The present invention relates to a
diagnostic biomarker composition for
PARP inhibitor response and a pharmaceutical composition for
cancer treatment, including at least one miRNA selected from the group consisting of exosomal miR-664a-5p, miR-98-5p, and miR-95-3p as an
active ingredient. The biomarker of the present invention can predict the therapeutic responsiveness and prognosis of
cancer patients to PARP inhibitors, enabling the early identification of patients in whom the
efficacy of PARP inhibitors is limited due to the development of resistance. Additionally, it has been confirmed that the biomarker of the present invention directly targets FOXM1, a
transcription factor involved in
chemotherapy resistance, to enhance sensitivity to PARP inhibitors. This finding demonstrates that the
differential expression of the biomarker of the present invention plays a crucial role in regulating the
efficacy of PARP inhibitors. Furthermore, the biomarker of the present invention can be identified as a potential therapeutic target for
PARP inhibitor response in
cancer patients.Accordingly, the biomarker of the present invention, either alone or in combination with a
PARP inhibitor, can be effectively utilized for the treatment, prevention, and improvement of cancer.