OnCo

WRN helicase (MSI-high cancers)

Short target page →

A DNA-unwinding enzyme that mismatch-repair-deficient cancers cannot live without; the first WRN inhibitors are in trials as a chemotherapy-free option for MSI-high tumours that fail immunotherapy. This dossier gathers the 0 products (0 approved), 0 trials, 2 pathways and 0 resistance routes in the corpus that involve it, with external identifiers so it can be joined to UniProt, ChEMBL, Open Targets and the rest of biology.

Biology

RecQ family 3'→5' DNA helicase and exonuclease; germline loss causes Werner progeroid syndrome; in MSI cancers its helicase (not exonuclease) activity prevents replication fork collapse at expanded (TA)n repeats.

Where it is found
  • MSI-H colorectal cancer (~15% of CRC; dependency)
  • MSI-H endometrial cancer (~30%)
  • MSI-H gastric cancer (~20%)
  • Lynch syndrome tumours
Class: enzyme · Gene: WRN · Facts checked 2026-09-08 · Target page

Elsewhere: identifiers and databases

Built from HGNC, Ensembl, UniProt and ChEMBL ids

How common it is, by cancer

Full matrix →
CancerPrevalenceSource
Endometrial cancer
30%
Gastric & gastro-oesophageal junction cancer
20%
Colorectal cancer
15%

Approximate, population-level figures; the measure column says what was counted. Ranges show the midpoint as a bar.

Products by modality and phase

Browse products →

No product in the corpus is aimed at this target yet.

No trial in the corpus names this target or one of its products.

Resistance routes that involve this target

Unaddressed routes →

The resistance atlas has no route that names this target.

Pathways where it is a node

Pathway-to-drug matrix →
  • Mismatch repair & microsatellite instability
    Node: WRN dependence · 2 druggable nodes

    After DNA is copied, a proofreading crew fixes the letters the polymerase got wrong. Lose it and the genome fills with thousands of small errors, especially in repetitive stretches (microsatellites). Those errors make abnormal proteins that the immune system can see, which is why immunotherapy works so well in these cancers.

    Which nodes have drugs →
  • Synthetic lethality: paired dependencies
    Node: → WRN helicase · 7 druggable nodes

    Two genes are synthetically lethal when losing either alone is fine but losing both kills the cell. Cancers that have already lost one (a tumour suppressor you cannot put back) become uniquely dependent on the other, which you can drug. BRCA and PARP was the first proof; a dozen more pairs are now in trials.

    Which nodes have drugs →

Companion diagnostics and assays

Assay registry →

No companion diagnostic in the registry measures this target.

Preclinical models

All models →

No model entry for this target yet; check the cancer entries on the models page.

No open questions recorded for this target yet. Suggest one.

Key papers and the live literature

Preprints →
Latest papers · live from Europe PMC
Open in Europe PMC

Query for this target: (TITLE:"WRN helicase" OR ABSTRACT:"WRN helicase" OR TITLE:"MSI-high cancers" OR ABSTRACT:"MSI-high cancers" OR TITLE:"WRN" OR ABSTRACT:"WRN") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about WRN helicase (MSI-high cancers), not a curated reading list.

Export

The dossier as machine-readable JSON: identifiers from HGNC, Ensembl, UniProt and ChEMBL, products with status, trials, pathways, hotspots, open questions and assays. The full entity record is in the open API at /api/v1/entities/wrn.json. Licence CC BY 4.0.