi clinical programs.

Myriad Genetics · LOH + TAI + LST + BRCA signature
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Assignee & IP Landscape

Key Patent Holders and IP Status in MSI-H CRC Synthetic Lethality

Assignee Focus Area Jurisdictions / Patents Filing Year IP Status
Baylor Research Institute MSH3/PARPi + platinum synthetic lethality; MSH3 as predictive biomarker in CRC US, AU, CA, CN, JP, MX, BR (7+) 2012 Largely Inactive
VIB VZW BER inhibitor synthetic lethality in MMR-deficient tumors; novel MSI marker detection EP (active) 2021 Active EP
Myriad Genetics, Inc. HRD assessment via LOH, TAI, LST for PARPi response prediction (companion Dx) JP (multiple) 2023–2025 Active / Pending
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Francis Crick IP status Univ. Tokyo filing details FTO analysis
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Strategic Implications

IP Strategy & Drug Development Signals for MSI-H CRC

Retrieved patent and literature signals point to actionable opportunities for biotech and pharma teams developing synthetic lethality programs in MMR-deficient colorectal cancer, including companion diagnostic co-development.

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Biomarker Stratification is Essential

Retrieved results converge on MSH3 expression and HRD genomic signatures (LOH, TAI, LST, BRCA mutational signature) as the most actionable biomarkers for predicting PARPi sensitivity in CRC. Drug developers should consider companion diagnostic co-development as integral to clinical programs in this space.

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MSH3/PARP IP Landscape is Aged & Largely Lapsed

Baylor Research Institute's multi-jurisdiction patent family on MSH3-guided PARPi therapy appears to have entered inactive status across most jurisdictions (AU, CA, CN, JP, MX, BR), with the US patent also inactive. This creates potential freedom-to-operate for new entrants developing MSH3-stratified PARPi programs.

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VIB VZW blocking analysis WRN IP opportunity DNPH1 target tracking
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Combination Approaches & Emerging Directions

Five Emerging Strategies in MSI-H CRC Synthetic Lethality

1. MSH3 status-guided dual-agent therapy (PARPi + platinum): Baylor Research Institute patents claim methods covering the combined use of PARP inhibitors and platinum drugs in MSH3-deficient CRC, with MSH3 expression as the stratification biomarker. This combination is rationalized by complementary DSB induction (platinum) and repair suppression (PARPi), both exploiting MSH3 deficiency.

2. BER inhibition as an orthogonal synthetic lethal strategy: The VIB VZW patent (2021, active EP) signals emerging interest in BER enzyme inhibitors as alternatives or complements to PARPi in MMR-deficient tumors. Standard chemotherapy resistance in MSI-positive tumors motivates this alternative approach, as noted in the patent itself.

3. DNPH1 inhibition as a PARPi sensitizer or standalone agent: The 2024 Francis Crick Institute filing represents a recent signal toward next-generation synthetic lethal combinations layerable onto MMR-deficient/HR-deficient CRC contexts. Track this emerging target class via PatSnap's IP analytics platform.

4. Mutation signature-based patient stratification: Retrieved patents from Myriad Genetics and the University of Tokyo signal ongoing efforts to refine HRD biomarker panels (combining LOH, TAI, LST, and BRCA mutational signatures) to identify CRC patients most likely to benefit from PARPi regimens.

5. MSI subtype differentiation as a treatment selection tool: Retrieved patents from Baylor Research Institute and a paper evaluating tumour mutational signatures in MMR germline variant carriers suggest that not all MSI-H CRC is equivalent; EMAST, MSI-M, and MSI-H subtypes carry different prognostic implications, which may translate to differential PARPi sensitivity. Explore the full customer use cases for oncology IP strategy at PatSnap.

Translational Signal Summary
  • All evidence is entirely preclinical — no clinical trial data retrieved
  • Cell line models (isogenic CRC, tet-off shRNA) used by Baylor RI
  • VIB VZW describes screening methodology without patient data
  • Francis Crick: in vitro and genetic ablation models only
  • Myriad HRD methods cite prediction frameworks, not MSI-H CRC outcomes
  • MSI-H patients show distinct recurrence patterns vs. intermediate MSI in stage II/III CRC
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WRN Helicase Gap

WRN helicase inhibition is not directly evidenced in the retrieved dataset. The WRN synthetic lethality concept in MSI-H CRC may be underpatented relative to its scientific novelty — representing a potential first-mover IP opportunity.

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Biomarker Intelligence

HRD Biomarker Components for PARPi Response Prediction

Retrieved Myriad Genetics and University of Tokyo patents identify a multi-component HRD biomarker panel as the most actionable framework for identifying MSI-H CRC patients likely to benefit from PARPi regimens.

HRD Biomarker Panel Components

Four genomic instability markers combine to predict PARPi sensitivity; all are described in retrieved Myriad Genetics and University of Tokyo patent filings.

HRD Biomarker Panel: Loss of Heterozygosity (LOH), Telomeric Allelic Imbalance (TAI), Large-Scale State Transitions (LST), BRCA Mutational Signature — all used to predict PARPi sensitivity in HRD cancers including MSI-H CRC Visual overview of the four-component HRD genomic instability biomarker panel described in Myriad Genetics and University of Tokyo patent filings, used to predict homologous recombination deficiency and response to PARP inhibitor therapy. Source: PatSnap Eureka patent analysis. LOH Loss of Heterozygosity Genomic instability marker Myriad Genetics · JP patents 2023–2025 TAI Telomeric Allelic Imbalance Genomic instability marker Myriad Genetics · JP patents 2023–2025 LST Large-Scale State Transitions Genomic instability marker Myriad Genetics · JP patents 2023–2025 BRCA SIG BRCA Mutational Signature vs. Age signature contribution Univ. of Tokyo · JP patent 2021

MSI Subtype Differentiation & Clinical Relevance

Not all MSI-H CRC is equivalent: EMAST, MSI-M, and MSI-H subtypes carry different prognostic implications and may translate to differential PARPi sensitivity, per retrieved Baylor RI findings.

MSI Subtype Differentiation in CRC: MSI-H (high instability, distinct recurrence patterns, primary PARPi target), MSI-M/intermediate (different prognostic profile), EMAST (elevated microsatellite alterations at tetranucleotide repeats, co-occurring with low-level MSI, MSH3-negative populations) Diagram showing three MSI subtypes in colorectal cancer — MSI-H, MSI-M, and EMAST — and their distinct molecular and prognostic characteristics based on Baylor Research Institute patent and paper findings retrieved via PatSnap Eureka. MSH3-negative populations exhibit the EMAST phenotype. MSI-H High Instability Primary PARPi target Distinct recurrence patterns vs. MSI-M Stage II/III CRC MLH1/MSH2/MSH3 deficiency PRIMARY FOCUS MSI-M Intermediate Different prognostic profile from MSI-H Distinct metastatic patterns May have differential PARPi sensitivity MONITORING EMAST Tetranucleotide MSI MSH3-negative populations Elevated microsatellite alterations at tetranucleotide repeats Co-occurs w/ low MSI EMERGING SIGNAL

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References

  1. MSH3 Expression Status Determines the Responsiveness of Cancer Cells to the Chemotherapeutic Treatment with PARP Inhibitors and Platinum Drugs — Takahashi, Masanobu / Baylor Research Institute, 2012, US [Patent]
  2. MSH3 expression status determines the responsiveness of cancer cells to the chemotherapeutic treatment with PARP inhibitors and platinum drugs — Baylor Research Institute, 2012, AU [Patent]
  3. MSH3 expression status determines the responsiveness of cancer cells to the chemotherapeutic treatment with PARP inhibitors and platinum drugs — Baylor Research Institute, 2012, CA [Patent]
  4. Determination of responsiveness of cancer cell to chemotherapeutic treatment with PARP inhibitor and platinum drug based on MSH3 expression status — Baylor Research Institute, 2012, JP [Patent]
  5. MSH3 expression status determines the responsiveness of cancer cells to the chemotherapeutic treatment with PARP inhibitors and platinum drugs — Baylor Research Institute, 2012, AU [Patent]
  6. MSH3 expression status determines the responsiveness of cancer cells to the chemotherapeutic treatment with PARP inhibitors and platinum drugs — Baylor Research Institute, 2013, AU [Patent]
  7. MSH3的表达状态决定癌细胞对使用PARP抑制剂和铂药物的化学疗法治疗的响应性 — Baylor Research Institute, 2012, CN [Patent]
  8. MSH3 Expression Status to Determine the Responsibility of Cancer Cells to Chemotherapy Treatment with PARP Inhibitors and Platinum Drugs — Baylor Research Institute, 2013, BR [Patent]
  9. MSH3 expression status determines the responsiveness of cancer cells to the chemotherapeutic treatment with PARP inhibitors and platinum drugs — Baylor Research Institute, 2012, MX [Patent]
  10. Novel markers for detecting microsatellite instability in cancer and determining synthetic lethality with inhibition of the DNA base excision repair pathway — VIB VZW, 2021, EP [Patent]
  11. Cancer treatment for people with HR deficiency — The Francis Crick Institute Limited, 2024, BR [Patent]
  12. Methods and materials for assessing homologous recombination deficiency — Myriad Genetics, Incorporated, 2023, JP [Patent]
  13. Method and material for evaluating homologous recombination deficiency — Myriad Genetics, Incorporated, 2025, JP [Patent]
  14. Methods for predicting cancer sensitivity to PARP inhibitors and detecting cancers with homologous recombination repair deficiency — National University Corporation the University of Tokyo, 2021, JP [Patent]
  15. Biomarkers for Predicting the Recurrence of Colorectal Cancer Metastasis — Boland, C. Richard, 2012, US [Patent]
  16. Biomarkers for predicting the recurrence of colorectal cancer metastasis — Boland, C. Richard, 2012, WO [Patent]
  17. Biomarkers for predicting the recurrence of colorectal cancer metastasis — Baylor Research Institute, 2014, EP [Patent]
  18. Evaluating the utility of tumour mutational signatures for identifying hereditary colorectal cancer and polyposis syndrome carriers — University of Melbourne, 2019 [Paper]
  19. Methods and materials for assessing homologous recombination deficiency — Myriad Genetics, Incorporated, 2023, JP [Patent]
  20. Lynch Syndrome (Hereditary Nonpolyposis Colorectal Cancer) — NCBI GeneReviews
  21. Colorectal Cancer — National Cancer Institute
  22. Colorectal Cancer Fact Sheet — World Health Organization

All data and statistics on this page are sourced from the references above and from PatSnap's proprietary innovation intelligence platform. Patent status information reflects the retrieved dataset only and may not represent a comprehensive view of the full IP landscape.

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